{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:25:33Z","timestamp":1792009533168,"version":"4.4.0"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vet Comp Orthop Traumatol"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objectives\u2003This study aims to report complications and long-term outcomes of combined tibial plateau leveling osteotomy and tibial tuberosity transposition (TPLO-TTT) for treatment of concurrent cranial cruciate ligament rupture and medial patellar luxation (MPL).<\/jats:p><jats:p>\n          Study Design\u2003This is a retrospective study. Dogs that underwent TPLO-TTT for treatment of combined cranial cruciate ligament rupture and grade III or IV MPL were included. Signalment, fixation method, and complications were recorded. Long-term outcome assessment (minimum 1 year postoperatively) was performed through clinical and radiographic reexamination at the authors' institution.<\/jats:p><jats:p>\n          Results\u2003Twenty-four stifles (22 dogs) were included. Twenty-one stifles had a grade III MPL, and 3 stifles had grade IV MPL. Four major complications consisting of surgical site infection (n\u2009=\u20093) and recurrent grade II MPL (n\u2009=\u20091) were observed. Dogs with surgical site infections were successfully treated with implant removal and oral antibiotics. No additional surgery was performed for the patient with recurrent MPL as no signs of lameness were observed. Minor complications occurred in five cases. At long-term evaluation (median: 27 months; range: 12\u201367 months), 21\/22 dogs were clinically sound and 23\/24 stifles had a complete resolution of MPL.<\/jats:p><jats:p>\n          Conclusion\u2003TPLO-TTT can be considered as an effective surgical option to treat patients with concurrent cranial cruciate ligament rupture and MPL with a relatively low major complication rate. Owners should be warned of the potential need for implant removal.<\/jats:p>","DOI":"10.1055\/s-0043-1770740","type":"journal-article","created":{"date-parts":[[2023,7,24]],"date-time":"2023-07-24T23:05:05Z","timestamp":1690239905000},"page":"043-049","source":"Crossref","is-referenced-by-count":11,"title":["Complications and Long-Term Outcomes after Combined Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Treatment of Concurrent Cranial Cruciate Ligament Rupture and Grade III or IV Medial Patellar Luxation"],"prefix":"10.1055","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3467-1606","authenticated-orcid":false,"given":"Giovanna","family":"Redolfi","sequence":"additional","affiliation":[{"name":"Surgical Department, Centre Hospitalier V\u00e9t\u00e9rinaire Anicura \u2013 Aquivet, Eysines, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Guillaume","family":"Grand","sequence":"additional","affiliation":[{"name":"Surgical Department, Centre Hospitalier V\u00e9t\u00e9rinaire Anicura \u2013 Aquivet, Eysines, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,7,24]]},"reference":[{"key":"ref1","first-page":"1071","volume-title":"Stifle joint","author":"M P Kowaleski","year":"2017"},{"issue":"08","key":"ref2","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"},{"key":"ref3","first-page":"597","volume-title":"The stifle joint","author":"D L Piermattei","year":"2016"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"536","DOI":"10.3415\/VCOT-15-12-0195","article-title":"Combined tibial plateau levelling osteotomy and tibial tuberosity transposition for treatment of cranial cruciate ligament insufficiency with concomitant medial patellar luxation","volume":"29","author":"K C Leonard","year":"2016","journal-title":"Vet Comp Orthop Traumatol"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/j.1748-5827.2009.00854.x","article-title":"Management of concurrent patellar luxation and cranial cruciate ligament rupture using modified tibial plateau levelling","volume":"51","author":"A Langenbach","year":"2010","journal-title":"J Small Anim Pract"},{"issue":"01","key":"ref6","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1055\/s-0038-1676296","article-title":"Technique and outcome of a modified tibial plateau levelling osteotomy for treatment of concurrent medial patellar luxation and cranial cruciate ligament rupture in 76 Stifles","volume":"32","author":"K Flesher","year":"2019","journal-title":"Vet Comp Orthop Traumatol"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1111\/j.1532-950X.2011.00826.x","article-title":"Combination tibial plateau leveling osteotomy and transverse corrective osteotomy of the proximal tibia for the treatment of complex tibial deformities in 12 dogs","volume":"40","author":"J L Weh","year":"2011","journal-title":"Vet Surg"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"18","DOI":"10.3415\/VCOT-10-01-0015","article-title":"Tibial tuberosity transposition-advancement for treatment of medial patellar luxation and concomitant cranial cruciate ligament disease in the dog. 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