Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of Plate Design on the Accuracy of Tibial Alignment after Center of Rotation of Angulation-Based Leveling Osteotomy in Toy-Breed Dogs

  • Han, Jae-Hong (College of Veterinary Medicine, Chungnam National University) ;
  • Lee, Hae-Beom (College of Veterinary Medicine, Chungnam National University) ;
  • Jeong, Jae-Min (College of Veterinary Medicine, Chungnam National University) ;
  • Jeon, Young-Jin (College of Veterinary Medicine, Chungnam National University) ;
  • Roh, Yoon-Ho (College of Veterinary Medicine, Chungnam National University)
  • Received : 2021.12.13
  • Accepted : 2022.04.25
  • Published : 2022.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The center of rotation of angulation-based leveling osteotomy (CBLO) has been introduced for the stabilization of cranial cruciate ligament rupture (CCLR) in small-breed dogs. This technique can be applied to the tibia without damaging its tuberosity. Although different designs of CBLO plates are available, tibial plateau leveling osteotomy (TPLO) plates have been still used for stabilization during CBLO. To the best of our knowledge, no studies have reported the effects of TPLO plates on the postoperative limb alignment after CBLO. Therefore, the present study (January 2020 to February 2021) aimed to compare the postoperative outcomes (postoperative tibial plateau angle [TPA] and tibial alignment) in patients receiving CBLO and TPLO plates during CBLO. Paired stifle joints (n = 16) were obtained from eight toy-breed cadaver dogs (mean weight, 4.4 kg) that underwent CBLO. The joints were randomly assigned to receive the CBLO (CBLO group) or TPLO plates (TPLO group). Pre-and postoperative radiographs were obtained, and the dissected tibiae were evaluated. The following postoperative parameters were compared to evaluate the surgical outcome: TPA, osteotomy location, mechanical medial proximal tibia angle, inter-segment gap, and tibial plateau translation. No significant differences were found in the postoperative alignment between the two groups. Therefore, TPLO plates may be considered as a viable alternative in toy-breed dogs undergoing CBLO.

Keywords

Acknowledgement

This study was supported by the research fund of Chungnam National University.

