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Cranial Cruciate Ligament Rupture in Dogs - Evaluation of Postoperative Results of the CBLO Technique
Acta Scientiae Veterinariae 2024 Cilt 52 Sayı 1942
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Background: A major cause of osteoarthritis (OA) in dogs is cranial cruciate ligament (CCL) rupture. Currently, many intra- and extra-articular treatment techniques are used for dogs with CCL tears. However, biomechanically based methods (Tibial Plato Levelling Osteotomy-TPLO, Tuberositas Tibia Advancemet -Standard TTA, TTA-Rapid) are often preferred. It has been suggested that it may be an alternative technique to prevent complications of the most commonly used TPLO, TTA and TTA-Rapid. The aim of this study was to evaluate the post-operative results of the Cora Base Levelling Osteotomy (CBLO) technique in dogs with cranial cruciate ligament (CCL) rupture. Materials, Methods & Results: Ten dogs of different breeds, ages and weights were used as material. The operation was started from the medial surface of the tibia. The injector needles were used to locate the joint for placement of the biradial saw. The medial collateral ligament was visualised. The popliteal muscle was reflected and the popliteal artery was protected. The osteotomy was stopped when 1/3-1/2 complete and the appropriate millimetre measurements were marked for osteotomy rotation. In the pre-operative planning, D1, the distance from the patellar tendon to the tibia, D2 and the caudal extension of the area where the saw was placed. The osteotomy was started. The osteotomy was completed, the desired rotation achieved and maintained with a stabilising pin. The plate was fixed. The bone plates used were a standard 3.5 mm CBLO (Intrauma, Fixin, Italy) and in some cases a wide TPLO plate. Progress in walking and running tests was noted in 7 cases (70%) compared to the preoperative period. Mild lameness after exercise was observed in 3 cases (30%). Surgery took an average of 30-40 min. It was also observed that the tibial plateau angle (TPA) decreased individually in the postoperative period. According to the results of the force plate gait analysis, there was an improvement in 5 cases (50%). No post-operative change was observed in 5 cases (50%). Radiographs of the A.genu in the medio-lateral and cranio-caudal positions were taken in the cases. The criteria used in the evaluation; the radiographs were interpreted taking into account criteria such as narrowing of the joint space, displacement of the "fat pad" in the joint, cranial rotation of the tibia, especially as a result of cranial cruciate ligament rupture, and osteophytic growth in the subchondral areas of the joint. Post-operative radiographs at day 1 and day 45 were compared. It was observed that the placement of the plate was good in all cases. Discussion: Therefore, the CBLO technique is an alternative technique to the TPLO and TTA techniques for CCL ruptures. The CBLO technique is an adjunct to the TPLO technique by preserving the proximal tibial epiphysis. Even in small breeds, a large amount of bone is available for stabilization in the proximal area. The compression screw and implant provide excellent bone contact. This ensures proper fixation and early function in recovery. Correction of the axis in the centre of the CORA has been observed to improve after proximal and distal rotation. There was no balcony effect as seen with TPLO. The joint was not damaged by the CBLO technique. However, there are some difficulties with the CBLO technique; learning the technique and handpieces. In particular, good preparation for the preoperative period for TPA and plate selection. A larger group of dogs is also needed for further studies and additional complications could be expected in the long-term evaluation.
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Kaynak: ACTA SCIENTIAE VETERINARIAE
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Scimago Dergi Bilgisi Otomatik ISSN Eşleştirmesi 2024 yılı verileri
Acta Scientiae Veterinariae
Q4
SJR Quartile
0,172
SJR Skoru
18
H-Index
Kategoriler: Veterinary (miscellaneous) (Q4)
Alanlar: Veterinary
Ülke: Brazil · Universidade Federal do Rio Grande do Sul
Bu bilgiler makale yılına göre Scimago veritabanından ISSN eşleştirmesiyle otomatik getirilmektedir. Dergi sıralama verileri Scimago'nun ilgili yılı baz alınmaktadır.

Anahtar Kelimeler

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Makale Bilgileri

Dergi Acta Scientiae Veterinariae
ISSN 1679-9216
Yıl 2024 / 4. ay
Cilt / Sayı 52 / 1942
Sayfalar 1 – 9
Makale Türü Özgün Makale
Hakemlik Hakemli
Endeks SCI-Expanded
JCR Quartile Q4
Teşvik Puanı 0,90 · YÖKSİS Akademik Teşvik
Yayın Dili İngilizce
Kapsam Uluslararası
Toplam Yazar 5 kişi
Erişim Türü Elektronik
Alan Temel Alan tibia,CBLO,Force Plate Gait Analysis,Tibial Plateau Angle

YÖKSİS Yazar Kaydı

Yazar Adı ARICAN MUSTAFA,Özdil Birol,UZUNLU ELGİN ORÇUM,ZAMIRBEKOVA NURIZA,GÜMÜŞ FEHMİYE
YÖKSİS ID 7903866

Metrikler

Havuz Atıfları 0
JCR Quartile Q4
Teşvik Puanı 0,90
Yazar Sayısı 5