Abstract | OBJECTIVE: The aim of this study was to report the prevalence and to identify the risk factors associated with postoperative tibial tuberosity fracture following a triple tibial osteotomy. This article also evaluates the outcome of these patients treated conservatively. MATERIALS AND METHODS: Medical records of 100 dogs (113 limbs) that underwent triple tibial osteotomy procedure were evaluated. Information obtained included signalment, preoperative, immediate postoperative and 6-week postoperative radiographic findings, intraoperative and postoperative complications. Long-term outcome was assessed using an owner questionnaire. RESULTS: Postoperative tibial tuberosity fracture was identified in 25/113 stifles. The only variable associated with the presence or absence of postoperative tibial tuberosity fracture within 6 weeks of surgery was postoperative cortical hinge width (CHW) or an indexed value of CHW to tibial width (TW). Using either a cut-off value of CHW of ≥ 5.5 mm or a cut-off value of CHW/TW of ≥ 0.21, only 1/27 stifle in our study developed tibial tuberosity fracture. Long-term owner evaluation of outcome was considered excellent or good in 65/70 stifles. CONCLUSION:
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Authors | Benito de la Puerta, Matteo Rossanese, Terry Emmerson |
Journal | Veterinary and comparative orthopaedics and traumatology : V.C.O.T
(Vet Comp Orthop Traumatol)
Vol. 32
Issue 4
Pg. 324-331
(Jul 2019)
ISSN: 2567-6911 [Electronic] Germany |
PMID | 30965370
(Publication Type: Journal Article)
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Copyright | Georg Thieme Verlag KG Stuttgart · New York. |
Topics |
- Animals
- Cohort Studies
- Dogs
(injuries, surgery)
- Female
- Male
- Osteotomy
(adverse effects, veterinary)
- Postoperative Complications
(epidemiology, veterinary)
- Prevalence
- Retrospective Studies
- Risk Factors
- Stifle
(surgery)
- Tibia
(surgery)
- Tibial Fractures
(surgery, veterinary)
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