{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:02:03Z","timestamp":1784764923228,"version":"3.55.0"},"reference-count":37,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vet Comp Orthop Traumatol"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The aim of this study was to investigate the short-term outcomes of tibial plateau levelling osteotomy (TPLO) and tibial tuberosity transposition (TTT) for the combined treatment of cranial cruciate ligament rupture and medial patellar luxation (MPL) in small-breed dogs weighing up to 15\u2009kg.<\/jats:p>\n                  <jats:p>Retrospective case series of dogs treated with a single session TPLO\u2013TTT from five referral centres between 2015 and 2023. Intraoperative and postoperative complications were assessed. Osteotomy healing, lameness and presence of patellar luxation or tibial thrust were assessed at a 6- to 12-week follow-up.<\/jats:p>\n                  <jats:p>A total of 37 stifles in 35 dogs. At the time of follow-up, the tibial compression test was negative in all stifles. The MPL grade improved from a median of 3\/4 preoperatively to a median of 0\/4 (p\u2009=\u20090.0001) postoperatively. Lameness grade improved from a median of 3\/5 to 1\/5. There were seven minor complications and seven major complications. No catastrophic complications occurred. Osteotomy healing was appropriate in all dogs. Three intraoperative complications related to a TPLO screw near the joint required replacement. Postoperative MPL was noted in three stifle joints (grade 1\/4, 3\/4 and 4\/4). One distal tibial tuberosity fracture and one patella fracture were managed conservatively. Patella ligament desmitis was managed conservatively in five stifles.<\/jats:p>\n                  <jats:p>Combined TPLO\u2013TTT is an effective treatment of cranial cruciate ligament rupture and MPL in small-breed dogs, but surgical accuracy is needed to minimize complications. High-grade patellar luxation may require alternative methods of stabilization.<\/jats:p>","DOI":"10.1055\/a-2770-6973","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T11:57:11Z","timestamp":1767787031000},"page":"272-277","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of Combined Tibial Plateau Levelling Osteotomy and Tibial Tuberosity Transposition for Treatment of Ipsilateral Cranial Cruciate Ligament Insufficiency and Medial Patellar Luxation in Small-Breed Dogs Weighing up to 15\u2009kg"],"prefix":"10.1055","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0449-9850","authenticated-orcid":false,"given":"Edward","family":"Bietzk","sequence":"additional","affiliation":[{"name":"Small Animal Surgery, Davies Veterinary Specialists, Hitchin, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Sesana","sequence":"additional","affiliation":[{"name":"Small Animal Surgery, Davies Veterinary Specialists, Hitchin, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison L.","family":"Moores","sequence":"additional","affiliation":[{"name":"Small Animal Surgery, Moores Soft Tissue, Basingstoke, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0866-3687","authenticated-orcid":false,"given":"Paydor","family":"Liu","sequence":"additional","affiliation":[{"name":"Small Animal Surgery, Wear Referrals, Bradbury, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Kakuta","sequence":"additional","affiliation":[{"name":"Small Animal Surgery, North Downs Specialist Referrals, Bletchingley, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andy","family":"Craig","sequence":"additional","affiliation":[{"name":"Small Animal Surgery, North Downs Specialist Referrals, Bletchingley, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Janovec","sequence":"additional","affiliation":[{"name":"Small Animal Surgery, Fitzpatrick Referrals, Godalming, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"163","DOI":"10.17221\/111\/2021-VETMED","article-title":"Patellar luxation and concomitant cranial cruciate ligament rupture in dogs - A review","volume":"67","author":"M C Andrade","year":"2022","journal-title":"Vet Med (Praha)"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1055\/s-0038-1632502","article-title":"A survey of orthopaedic conditions in small animal veterinary practice in Britain","volume":"09","author":"M G Ness","year":"1996","journal-title":"Vet Comp Orthop Traumatol"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/j.1748-5827.2006.00004.x","article-title":"Patellar