Treatment of tibial diaphyseal fractures following plateless tibial tuberosity advancement to manage cranial cruciate disease

R. De Sousa, Paul Egan, Kevin J Parsons, Steven Butterworth, I Calvo, S Roch, AP Moores

Research output: Contribution to journalArticle (Academic Journal)peer-review

2 Citations (Scopus)
382 Downloads (Pure)

Abstract

Objective

To report diaphyseal fractures of the proximal tibia following tibial tuberosity advancement without plate stabilisation for the management of cranial cruciate ligament rupture in dogs.
Methods

Members of the British Veterinary Orthopaedic Association's online discussion forum were invited to submit revision cases of tibial diaphyseal fracture following tibial tuberosity advancement without plate fixation. Data collected included signalment, surgical revision technique, pre- and postoperative revision radiographic findings, complications and veterinary assessment. Owners were invited to complete the Liverpool Osteoarthritis in Dogs questionnaire.
Results

A total of 17 dogs were included in the study. Eleven dogs had OrthoFoam-wedge modified Maquet procedures and six had the tibial tuberosity advancement rapid procedure. Tibial tuberosity advancement was maintained in 14/17 cases. Postrevision surgery complications occurred in eight cases: minor complications in 3/17 dogs; major in 5/17 and no catastrophic complications. Surgical site infection was the most common complication (4/8). Final clinical outcome found 8/17 of dogs to have excellent, 8/17 satisfactory and 1/17 poor clinical outcome. The median Liverpool Osteoarthritis in Dogs score was 12/52 (range 2 to 28). Final outcome was 6/13 owners that were very satisfied, 2/13 owners indifferent and 5/13 owners very disappointed.
Clinical Significance

This is the first case series reporting tibial diaphyseal fractures following tibial tuberosity advancement without plate stabilisation. The authors report here a wide spectrum of potential fixation strategies should one of these fractures occur.
Original languageEnglish
JournalJournal of Small Animal Practice
Early online date13 Apr 2017
DOIs
Publication statusE-pub ahead of print - 13 Apr 2017

Keywords

  • Tibial tuberosity
  • diaphyseal
  • Fracture
  • Cranial cruciate ligament

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