{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:30:41Z","timestamp":1790742641817,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T00:00:00Z","timestamp":1485907200000},"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":[[2017,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe short\u2010term outcomes of a modified cranial closing wedge osteotomy (CCWO) for treatment of dogs with cranial cruciate ligament disease and excessive tibial plateau angle (eTPA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective clinical study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>18 client\u2010owned dogs (19 stifles) with cranial cruciate ligament disease and eTPA (&gt;34\u00b0).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A modified CCWO was performed with Kirschner wires as osteotomy alignment aids. A juxta\u2010articular neutral wedge osteotomy equal in angle to the preoperative TPA was performed. Fixation was achieved with a tibial plateau leveling osteotomy (TPLO) plate and tension band wire apparatus (89%) or a TPLO plate (11%). Preoperative and postoperative, and recheck TPA, cranial tibial long axis shift, and major and minor complications were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean preoperative TPA (49.5\u00b0\u2009\u00b1\u20096.7\u00b0) was reduced postoperatively (8.3\u00b0\u2009\u00b1\u20094.8\u00b0). Four of 19 joints (21%) developed 2 major and 3 minor complications during the intraoperative and follow\u2010up period (577 day mean in\u2010hospital recheck). Two cases were diagnosed with surgical site infections requiring implant removal for resolution. Fixation failure or implant complications were not observed in any dog during the limited radiographic follow\u2010up period. All dogs were sound or recovering as expected, with 15\/19 dogs (79%) showing complete radiographic osteotomy healing at their final in\u2010hospital follow\u2010up examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Modified CCWO should be considered for the treatment of cranial cruciate ligament disease in dogs with eTPA. In this case series, the described technique was associated with uneventful osteotomy healing without implant failures in all dogs, although radiographic follow\u2010up was limited in some cases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.12614","type":"journal-article","created":{"date-parts":[[2017,2,1]],"date-time":"2017-02-01T11:47:50Z","timestamp":1485949670000},"page":"403-411","source":"Crossref","is-referenced-by-count":37,"title":["Modified cranial closing wedge osteotomy for treatment of cranial cruciate ligament insufficiency in dogs with excessive tibial plateau angles: Technique and complications in 19 cases"],"prefix":"10.1111","volume":"46","author":[{"given":"Steven W.","family":"Frederick","sequence":"first","affiliation":[{"name":"Bluepearl Veterinary Partners Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan R.","family":"Cross","sequence":"additional","affiliation":[{"name":"Bluepearl Veterinary Partners Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1632502"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-14-03-0047"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2007.00348.x"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2006.00217.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-5616(93)50082-7"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2014.12202.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.12339"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2006.00147.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-59373-4_5"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-10-11-0159"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2010.00763.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00381.x"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2013.12033.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2014.12228.x"},{"key":"e_1_2_7_16_1","first-page":"249","article-title":"Complications associated with tibial plateau leveling osteotomy: a retrospective of 1519 procedures","volume":"55","author":"Coletti TJ","year":"2014","journal-title":"Can Vet J."},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1160\/VCOT-06-02-0012"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1053\/jvet.2001.21400"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2006.00175.x"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-0813.2009.00482.x"}],"container-title":["Veterinary Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fvsu.12614","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vsu.12614","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T09:47:49Z","timestamp":1695548869000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vsu.12614"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017,4]]}},"alternative-id":["10.1111\/vsu.12614"],"URL":"https:\/\/doi.org\/10.1111\/vsu.12614","archive":["Portico"],"relation":{},"ISSN":["0161-3499","1532-950X"],"issn-type":[{"value":"0161-3499","type":"print"},{"value":"1532-950X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2]]}}}