References

  1. Bell JC, Ness MG. Does use of a jig influence the precision of tibial plateau leveling osteotomy surgery? Vet Surg 2007; 36: 228-233. https://doi.org/10.1111/j.1532-950X.2007.00254.x
  2. Bergh MS, Peirone B. Complications of tibial plateau levelling osteotomy in dogs. Vet Comp Orthop Traumatol 2012; 25: 349-358. https://doi.org/10.3415/VCOT-11-09-0122
  3. Burton NJ, Fitzpatrick N, Wallace AM. Evaluation of cut accuracy and cis cortical damage for tibial plateau leveling osteotomy performed with and without aid of a novel saw guide: an in vitro study. Vet Surg 2013; 42: 28-37. https://doi.org/10.1111/j.1532-950X.2012.01031.x
  4. Cosenza G, Reif U, Martini FM. Tibial plateau levelling osteotomy in 69 small breed dogs using conically coupled 1.9/2.5 mm locking plates. A clinical and radiographic retrospective assessment. Vet Comp Orthop Traumatol 2015; 28: 347-354. https://doi.org/10.3415/VCOT-14-09-0135
  5. Craig A, Witte PG, Scott HW. Sagittal accuracy of tibial osteotomy position during in vivo tibial plateau levelling osteotomy performed without an alignment jig and cutting guide. Vet Comp Orthop Traumatol 2017; 30: 37-45. https://doi.org/10.3415/VCOT-16-01-0002
  6. Dismukes DI, Tomlinson JL, Fox DB, Cook JL, Witsberger TH. Radiographic measurement of canine tibial angles in the sagittal plane. Vet Surg 2008; 37: 300-305. https://doi.org/10.1111/j.1532-950X.2008.00381.x
  7. Eidelman M, Ghrayeb N, Katzman A, Keren Y. Submuscular plating of femoral fractures in children: the importance of anatomic plate precontouring. J Pediatr Orthop B 2010; 19: 424-427. https://doi.org/10.1097/BPB.0b013e32833c665e
  8. Fuchs TF, Petersen W, Vordemvenne T, Stange R, Raschke M, Paletta JR. Influence of synovial fluid on human osteoblasts: an in vitro study. ScientificWorldJournal 2007; 7: 2012-2020. https://doi.org/10.1100/tsw.2007.282
  9. Hall EL, Baines S, Bilmont A, Oxley B. Accuracy of patient-specific three-dimensional-printed osteotomy and reduction guides for distal femoral osteotomy in dogs with medial patella luxation. Vet Surg 2019; 48: 584-591. https://doi.org/10.1111/vsu.13126
  10. Higuchi H, Shirakura K, Kimura M, Terauchi M, Shinozaki T, Watanabe H, et al. Changes in biochemical parameters after anterior cruciate ligament injury. Int Orthop 2006; 30: 43-47. https://doi.org/10.1007/s00264-005-0023-5
  11. Hulse D, Beale B, Kowaleski M. CORA based leveling osteotomy for treatment of the CCL deficient stifle. Proceedings of the world orthopaedic veterinary congress. Bologna 2010: 120-121.
  12. Jeong Y, Jeong J, Cho C, Jeong S, Lee HB. Effects of osteotomy angle on tibial angulation and torsion during CORA-based leveling osteotomy in toy breed dogs: a computer modeling-based study. J Vet Clin 2020; 37: 175-179. https://doi.org/10.17555/jvc.2020.08.37.4.175
  13. Kergosien DH, Barnhart MD, Kees CE, Danielson BG, Brourman JD, DeHoff WD, et al. Radiographic and clinical changes of the tibial tuberosity after tibial plateau leveling osteotomy. Vet Surg 2004; 33: 468-474. https://doi.org/10.1111/j.1532-950X.2004.04066.x
  14. Kim J, Heo S, Na J, Kim N, Kim M, Jeong S, et al. Determination of femoral and tibial joint reference angles in small-breed dogs. J Vet Clin 2016; 33: 340-345. https://doi.org/10.17555/jvc.2016.12.33.6.340
  15. Kishi EN, Hulse D. Owner evaluation of a CORA-based leveling osteotomy for treatment of cranial cruciate ligament injury in dogs. Vet Surg 2016; 45: 507-514. https://doi.org/10.1111/vsu.12472
  16. Kowaleski MP, Apelt D, Mattoon JS, Litsky AS. The effect of tibial plateau leveling osteotomy position on cranial tibial subluxation: an in vitro study. Vet Surg 2005; 34: 332-336. https://doi.org/10.1111/j.1532-950X.2005.00051.x
  17. Leitner M, Pearce SG, Windolf M, Schwieger K, Zeiter S, Schawalder P, et al. Comparison of locking and conventional screws for maintenance of tibial plateau positioning and biomechanical stability after locking tibial plateau leveling osteotomy plate fixation. Vet Surg 2008; 37: 357-365. https://doi.org/10.1111/j.1532-950X.2008.00389.x
  18. Mazdarani P, Nielsen MBM, Gundersen RS, von Wenck A, Miles JE. Geometric modelling of CORA-based levelling osteotomy in the dog. Res Vet Sci 2021; 135: 127-133. https://doi.org/10.1016/j.rvsc.2021.01.005
  19. Peirone B, Rovesti G, Baroncelli A, Piras L. Minimally invasive plate osteosynthesis fracture reduction techniques in small animals. Vet Clin North Am Small Anim Prac 2012; 42: 873-895. https://doi.org/10.1016/j.cvsm.2012.06.002
  20. Putame G, Terzini M, Bignardi C, Beale B, Hulse D, Zanetti E, et al. Surgical treatments for canine anterior cruciate ligament rupture: assessing functional recovery through multibody comparative analysis. Front Bioeng Biotechnol 2019; 7: 180. https://doi.org/10.3389/fbioe.2019.00180
  21. Raske M, Hulse D, Beale B, Saunders WB, Kishi E, Kunze C. Stabilization of the CORA based leveling osteotomy for treatment of cranial cruciate ligament injury using a bone plate augmented with a headless compression screw. Vet Surg 2013; 42: 759-764. https://doi.org/10.1111/j.1532-950X.2013.12035.x
  22. Roh YH, Yun JW, Lee JH, Lee HB. Effect of jig on the precision of tibial plateau leveling osteotomy in toy-breed dogs. Pak Vet J 2020; 40: 484-488. https://doi.org/10.29261/pakvetj/2020.070
  23. Shin SH, Kang JS, Lee D, Lee HB, Kim NS, Heo SY. CORA based leveling osteotomy with tibial tuberosity transposition for cranial cruciate ligament rupture with concurrent medial patellar luxation in two small breed dogs. J Vet Clin 2019; 36: 285-288. https://doi.org/10.17555/jvc.2019.10.36.5.285
  24. Slocum B, Devine T. Cranial tibial wedge osteotomy: a technique for eliminating cranial tibial thrust in cranial cruciate ligament repair. J Am Vet Med Assoc 1984; 184: 564-569.
  25. Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin North Am Small Anim Pract 1993; 23: 777-795. https://doi.org/10.1016/S0195-5616(93)50082-7
  26. Tan CJ, Bergh MS, Schembri MA, Johnson KA. Accuracy of tibial osteotomy placement using 2 different tibial plateau leveling osteotomy jigs. Vet Surg 2014; 43: 525-533. https://doi.org/10.1111/j.1532-950X.2014.12173.x
  27. Vasquez B, Hulse D, Beale B, Kerwin S, Andrews C, Saunders BW. Second-look arthroscopic findings after CORA-based leveling osteotomy. Vet Surg 2018; 47: 261-266. https://doi.org/10.1111/vsu.12708
  28. Vezzoni L, Bazzo S, Boiocchi S, Vezzoni A. Use of a modified tibial plateau levelling osteotomy with double cut and medial crescentic closing wedge osteotomy to treat dogs with cranial cruciate ligament rupture and tibial valgus deformity. Vet Comp Orthop Traumatol 2020; 33: 59-65. https://doi.org/10.1055/s-0039-1700565
  29. Wheeler JL, Cross AR, Gingrich W. In vitro effects of osteotomy angle and osteotomy reduction on tibial angulation and rotation during the tibial plateau-leveling osteotomy procedure. Vet Surg 2003; 32: 371-377. https://doi.org/10.1053/jvet.2003.50038
  30. Woodbridge N, Corr SA, Grierson J, Arthurs G. A retrospective study of tibial plateau translation following tibial plateau levelling osteotomy stabilisation using three different plate types. Vet Comp Orthop Traumatol 2011; 24: 445-449. https://doi.org/10.3415/VCOT-10-06-0090
  31. Worth AJ, Crosse KR, Kersley A. Computer-assisted surgery using 3D printed saw guides for acute correction of antebrachial angular limb deformities in dogs. Vet Comp Orthop Traumatol 2019; 32: 241-249. https://doi.org/10.1055/s-0039-1678701
  32. Wucherer KL, Conzemius MG, Evans R, Wilke VL. Short-term and long-term outcomes for overweight dogs with cranial cruciate ligament rupture treated surgically or nonsurgically. J Am Vet Med Assoc 2013; 242: 1364-1372. https://doi.org/10.2460/javma.242.10.1364