Vet Med - Czech, 2021, 66(2):58-65 | DOI: 10.17221/128/2020-VETMED

Rock back phenomenon in 32 dogs that underwent tibial plateau levelling osteotomyOriginal Paper

ES Souza1, BW Minto2, JP Sales Luis1, M Nobile ORCID...2, BT Lins2, DVF Lucena2, MCP Gouveia2, LGGG Dias2
1 Department of Clinic, University of Lisboa, Lisboa, Portugal
2 Department of Veterinary Clinic and Surgery, UNESP - Faculty of Agricultural and Veterinary Sciences, Jaboticabal, Brazil

The aim of this study was to evaluate the postoperative temporal changes in the tibial plateau angle (TPA) after a tibial plateau levelling osteotomy (TPLO) in dogs. The TPA of thirty-two dogs were measured before surgery (TPA1), immediately after the TPLO (TPA2), and later at the healing of the osteotomy site (TPA3). Three observers carried out three TPA measurements for each patient at the time of the evaluation. TPA changes were observed over the bone healing (2.05 ± 3.05°); however, no statistical significance was noted when comparing TPA3 and TPA1. There were no statistical differences in the inter-observer measurements among TPA1, TPA2, and TPA3 (P > 0.05). The comparison between the preoperative TPA1 and the rock back showed a low positive correlation (S = 4 735.9, P = 0.471 5, r = 0.131 976 9). There was also a low positive correlation between the body weight (kg) and the change in the TPA during the bone healing (S = 4 581.8, P = 0.381, r = 0.160 234 7). Although changes in the TPA have been observed over the time of the bone healing, they were not influenced by the preoperative and postoperative TPA, or by the body weight. The magnitude of the variation in the TPA is not determined by the previous inclination or by the degree of rotation in the plateau.

Keywords: cranial cruciate ligament; postoperative complication; orthopaedic surgery; TPLO; TPA

