Single-stage bilateral tibial tuberosity advancement for treatment of bilateral canine cranial cruciate ligament deficiency

J. E. Kiefer; A. Langenbach; J. Boim; S. Gordon; D. J. Marcellin-Little

doi:10.3415/VCOT-14-08-0130

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 2015; 28(03): 215-219
DOI: 10.3415/VCOT-14-08-0130

Original Research

Schattauer GmbH

Single-stage bilateral tibial tuberosity advancement for treatment of bilateral canine cranial cruciate ligament deficiency

J. E. Kiefer

¹Veterinary Surgical Centers, Vienna, Virginia, USA

,

A. Langenbach

¹Veterinary Surgical Centers, Vienna, Virginia, USA

,

J. Boim

²Department of Mathematics and Statistics, American University, Washington, DC, USA

,

S. Gordon

¹Veterinary Surgical Centers, Vienna, Virginia, USA

,

D. J. Marcellin-Little

³Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA

› Author Affiliations

Abstract

Summary

Objective: To report complications in dogs with naturally occurring cranial cruciate ligament rupture following single-stage bilateral tibial tuberosity advancement (SS-BTTA) procedures, and to compare these complications to a population of dogs undergoing unilateral tibial tuberosity advancement (UTTA).

Methods: Medical records and radiographs of client-owned dogs treated with tibial tuberosity advancement between August 2008 and December 2011 were reviewed. Forty-four client-owned dogs with bilateral cranial cruciate ligament rupture that underwent SS-BTTA procedures and 82 client-owned dogs that underwent UTTA proced -ures were randomly selected from our hospital population. Complications were recorded and analysed. Major complications were defined as fractures or any complication requiring a second surgery. Minor complications were any problem identified that did not require surgical management.

Results: Incidence for major and minor complications in the UTTA group was 2.3% and 24.4%, respectively. Incidence for major and minor complications in the SS-BTTA group was 12.5% and 26.1%, respectively. Single-stage bilateral tibial tuberosity advancement procedures had a four- to five-fold increase in odds of a major complication (p <0.050) compared to UTTA.

Clinical significance: The findings of our study indicate that SS-BTTA procedures are associated with an increased risk of major complications compared to UTTA procedures.

Keywords

Tibial tuberosity advancement - cranial cruciate ligament - bilateral

Full Text

References

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