1. Long-term effects of tibial plateau leveling osteotomy and tibial tuberosity advancement on tibial plateau subchondral bone density in dogs.
- Author
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Leach ES, Krotscheck U, Goode KJ, Hayes GM, and Böttcher P
- Subjects
- Animals, Anterior Cruciate Ligament Injuries surgery, Body Weight, Cross-Sectional Studies, Dogs, Osteoarthritis veterinary, Osteotomy methods, Stifle surgery, Tibia surgery, Anterior Cruciate Ligament surgery, Anterior Cruciate Ligament Injuries veterinary, Bone Density, Dog Diseases surgery, Osteotomy veterinary
- Abstract
Objective: To evaluate long-term loading patterns using subchondral bone density (SBD) distribution of the tibial plateau after tibial plateau leveling osteotomy (TPLO) and tibial tuberosity advancement (TTA)., Study Design: Cross-sectional study., Animals: Adult (> 2 years), medium to large breed dogs (>20 kg) that had been treated with TPLO or TTA at least 1 year prior to the study were recruited. A normal cohort of similar age and weight dogs with normal physical and orthopedic examinations served as control., Methods: Dogs were sedated for computed tomography (CT) of the stifle, and DICOM (digital imaging and communications in medicine) files were processed for CT osteoabsorptiometry (CTOAM). Tibial plateaus were sampled at 6 zones, and CTOAM was used to determine regional and maximal areas of SBD as a marker of joint loading., Results: Data were collected on 48 stifles in 31 dogs (15 TPLO, 11 TTA, 22 control). Lower Hounsfield unit (HU) values were measured in the caudal and mid-region of the lateral tibial plateau after TPLO and compared to normal. HU values did not differ between joints treated with TTA and those in the control group., Conclusion: TPLO may alter stifle load distribution relative to the normal control group. There were no differences between TTA and the control group., Clinical Significance/impact: Despite ongoing osteoarthritis (OA) in dogs after surgical intervention for cranial cruciate disease, changes in tibial SBD are minor and may not correlate with clinical function., (© 2018 The American College of Veterinary Surgeons.)
- Published
- 2018
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