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- Title
Tibial Plateau Leveling Osteotomy following Tibial Tuberosity Advancement Cage Removal: A Case Report.
- Authors
Zhalniarovich, Yauheni; Mieszkowska, Marta; Morawska-Kozłowska, Magdalena
- Abstract
Simple Summary: Persistent knee joint instability has been recognized as a potential postoperative consequence after Tibial Tuberosity Advancement (TTA) causing chronic lameness. A six-year-old male Labrador retriever (38 kg) with persistent lameness lasting six months after TTA Rapid surgery has been examined. During orthopedic examination, the lameness was subjectively graded 3/5 and the positive drawer and tibial compression tests were performed. Radiographical measurements were performed; the preoperative tibial plateau angle was 27° and the patella ligament angle relative to the tibial plateau was 102°. The decision was made to completely remove the TTA Rapid cage and all screws to have enough room to perform a TPLO and apply a 3.5 LCP plate. Long-term follow-up showed radiologically excellent healing with fusion of the gap and disappearance of the osteotomy line. Six months postoperatively, no lameness was detected at a walk and trot. The owner was completely satisfied and reported the dog being free of lameness even after long walks. The purpose of this case report is to describe the functional and clinical outcome of a tibial plateau leveling osteotomy (TPLO) in a dog with joint instability and persistent lameness following a Tibial Tuberosity Advancement surgery (TTA) Rapid. A six-year-old male Labrador retriever (38 kg) with a tibial plateau angle of 27° and a patella ligament to tibial plateau angle of 102° and persistent lameness lasting six months after TTA Rapid surgery has been examined. During orthopedic examination, the lameness was subjectively graded 3/5 and the positive drawer and tibial compression tests were performed. The TTA Rapid cage and all screws were completely removed from the tibia to have enough room to perform a TPLO radial cut. A lameness score evaluation, client satisfaction and radiographic follow-up were performed at 4 weeks, 8 weeks and 6 months postoperatively. Long-term follow-up showed radiologically excellent healing with fusion of the gap and disappearance of the osteotomy line. Six months postoperatively, no lameness was detected at a walk and trot. The owner was completely satisfied and reported the dog being free from lameness even after long walks. No complications related to the TPLO surgery occurred.
- Subjects
KNEE joint; OSTEOTOMY; LABRADOR retriever; JOINT instability; ANTERIOR cruciate ligament; PATELLA; KNEE
- Publication
Animals (2076-2615), 2023, Vol 13, Issue 22, p3444
- ISSN
2076-2615
- Publication type
Case Study
- DOI
10.3390/ani13223444