Received: June 8, 2020; Accepted: November 3, 2020; Published: February 28, 2021  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Souza E, Minto B, Sales Luis J, Nobile M, Lins B, Lucena D, et al.. Rock back phenomenon in 32 dogs that underwent tibial plateau levelling osteotomy. Vet Med - Czech. 2021;66(2):58-65. doi: 10.17221/128/2020-VETMED.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Barnes K, Faludi A, Takawira C, Aulakh K, Rademacher N, Liu CC, Lopez MJ. Extracorporeal shock wave therapy improves short-term limb use after canine tibial plateau leveling osteotomy. Vet Surg. 2019 Nov;48(8):1382-90. Go to original source... Go to PubMed...
    2. Bergh MS, Rajala-Schultz P, Johnson KA. Risk factors for tibial tuberosity fracture after tibial plateau leveling osteotomy in dogs. Vet Surg. 2008 Jun;37(4):374-82. Go to original source... Go to PubMed...
    3. Cabrera SY, Owen TJ, Mueller MG, Kass PH. Comparison of tibial plateau angles in dogs with unilateral versus bilateral cranial cruciate ligament rupture: 150 cases (2000- 2006). JAVMA. 2008 Mar;232(6):889-92. Go to original source... Go to PubMed...
    4. Caylor KB, Zumpano CA, Evans LM, Moore RW. Intra- and interobserver measurement variability of tibial plateau slope from lateral radiographs in dogs. J Am Anim Hosp Assoc. 2001 May-Jun;37(3):263-8. Go to original source... Go to PubMed...
    5. Clark AC, Greco JJ, Bergman PJ. Influence of administration of antimicrobial medications after tibial plateau leveling osteotomy on surgical site infections: A retrospective study of 308 dogs. Vet Surg. 2020 Jan;49(1):106-13. Go to original source... Go to PubMed...
    6. Conkling AL, Fagin B, Daye RM. Comparison of tibial plateau angle changes after tibial plateau leveling osteotomy fixation with conventional or locking screw technology. Vet Surg. 2010 Jun;39(4):475-81. Go to original source... Go to PubMed...
    7. Dismukes DI, Tomlinson JL, Fox DB, Cook JL, Witsberger TH. Radiographic measurement of canine tibial angles in the sagittal plane. Vet Surg. 2008 Apr;37(3):300-5. Go to original source... Go to PubMed...
    8. Duerr FM, Duncan CG, Savicky RS, Park RD, Egger EL, Palmer RH. Comparison of surgical treatment options for cranial cruciate ligament disease in large-breed dogs with excessive tibial plateau angle. Vet Surg. 2008 Jan; 37(1):49-62. Go to original source... Go to PubMed...
    9. Fettig AA, Rand WM, Sato AF, Solano M, McCarthy RJ, Boudrieau RJ. Observer variability of tibial plateau slope measurement in 40 dogs with cranial cruciate ligamentdeficient stifle joints. Vet Surg. 2003 Sep-Oct;32(5):471-8. Go to original source... Go to PubMed...
    10. Kowaleski MP, Boudrieau RJ, Beale BS, Piras A, Hulse D, Johnson KA. Radiographic outcome and complications of tibial plateau leveling osteotomy stabilized with an anatomically contoured locking bone plate. Vet Surg. 2013 Oct;42(7):847-52. Go to original source... Go to PubMed...
    11. Leitner M, Pearce SG, Windolf M, Schwieger K, Zeiter S, Schawalder P, Johnson KA. Comparison of locking and conventional screws for maintenance of tibial plateau positioning and biomechanical stability after locking tibial plateau leveling osteotomy plate fixation. Vet Surg. 2008 Jun;37(4):357-65. Go to original source... Go to PubMed...
    12. Moeller EM, Cross AR, Rapoff AJ. Change in tibial plateau angle after tibial plateau leveling osteotomy in dogs. Vet Surg. 2006 Jul;35(5):460-4. Go to original source... Go to PubMed...
    13. Moeller EM, Allen DA, Wilson ER, Lineberger JA, Lehenbauer T. Long-term outcomes of thigh circumference, stifle range-of-motion, and lameness after unilateral tibial plateau levelling osteotomy. Vet Comp Orthop Traumatol. 2010;23(1):37-42. Go to original source... Go to PubMed...
    14. Nanda A, Hans EC. Tibial plateau leveling osteotomy for cranial cruciate ligament rupture in canines: Patient selection and reported outcomes. Vet Med (Auckl). 2019 Dec 27;10:249-55. Go to original source... Go to PubMed...
    15. Reif U, Hulse DA, Hauptman JG. Effect of tibial plateau leveling on stability of the canine cranial cruciate-deficient stifle joint: An in vitro study. Vet Surg. 2002 MarApr;31(2):147-54. Go to original source... Go to PubMed...
    16. Robinson DA, Mason DR, Evans R, Conzemius MG. The effect of tibial plateau angle on ground reaction forces 4-17 months after tibial plateau leveling osteotomy in Labrador Retrievers. Vet Surg. 2006 Apr;35(3):294-9. Go to original source... Go to PubMed...
    17. Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin North Am Small Anim Pract. 1993 Jul;23(4): 777-95. Go to original source... Go to PubMed...
    18. Stine SL, Odum SM, Mertens WD. Protocol changes to reduce implant-associated infection rate after tibial plateau leveling osteotomy: 703 dogs, 811 TPLO (2006-2014). Vet Surg. 2018 May;47(4):481-9. Go to original source... Go to PubMed...
    19. Taylor J, Langenbach A, Marcellin-Little DJ. Risk factors for fibular fracture after TPLO. Vet Surg. 2011 Aug;40(6): 687-93. Go to original source... Go to PubMed...
    20. Vezzoni L, Bazzo S, Boiocchi S, Vezzoni A. Use of a modified tibial plateau levelling osteotomy with double cut and medial crescentic closing wedge osteotomy to treat dogs with cranial cruciate ligament rupture and tibial valgus deformity. Vet Comp Orthop Traumatol. 2020 Jan; 33(1):59-65. Go to original source... Go to PubMed...
    21. Warzee CC, Dejardin LM, Arnoczky SP, Perry RL. Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciate-deficient stifles: An in vitro experimental study. Vet Surg. 2001 May-Jun;30(3): 278-86. Go to original source... Go to PubMed...
    22. Won WW, Lee AM, Butler JR, Wills RW, Brinkman EL. Association of meniscal injury to joint space width on standard tibial plateau leveling osteotomy lateral radiographic projections of the canine stifle. Vet Radiol Ultrasound. 2020 Jan;61(1):16-24.

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International (CC BY NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content