luxation in 70 large breed dogs","volume":"47","author":"S E Gibbons","year":"2006","journal-title":"J Small Anim Pract"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"887","DOI":"10.2460\/javma.236.8.887","article-title":"Severity of patellar luxation and frequency of concomitant cranial cruciate ligament rupture in dogs: 162 cases (2004-2007)","volume":"236","author":"C A Campbell","year":"2010","journal-title":"J Am Vet Med Assoc"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1111\/jsap.13311","article-title":"Canine medial patellar luxation","volume":"62","author":"K L Perry","year":"2021","journal-title":"J Small Anim Pract"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1160\/VCOT-06-10-0074","article-title":"Patellar luxation as a complication of surgical intervention for the management of cranial cruciate ligament rupture in dogs. A retrospective study of 32 cases","volume":"20","author":"G I Arthurs","year":"2007","journal-title":"Vet Comp Orthop Traumatol"},{"key":"ref7","first-page":"868","volume-title":"Brinker, Piermattei, and Flo's Handbook of Small Animal Orthopedics and Fracture Repair. 5th ed","author":"C E DeCamp","year":"2016"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"20","DOI":"10.3415\/VCOT-16-07-0103","article-title":"Distal femoral lateral closing wedge osteotomy as a component of comprehensive treatment of medial patellar luxation and distal femoral varus in dogs","volume":"30","author":"B E Brower","year":"2017","journal-title":"Vet Comp Orthop Traumatol"},{"key":"ref9","first-page":"1149","volume-title":"Veterinary Surgery: Small Animal, 2nd ed","author":"S A Johnston","year":"2018"},{"issue":"04","key":"ref10","doi-asserted-by":"crossref","first-page":"223","DOI":"10.15654\/TPK-170486","article-title":"Tibial plateau leveling osteotomy and tibial tuberosity advancement - 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A clinical and radiographic retrospective assessment","volume":"28","author":"G Cosenza","year":"2015","journal-title":"Vet Comp Orthop Traumatol"},{"issue":"06","key":"ref34","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1111\/j.1532-950X.2006.00189.x","article-title":"Complications associated with corrective surgery for patellar luxation in 109 dogs","volume":"35","author":"G I Arthurs","year":"2006","journal-title":"Vet Surg"},{"issue":"04","key":"ref35","doi-asserted-by":"crossref","first-page":"263","DOI":"10.3415\/VCOT-13-08-0100","article-title":"Major complications and risk factors associated with surgical correction of congenital medial patellar luxation in 124 dogs","volume":"27","author":"R G Cashmore","year":"2014","journal-title":"Vet Comp Orthop Traumatol"},{"issue":"05","key":"ref36","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1111\/vsu.13955","article-title":"Comparative kinetic and kinematic evaluation of TPLO and TPLO combined with extra-articular lateral augmentation: A biomechanical study","volume":"52","author":"B Husi","year":"2023","journal-title":"Vet Surg"},{"issue":"05","key":"ref37","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1111\/vsu.13634","article-title":"Timing of and risk factors for deep surgical site infection requiring implant removal following canine tibial plateau leveling osteotomy","volume":"50","author":"R A McDougall","year":"2021","journal-title":"Vet Surg"},{"issue":"04","key":"ref38","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1055\/s-0038-1632960","article-title":"Radiographic and clinical changes of the patellar tendon after tibial plateau leveling osteotomy 94 cases (2000-2003)","volume":"18","author":"K Carey","year":"2005","journal-title":"Vet Comp Orthop Traumatol"}],"container-title":["Veterinary and Comparative Orthopaedics and Traumatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2770-6973.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T23:17:48Z","timestamp":1784762268000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2770-6973"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,26]]},"references-count":37,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2026,7,17]]},"published-print":{"date-parts":[[2026,7]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2770-6973","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0932-0814","2567-6911"],"issn-type":[{"value":"0932-0814","type":"print"},{"value":"2567-6911","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,26]]}}}