{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:43:31Z","timestamp":1787507011916,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,6,23]],"date-time":"2011-06-23T00:00:00Z","timestamp":1308787200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To describe a surgical technique, and outcome, for treatment of proximal tibial deformity (varus, valgus, excessive tibial plateau angle [eTPA], tibial torsion and patellar luxation) by combined tibial plateau leveling osteotomy (TPLO) and transverse corrective osteotomy.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Study Design:<\/jats:bold>\n                    Cases series.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Animals:<\/jats:bold>\n                    Dogs (n=12; 19 stifle joints).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    Medical records of dogs that had combination TPLO and transverse corrective osteotomy, were reviewed. Pre\u2010 and postoperative tibial angulation, tibial torsion, tibial plateau angle (TPA), corrective osteotomy technique, method of fixation, and complications were recorded. In hospital re\u2010evaluation of limb function and alignment and length of time to radiographic healing were reviewed. Long\u2010term outcome was assessed by visual analog scale (VAS) questionnaire and owner telephone interview.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Proximal tibial varus or valgus was present in 68.4%; 73.7% had eTPA; and 47.4% had both. Medial patellar luxation (MPL) was present in 57.9%, of which 47.4% had tibial tuberosity displacement. Severe tibial torsion was present in 68.4%. Mean pre\u2010 and postoperative TPA was 37.5\u00b0 and 5.7\u00b0, respectively. The mean postoperative mechanical medial proximal tibial angle (mMPTA) and mechanical medial distal tibial angle (mMDTA) were 92.2\u00b0 (range, 88\u201396\u00b0) and 96.1\u00b0 (range, 94\u2013101\u00b0), respectively. Postoperative surgical complications were documented in 21.0%, which included implant loosening or breakage (5.3%), seroma (5.3%), septic arthritis (5.3%), and infection of the proximal tibia (5.3%). All complications were considered major because they required additional surgery. Mean time to document radiographic healing was 10.4 weeks. In\u2010hospital re\u2010evaluation of lameness was obtained at the same time; 82.4% were not lame or had a mild lameness, 17.6% had severe lameness (2\/3 with infection). The VAS evaluation revealed excellent results and owner satisfaction in all ten dogs in which long\u2010term follow\u2010up was obtained.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    Long\u2010term clinical outcome of combination TPLO and transverse corrective osteotomy was excellent, and had a high owner satisfaction. Healing times were comparable to standard TPLO with a similar complication rate.\n                  <\/jats:p>","DOI":"10.1111\/j.1532-950x.2011.00826.x","type":"journal-article","created":{"date-parts":[[2011,6,25]],"date-time":"2011-06-25T05:19:55Z","timestamp":1308979195000},"page":"670-686","source":"Crossref","is-referenced-by-count":18,"title":["Combination Tibial Plateau Leveling Osteotomy and Transverse Corrective Osteotomy of the Proximal Tibia for the Treatment of Complex Tibial Deformities in 12 dogs"],"prefix":"10.1111","volume":"40","author":[{"given":"Jennifer L.","family":"Weh","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":[[2011,6,23]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1633097"},{"key":"e_1_2_6_3_2","first-page":"385","article-title":"Cranial cruciate ligament pathophysiology in dogs with cruciate disease","volume":"40","author":"Hayashi K","year":"2004","journal-title":"a review"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/vr.111.13.295"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2006.00217.x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2007.00348.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2006.00004.x"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2002.tb00009.x"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1740-8261.2006.00119.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.2460\/ajvr.70.4.498"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2001.218.363"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/jvet.2003.50047"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2002.221.1426"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199710000-00030"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197711000-00044"},{"key":"e_1_2_6_16_2","first-page":"128","article-title":"Tibial articular cartilage wear in varus osteoarthritic knees","volume":"23","author":"Mullaji AB","year":"2008","journal-title":"correlation with anterior cruciate ligament integrity and severity of deformity"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00439.x"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2007.00323.x"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1053\/jvet.2000.4396"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2006.00189.x"},{"key":"e_1_2_6_21_2","first-page":"2122","volume-title":"Textbook of small animal surgery","author":"Vasseur PB","year":"2003"},{"key":"e_1_2_6_22_2","first-page":"xxiii","volume-title":"Limb salvage: major reconstructions in oncologic and nontumoral conditions","author":"Glaser D","year":"1991"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.2460\/ajvr.2004.65.1634"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00493.x"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.3109\/17453677308989085"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100080414"},{"key":"e_1_2_6_27_2","doi-asserted-by":"crossref","first-page":"278","DOI":"10.2106\/00004623-199502000-00017","article-title":"Current concepts review. 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