{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:39:25Z","timestamp":1788777565194,"version":"build-2803163510"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vet Comp Orthop Traumatol"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003The aim of this study was to report the clinical experience with fluoroscopically guided tibial apophyseal percutaneous pinning (TAPP) for tibial tuberosity avulsion fractures (TTAF).<\/jats:p><jats:p>\n          Study Design\u2003This is a retrospective case series.<\/jats:p><jats:p>\n          Materials and Methods\u2003Medical records of skeletally immature dogs (n\u2009=\u200925) were reviewed. The association of pin design [smooth (SP); negatively threaded (NTP)], pin insertion angles, TTAF-type, age and breed with various outcome variables was statistically evaluated. Long-term follow-up was assessed via direct examination, radiographs, questionnaires and videos.<\/jats:p><jats:p>\n          Results\u2003Mean age, weight and surgery times were 6.2 months, 9.6\u2009kg and 21\u2009minutes respectively. No major complications occurred among the 19 SP and 6 NTP; no pin broke. Seromas and patellar desmitis rates were higher with SP (11\/19; 16\/19) versus NTP (0\/6; 2\/6) (p\u2009=\u20090.02; 0.03). The median horizontal pin cross angles for cases without and with desmitis were 40 and 26 degrees respectively (p\u2009=\u20090.047). Explantation was needed in 5\/19 SP and 0\/6 NTP cases. The mean tibial plateau angle (TPA) changed significantly between initial (25.6 degrees) and follow-up (18.8 degrees) radiographs (p\u2009=\u20090.0002). Long-term outcome, obtained at a mean of 19.9 months, was excellent in all cases.<\/jats:p><jats:p>\n          Conclusion\u2003Tibial apophyseal percutaneous pinning can be considered to treat TTAF. Divergent pin placement and using NTP might reduce complications. Tibial plateau angle should be monitored until skeletal maturity has been reached. Long-term outcome post TAPP can be expected to be excellent.<\/jats:p>","DOI":"10.1055\/s-0040-1719091","type":"journal-article","created":{"date-parts":[[2020,11,20]],"date-time":"2020-11-20T03:19:19Z","timestamp":1605842359000},"page":"144-152","source":"Crossref","is-referenced-by-count":10,"title":["Tibial Apophyseal Percutaneous Pinning in Skeletally Immature Dogs: 25 Cases (2016\u20132019)"],"prefix":"10.1055","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1905-9008","authenticated-orcid":false,"given":"Dirsko J.F.","family":"von Pfeil","sequence":"additional","affiliation":[{"name":"Small Animal Surgery Locum, PLLC, Dallas, Texas, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Megliolia","sequence":"additional","affiliation":[{"name":"Friendship Surgical Specialists of the Friendship Hospital for Animals, Washington DC, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8809-8388","authenticated-orcid":false,"given":"Sarah","family":"Malek","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Rochat","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Purdue University, West Lafayette, Indiana, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Glassman","sequence":"additional","affiliation":[{"name":"Friendship Surgical Specialists of the Friendship Hospital for Animals, Washington DC, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2020,11,19]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1111\/j.1748-5827.1997.tb03437.x","article-title":"Avulsion of the tibial tuberosity in a litter of greyhound puppies","volume":"38","author":"C M Skelly","year":"1997","journal-title":"J Small Anim Pract"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1136\/vr.149.12.352","article-title":"Avulsion of the tibial tuberosity with separation of the proximal tibial physis in seven dogs","volume":"149","author":"J N Pratt","year":"2001","journal-title":"Vet Rec"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1111\/j.1748-5827.2008.00566.x","article-title":"Tibial tuberosity avulsion fracture in dogs: a review of 59 dogs","volume":"49","author":"J A Gower","year":"2008","journal-title":"J Small Anim Pract"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1111\/j.1748-5827.2003.tb00167.x","article-title":"Fracture of the proximal tibial epiphysis and tuberosity in 10 dogs","volume":"44","author":"D N Clements","year":"2003","journal-title":"J Small Anim Pract"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"257","DOI":"10.3415\/VCOT-08-09-0094","article-title":"Does Osgood-Schlatter disease exist in the dog?","volume":"22","author":"D J von Pfeil","year":"2009","journal-title":"Vet Comp Orthop Traumatol"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"524","DOI":"10.3415\/VCOT-11-12-0170","article-title":"Minimally displaced tibial tuberosity avulsion fracture in nine skeletally immature large breed dogs","volume":"25","author":"D J von Pfeil","year":"2012","journal-title":"Vet Comp Orthop Traumatol"},{"issue":"04","key":"ref7","first-page":"279","article-title":"Percutaneous tibial physeal fracture repair in small animals: technique and 17 cases","volume":"30","author":"D JF von Pfeil","year":"2017","journal-title":"Vet Comp Orthop Traumatol"},{"key":"ref8","first-page":"28","article-title":"Avulsion of the tibial tuberosity in the dog. 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