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Surgery

Effects of early intensive postoperative physiotherapy on limb function after tibial plateau leveling osteotomy in dogs with deficiency of the cranial cruciate ligament.

Summary:

To determine effects of early intensive postoperative physiotherapy on limb function in dogs after tibial plateau levelingosteotomy (TPLO) for deficiency of the cranial cruciate ligament (CCL).

Conclusion:

After TPLO in CCL-deficient dogs, early physiotherapy intervention should be considered as part of the postoperative management to prevent muscle atrophy, build muscle mass and strength, and increase stifle joint flexion and extension ROMs.

Author & Journal:Monk, ML, et al, Am J Vet Res 67:529-536, 2006
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Early clinical experience with osteochondral autograft transfer for treatment of osteochondritis dissecans of the medial humeral condyle in dogs.

Summary:

To establish whether osteochondral autograft transfer (OAT) procedures for osteochondritis dissecans (OCD) of the canine elbow would restore articular contour, resurface osteochondral defects with hyaline cartilage, and resolve lameness in the short term.

Conclusion:

OAT procedures are technically feasible in the canine elbow. In elbows with concurrent MCD, proximal ulnar osteotomy may improve likelihood of positive clinical outcome.

Author & Journal:Fitzpatrick N, et al, Vet Surg 2009 38:246-260
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Assessment of the effects of diet and physical rehabilitation on radiographic findings and markers of synovial inflammation in dogs following tibial plateau leveling osteotomy

Summary:

To determine the effects of an omega-3 fatty acid and protein-enriched diet, physical rehabilitation, or both on radiographicfindings and markers of synovial inflammation in dogs following tibial plateau leveling osteotomy and arthroscopic surgery for treatment of cranial cruciate ligament disease. DESIGN Randomized, prospective clinical trial. ANIMALS 48 dogs with unilateral cranial cruciate ligament disease.

Conclusion:

Results suggested that feeding the TF can result in lower synovial fluid PGE2 concentrations and that both the TF and rehabilitation can reduce progression of osteoarthritis in the 6 months following tibial plateau leveling osteotomy; clinical relevance of slower osteotomy healing in dogs fed the TF was unclear.

Author & Journal:Verpaalen VD, et al, J Am Vet Med Assoc 252:701-709, 2018
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Long-term radiographic comparison of tibial plateau leveling osteotomy versus extracapsular stabilization for cranial cruciate ligament rupture in the dog.

Summary:

Comparison of 2 methods of surgical management of cranial cruciate ligament (CCL) injury in large-breed dogs using a radiographic osteoarthrosis (OA) scoring system.

Conclusion:

Based on logistic regression analysis, dogs with larger OA score differences were 5.78 times more likely to have had ECR than TPLO.

Author & Journal:Lazar TP, et al, Vet Surg 34:133–141, 2005
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Total joint replacement in the dog.

Summary:

Total joint replacement has evolved over the past 50 years from a concept that was first attempted in people suffering from osteoarthritis to a commonly applied practice in veterinary medicine. Although many questions have been answered, several controversies still exist, with many implant and technical options being explored.

Conclusion:

Currently, total hip and elbow replacement are commercially available options viable for use in dogs. These options are detailed in this article. Joint replacement for other canine joints (ie, knee, hock, shoulder) that develop osteoarthritis likely will be developed in the near future.

Author & Journal:Conzemius MG, et al, Vet Clin North Am Small Anim 2005
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Safety and functional outcomes associated with short-term rehabilitation therapy in the post-operative management of tibial plateau leveling osteotomy.

Summary:

This retrospective cohort study using electronic questionnaires compared the perioperative complication rates of tibial plateau levelling osteotomy (TPLO) surgery and the 8-week, 6-month, and 1-year functional outcomes, between rehabilitation and traditional post-operative management.

Conclusion:

This study suggests that rehabilitationperformed by a certified practitioner is safe and may improve short-term outcomes when used in the initial postoperative managementfor dogs treated with TPLO.

Author & Journal:Romano LS, et al, Can Vet J 56:942-946, 2015
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Patellar luxation in dogs and cats: Management and prevention.

Summary:

Patellar luxation in dogs with clinical signs of lameness is managed by surgical correction. Treatment consists of a combination of bone reconstruction and soft tissue correction techniques, Bone reconstruction procedures include mainly trochleoplasty and transposition of the tibial tuberosity. Release and imbrication of the joint capsule and fascia, antirotational suture or posterolateral capsulorrhaphy, and transposition of the quadriceps muscle are the main soft tissue reconstruction procedures.

Conclusion:

The prognosis for animals that receive surgical correction is considered good. Animals with patellar luxation must be excluded from breeding to prevent this condition in future generations.

Author & Journal:L’Eplattenier H, et al, Compend 2002 24(4)292-299
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Short-term and long-term outcomes for overweight dogs with cranial cruciate ligament rupture treated surgically or nonsurgically.

Summary:

To determine short- and long-term rates of successful outcomes of surgical and nonsurgical treatments for overweight dogswith cranial cruciate ligament rupture (CCLR).

Conclusion:

Overweight dogs with CCLR treated via surgical and nonsurgical methods had better outcomes than dogs treated via nonsurgical methods alone. However, almost two-thirds of the dogs in the nonsurgical treatment group had a successful outcome at the 52-week evaluation time.

Author & Journal:Wucherer KL, et al, J Am Vet Med Assoc 2013;242:1364-1372
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