{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T21:37:05Z","timestamp":1764106625436,"version":"3.46.0"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vet Comp Orthop Traumatol"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Objective\u2003The aim of this study was to describe a simple and effective method to control severe haemorrhage from intraoperative trauma to the cranial tibial artery (CTA) during tibial plateau levelling osteotomy (TPLO) and to report long-term outcomes.<\/jats:p>\n                  <jats:p>Study Design\u2003Cadaveric descriptive study and retrospective case series. A TPLO was performed in eight cadaveric limbs, followed by intentional laceration of the CTA under fluoroscopic guidance. Dissection of the limb was performed and the relationship between the CTA and the surrounding structures was evaluated. A computed tomography angiogram was performed following TPLO in one cadaveric limb. Medical records from cases that had intraoperative arterial bleeding between 2015 and 2019 were reviewed. Cases were included if bleeding was controlled by following the usual steps for TPLO. Radiographic follow-up 6 to 10 weeks postoperatively and long-term follow-up owner's questionnaire were available.<\/jats:p>\n                  <jats:p>Results\u2003During TPLO, the CTA is tightly compressed between the caudal aspect of the proximal tibia and the popliteal musculature. Rotation and compression of the proximal tibia followed by closure of the pes anserinus successfully controlled arterial bleeding during TPLO in nine clinical cases without the need for direct ligation.<\/jats:p>\n                  <jats:p>Conclusion\u2003Continuing the usual steps of a TPLO can successfully control intraoperative bleeding from the CTA with no long-term complications. This technique should be considered in cases of arterial bleeding during TPLO before direct ligation.<\/jats:p>","DOI":"10.1055\/s-0042-1749452","type":"journal-article","created":{"date-parts":[[2022,6,28]],"date-time":"2022-06-28T20:05:41Z","timestamp":1656446741000},"page":"331-338","source":"Crossref","is-referenced-by-count":1,"title":["Rotation of the Tibial Plateau Segment to Control Arterial Haemorrhage during Tibial Plateau Levelling Osteotomy: A Cadaveric Experimental Study and Nine Clinical Cases"],"prefix":"10.1055","volume":"35","author":[{"given":"Leonor","family":"Roses","sequence":"additional","affiliation":[{"name":"Vets Now Referrals, Glasgow, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Lopez de la Oliva","sequence":"additional","affiliation":[{"name":"Vets Now Referrals, Glasgow, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davinia","family":"Arnott","sequence":"additional","affiliation":[{"name":"Vets Now Referrals, Glasgow, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,6,28]]},"reference":[{"issue":"03","key":"ref1","first-page":"194","article-title":"Preferred method of repair of cranial cruciate ligament rupture in dogs: a survey of ACVS diplomates specializing in canine orthopedics","volume":"28","author":"R L Leighton","year":"1999","journal-title":"Vet Surg"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"315","DOI":"10.5326\/JAAHA-MS-6356","article-title":"Systematic review of surgical treatments for cranial cruciate ligament disease in dogs","volume":"50","author":"M S Bergh","year":"2014","journal-title":"J Am Anim Hosp Assoc"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"478","DOI":"10.3415\/VCOT-14-03-0047","article-title":"Treatment of canine cranial cruciate ligament disease. 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A presentation of four cases","volume":"20","author":"P J Haaland","year":"2007","journal-title":"Vet Comp Orthop Traumatol"},{"issue":"105","key":"ref23","first-page":"27","article-title":"The role of periosteal blood supply in the healing of fractures of the tibia","author":"I Macnab","year":"1974","journal-title":"Clin Orthop Relat Res"},{"issue":"08","key":"ref24","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.1111\/vsu.13526","article-title":"Effect of stifle flexion on the position of the cranial tibial artery relative to the proximal tibia in dogs","volume":"49","author":"R A Mullins","year":"2020","journal-title":"Vet Surg"}],"container-title":["Veterinary and Comparative Orthopaedics and Traumatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-1749452.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T21:35:04Z","timestamp":1764106504000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-1749452"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,28]]},"references-count":23,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2022,10,18]]},"published-print":{"date-parts":[[2022,9]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-1749452","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0932-0814","2567-6911"],"issn-type":[{"type":"print","value":"0932-0814"},{"type":"electronic","value":"2567-6911"}],"subject":[],"published":{"date-parts":[[2022,6,28]]}}}