OBJECTIVE: To evaluate the effect of tibialplateaulevelingosteotomy (TPLO) and tibialtuberosity transposition (TTA) on craniocaudal stability of the cranialcruciate ligament (CCL) deficientstifle at 3 joint angles.
STUDY DESIGN: Ex vivo biomechanical study.
SAMPLE POPULATION: Eight stifles from 4 dogs.
METHODS: One of the hind limbs was randomly assigned to undergo TPLO or TTA, with the contralateral limb assigned to the alternate procedure. Each specimen was tested with the stifle at 150°, 135°, and 120° of flexion. Cranial translation of the tibia relative to the femur was measured under cranial loads ranging from 0.2 to 2.0 kg with a single motion tracking sensor (Nest of Birds) fixed to the tibia. Each stifle was tested before and after transection of the CCL and after performing the assigned procedure.
RESULTS: Tibialplateaulevelingosteotomy and TTA caused a decrease in the cranial translation of the tibia relative to the femur, especially at greater angles of flexion. Tibialplateaulevelingosteotomy caused a greater decrease in tibialcranial translation and was associated with a degree of translation that did not differ from joints with intact CCL, regardless of the degree of stifle flexion.
CONCLUSION: Tibialplateaulevelingosteotomy and TTA caused an angle dependent decrease in craniocaudal translation of the tibia in the CCL deficientstifle. Only TPLO restored translations similar to those of the intact joint at all angles tested.
CLINICAL IMPACT: Tibialplateaulevelingosteotomy and TTA provide passive stability to the stifle. Tibialplateaulevelingosteotomy seems more effective than TTA at restoring craniocaudal stability of the stifle.
Modified Cranial Closing Wedge Osteotomy (AMA-Based CCWO) to Treat Cranial Cruciate Ligament Deficient Stifle in 204 Dogs Over 50 Kg: Magnitude of the Craniocaudal Angulation of the Proximal Tibia and Rate of Surgical Site Infection
