{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:25:36Z","timestamp":1787498736220,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,10,28]],"date-time":"2018-10-28T00:00:00Z","timestamp":1540684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust Veterinary J"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patella alta is the proximal displacement of the patella within the femoral trochlea. Previous studies have identified an association between patella alta and patella luxation. Distalisation of the tibial tuberosity has been recommended to establish proximodistal alignment of the stifle extensor mechanism with the underlying femur in dogs affected by patella alta. However, a recent canine ex vivo study found stifle extensor mechanism load increased significantly following tibial tuberosity distalisation. Generation of excessive load within the stifle extensor mechanism was avoidable by performing a combined transverse femoral ostectomy and tibial tuberosity distalisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case report<\/jats:title>\n                    <jats:p>Two dogs presented with acute onset left hindlimb lameness and medial patella luxation. The left patellar ligament length to patella length ratio was 2.37 and 2.39 in each dog (reference range 1.33\u20132.06), consistent with patella alta. No other stifle abnormalities were identified. Proximodistal stifle extensor mechanism alignment was corrected with a combined transverse femoral ostectomy and tibial tuberosity distalisation. The postoperative ratio of the distance between the proximal pole of the patella and femoral condyle to patella length ratio (A\u200a:\u200aP) fell within the corrected reference range (1.52\u20132.44). Follow\u2010up orthopaedic examination and postoperative radiographs at 10\u201312\u2009weeks demonstrated clinical bone union of the femoral ostectomy and tibial tuberosity distalisation sites. No evidence of medial patella luxation or lameness could be detected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A combined transverse femoral ostectomy and tibial tuberosity distalisation technique resolved medial patella luxation with patella alta in two dogs. Additionally, the normal A\u200a:\u200aP reference interval should be corrected to 1.52\u20132.44.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/avj.12761","type":"journal-article","created":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T01:10:29Z","timestamp":1540775429000},"page":"428-432","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Combined transverse femoral ostectomy and tibial tuberosity distalisation for correction of medial patella luxation and patella alta in dogs"],"prefix":"10.1111","volume":"96","author":[{"given":"J","family":"Drew","sequence":"first","affiliation":[{"name":"College of Veterinary and Life Sciences Murdoch University Nyarrie Drive  Murdoch Western Australia 6150 Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Glyde","sequence":"additional","affiliation":[{"name":"Small Animal Surgery  Murdoch WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Hosgood","sequence":"additional","affiliation":[{"name":"Department of Veterinary Clinical Sciences Murdoch University  Murdoch WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Newman","sequence":"additional","affiliation":[{"name":"Small Animal Surgery  Murdoch WA Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/jvet.2001.28420"},{"issue":"4","key":"e_1_2_6_3_1","first-page":"271","article-title":"Tibial tuberosity transposition\u2010advancement for lateralization of the tibial tuberosity: an ex vivo canine study","author":"Newman M","year":"2014","journal-title":"Vet Comp Orthop Traumatol"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-14-05-0075"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1439-0264.2000.00289.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-13-08-0100"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-16-07-0103"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2460\/AJVR.2002.63.42"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2005.00115.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00367.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.91B3.21592"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-11-07-0108"},{"key":"e_1_2_6_13_1","first-page":"E14","article-title":"Patellar ligament load following tibial tuberosity distalization and femoral ostectomy: a canine ex vivo study. 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