{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:25:28Z","timestamp":1792009528922,"version":"4.4.0"},"reference-count":17,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2006,12,11]],"date-time":"2006-12-11T00:00:00Z","timestamp":1165795200000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:p>\n                    <jats:bold>Objective\u2014<\/jats:bold>\n                    To describe a surgical technique, and outcome, for treatment of cranial cruciate ligament (CrCL) deficient stifle joints with excessive tibial plateau angle (TPA) by combined tibial plateau leveling osteotomy and cranial closing wedge osteotomy (TPLO\/CCWO).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Study Design\u2014<\/jats:bold>\n                    Retrospective clinical study.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Animals\u2014<\/jats:bold>\n                    Fifteen client\u2010owned dogs (18 stifle joints).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods\u2014<\/jats:bold>\n                    Medical records of dogs that had TPLO\/CCWO were reviewed. Pre\u2010 and postoperative TPA, CCWO technique, method of fixation and complications were recorded. In\u2010hospital re\u2010evaluation of limb function and length of time to radiographic healing was reviewed. Long\u2010term outcome was assessed by owner telephone interview.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results\u2014<\/jats:bold>\n                    Mean pre\u2010 and postoperative TPA was 42\u00b0 and 8\u00b0, respectively. The Slocum biradial saw was used to create the CCWO in 4 stifle joints (mean postoperative TPA, 16\u00b0) and a sagittal saw was used in 14 stifle joints (mean postoperative TPA, 5\u00b0). Postoperative surgical complications were documented in 77.8% of cases; including patellar tendon thickening (61.1%), and implant loosening or breakage (27.8%), seroma formation (11.1%), and local irritation (11.1%). A second surgical procedure was performed in one\u2010third of cases primarily to retrieve implants. Mean time to documented radiographic healing was 18 weeks. Final in\u2010hospital re\u2010evaluation of limb function (mean, 23 weeks postoperatively) was recorded as no lameness in 73.3% and mild lameness in 26.7%. All interviewed owners were satisfied with outcome and 90.9% reported marked improvement or a return to preinjury status.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions\u2014<\/jats:bold>\n                    Long\u2010term clinical outcome of TPLO\/CCWO was very good in dogs with excessive TPA, with high owner satisfaction. Longer healing times and a higher complication rate were observed compared with TPLO alone.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Clinical Relevance\u2014<\/jats:bold>\n                    TPLO\/CCWO of the tibia in stifle joints with excessive TPA allows for full correction of the TPA to 5\u00b0 without eliminating buttress support of the tibial tuberosity.\n                  <\/jats:p>","DOI":"10.1111\/j.1532-950x.2006.00217.x","type":"journal-article","created":{"date-parts":[[2006,12,13]],"date-time":"2006-12-13T02:39:59Z","timestamp":1165977599000},"page":"729-739","source":"Crossref","is-referenced-by-count":93,"title":["Combination Tibial Plateau Leveling Osteotomy and Cranial Closing Wedge Osteotomy of the Tibia for the Treatment of Cranial Cruciate Ligament\u2010Deficient Stifles with Excessive Tibial Plateau Angle"],"prefix":"10.1111","volume":"35","author":[{"given":"MIRIAM B.","family":"TALAAT","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MICHAEL P.","family":"KOWALESKI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RANDY J.","family":"BOUDRIEAU","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,12,11]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-5616(93)50082-7"},{"key":"e_1_2_6_3_2","first-page":"1209","volume-title":"Current Techniques in Small Animal Surgery","author":"Slocum B","year":"1998"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2004.04053.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1632797"},{"key":"e_1_2_6_6_2","first-page":"564","article-title":"Cranial tibial wedge osteotomy","volume":"184","author":"Slocum B","year":"1984","journal-title":"a technique for eliminating cranial tibial thrust is cranial cruciate ligament repair"},{"key":"e_1_2_6_7_2","unstructured":"BaileyCJ SmithBA BlackAP: Geometric implications of tibial wedge osteotomies.Proceedings 30th Annual Conference of the VOS Steamboat Springs CO 2003 p 60 (abstract)"},{"key":"e_1_2_6_8_2","first-page":"332","article-title":"The effect of tibial plateau leveling osteotomy position on cranial tibial subluxation","volume":"34","author":"Kowaleski MP","year":"2005","journal-title":"an in vitro study"},{"key":"e_1_2_6_9_2","first-page":"1726","article-title":"Complications with and owner assessment of the outcome of tibial plateau leveling osteotomy for treatment of cranial cruciate ligament rupture in dog","volume":"222","author":"Priddy NH","year":"2003","journal-title":"193 cases (1997\u20132001)"},{"key":"e_1_2_6_10_2","first-page":"184","article-title":"Surgical and postoperative complications associated with tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture","volume":"222","author":"Pacchiana PD","year":"2003","journal-title":"397 cases (1998\u20132001)"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.5326\/0420044"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1632960"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1053\/jvet.2003.50038"},{"key":"e_1_2_6_14_2","unstructured":"SchwarzPD: Tibial plateau leveling osteotomy (TPLO): A prospective clinical comparative study.Proceedings 9th Annual ACVS Symposium San Francisco CA 1999 p 379 (abstract)"},{"key":"e_1_2_6_15_2","unstructured":"PalmerRH: Tibial plateau leveling osteotomy.Proceedings 10th Annual ACVS Symposium Arlington VA 2000 pp. 271\u2013275 (abstract)"},{"key":"e_1_2_6_16_2","unstructured":"MatisU: Radiographic evaluation of the progression of osteoarthritis after tibial plateau leveling osteotomy in 93 dogs.Proceedings 12th ESVOT Congress Munich Germany 2004 p 250 (abstract)"},{"key":"e_1_2_6_17_2","unstructured":"PetazzoniM: TPLO in the small dog: 18 cases.Proceedings 12th ESVOT Congress Munich Germany 2004 p 258 (abstract)"},{"key":"e_1_2_6_18_2","unstructured":"MasonDR RobinsonDA EvansR et al: Ground reaction forces and their relationship to post\u2010operative angle following tibial plateau leveling osteotomy.Proceedings 31st Annual Conference of the VOS Big Sky MT 2004 p 40 (abstract)"}],"container-title":["Veterinary Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1532-950X.2006.00217.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1532-950X.2006.00217.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T23:37:23Z","timestamp":1697067443000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1532-950X.2006.00217.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,12]]},"references-count":17,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2006,12]]}},"alternative-id":["10.1111\/j.1532-950X.2006.00217.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1532-950x.2006.00217.x","archive":["Portico"],"relation":{},"ISSN":["0161-3499","1532-950X"],"issn-type":[{"value":"0161-3499","type":"print"},{"value":"1532-950X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,12]]}}}