{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T21:56:26Z","timestamp":1764107786892,"version":"3.46.0"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg K Kleintiere Heimtiere"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Gegenstand und Ziel Ziel dieser Studie ist es, die Modified Maquet Procedure (MMP) mit der Tibial Plateau Leveling Osteotomy (TPLO) anhand von Langzeitkontrollen \u00fcber ein Jahr (\u2205 3,15 Jahre) mittels klinischer Untersuchung, r\u00f6ntgenologischer Beurteilung der Arthroseprogression und Ganganalyse durch Laufbanduntersuchung zu vergleichen. Zus\u00e4tzliches Ziel ist es, den Einfluss der Erfahrung der Chirurgen bei der TPLO-Technik zu \u00fcberpr\u00fcfen.<\/jats:p>\n                  <jats:p>Material und Methoden Bei dieser klinischen Studie wurden 67 Kniegelenke von 50 Hunden verschiedener Rassen zwischen 20 und 40 Kilogramm K\u00f6rpergewicht einbezogen, die mittels TPLO beziehungsweise MMP (n = 19) nach Ruptur des vorderen Kreuzbandes operiert wurden. Die TPLO-Gruppe unterteilte sich in eine Gruppe, welche von 2 erfahrenen Chirurgen (TPLO1, n = 25) operiert wurde und eine zweite Gruppe, die von mehreren Chirurgen unterschiedlicher Erfahrung (TPLO2, n = 23) versorgt wurden. Die Hunde wurden nach mindestens \u00fcber einem Jahr (3,15 \u00b1 1,21 Jahre) postoperativ orthop\u00e4disch, r\u00f6ntgenologisch und ganganalytisch uni- und bilateral getrennt untersucht. Zus\u00e4tzlich wurden die Daten der Ganganalyse mit einer orthop\u00e4disch gesunden Kontrollgruppe verglichen.<\/jats:p>\n                  <jats:p>Ergebnisse Bei der orthop\u00e4dischen Untersuchung wurden keine signifikanten und klinisch relevanten Unterschiede zwischen den 3 Gruppen festgestellt.<\/jats:p>\n                  <jats:p>Die Arthroseprogression zeigte in allen 3 OP-Gruppen \u00e4hnliche Werte, wobei die der TPLO2-Gruppe durchschnittlich pro Jahr gerechnet signifikant etwas geringer war als die der TPLO1- und der MMP-Gruppe.<\/jats:p>\n                  <jats:p>Die ganganalytische Untersuchung im Schritt konnte vor allem im Vergleich mit der gesunden Kontrollgruppe signifikante Unterschiede bei bilateralen Rupturen f\u00fcr die Peak Vertical Force und den Vertical Impulse zeigen. Die Standphasendauer wies keine signifikanten Unterschiede auf. Im Trab konnten keine signifikanten Unterschiede zwischen den 3 OP-Gruppen festgestellt werden.<\/jats:p>\n                  <jats:p>Schlussfolgerung Beide Operationstechniken erzielten in den 3 Gruppen bei den Langzeitkontrollen gute klinische, radiologische und ganganalytische Ergebnisse auch im Vergleich mit einer gesunden Kontrollgruppe.<\/jats:p>\n                  <jats:p>Klinische Relevanz Die MMP kann als schnell durchf\u00fchrbare Alternative zur etablierten TPLO mit ebenfalls guten Ergebnissen beim Hund angesehen werden. Die Erfahrung des Chirurgen scheint keinen Einfluss auf das Ergebnis zu haben.<\/jats:p>","DOI":"10.1055\/a-1966-1936","type":"journal-article","created":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T18:32:47Z","timestamp":1671042767000},"page":"386-398","source":"Crossref","is-referenced-by-count":0,"title":["Vergleichende Langzeitergebnisse zwischen Tibial Plateau Leveling Osteotomy und Modified Maquet Procedure nach Ruptur des vorderen Kreuzbandes beim Hund"],"prefix":"10.1055","volume":"50","author":[{"given":"Lukas","family":"Trillig","sequence":"additional","affiliation":[{"name":"Chirurgische und Gyn\u00e4kologische Kleintierklinik, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Eberle","sequence":"additional","affiliation":[{"name":"Chirurgische und Gyn\u00e4kologische Kleintierklinik, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Reese","sequence":"additional","affiliation":[{"name":"Lehrstuhl f\u00fcr Anatomie, Histologie und Embryologie, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Meyer-Lindenberg","sequence":"additional","affiliation":[{"name":"Chirurgische und Gyn\u00e4kologische Kleintierklinik, Ludwig-Maximilians-Universit\u00e4t M\u00fcnchen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,14]]},"reference":[{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"242","DOI":"10.5326\/JAAHA-MS-6304","article-title":"The Modified Maquet Procedure (MMP) in Dogs: Technical Development and Initial Clinical Experience","volume":"52","author":"M G Ness","year":"2016","journal-title":"J Am Anim Hosp 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