{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:31:19Z","timestamp":1740126679368,"version":"3.37.3"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T00:00:00Z","timestamp":1510617600000},"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":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify risk factors for tibial damage associated with the modified Maquet technique (MMT) in dogs with cranial cruciate ligament (CCL) disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample population<\/jats:title><jats:p>One hundred and seventy\u2010four stifles from 147 client\u2010owned dogs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of dogs diagnosed with CCL disease and treated with the current version of MMT were reviewed. Dogs were included if immediate postoperative radiographs were available. Cortical hinge fracture or fissure, tibial tuberosity fracture, and diaphyseal fractures of the tibia were recorded. Age, body weight (BW), thickness of the tibial cortical hinge, and angle of opening of the osteotomy were tested as potential risk factors for tibial damage by univariate logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Tibial damage included intraoperative tibial fissures in 37% of MMTs, intraoperative fractures of the cortical hinge in 3.4% of MMTs, postoperative tibial fractures in 14% of MMTs. Risk factors for intraoperative fissure included BW (<jats:italic>P<\/jats:italic>\u2009=\u2009.0153) and thickness of cortical hinge (<jats:italic>P<\/jats:italic>\u2009=\u2009.0006). The angle of opening of the osteotomy was identified as a risk factor for intraoperative cortical hinge fracture (<jats:italic>P<\/jats:italic>\u2009=\u2009.0034), angles below 11\u00b0 being preventive. No risk factor was identified for postoperative fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Based on these results, preventive measures against tibial damage associated with MMT should include: a thickness of cortical hinge based on the equation related to the BW; a length of osteotomy adjusted to the amount of TTA with an osteotomy angle below 10\u00b0; and slow advancement of the tibial tuberosity.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.12707","type":"journal-article","created":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T10:02:45Z","timestamp":1510653765000},"page":"30-35","source":"Crossref","is-referenced-by-count":11,"title":["Risk factors for tibial damage associated with the modified Maquet technique in 174 stifles"],"prefix":"10.1111","volume":"47","author":[{"given":"Michael D.","family":"Lefebvre","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences \u2013 Small Animal Surgery, Faculty of Veterinary Medicine University of Li\u00e8ge Li\u00e8ge Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier R.","family":"Broux","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences \u2013 Small Animal Surgery, Faculty of Veterinary Medicine University of Li\u00e8ge Li\u00e8ge Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas P.","family":"Barth\u00e9l\u00e9my","sequence":"additional","affiliation":[{"name":"Langford Veterinary Services University of Bristol Langford North Somerset United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Hamon","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences \u2013 Small Animal Surgery, Faculty of Veterinary Medicine University of Li\u00e8ge Li\u00e8ge Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelyne V.","family":"Moyse","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Bioinformatics applied to Veterinary Sciences, Faculty of Veterinary Medicine University of Li\u00e8ge Li\u00e8ge Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9465-8406","authenticated-orcid":false,"given":"Bernard M.","family":"Bouvy","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences \u2013 Small Animal Surgery, Faculty of Veterinary Medicine University of Li\u00e8ge Li\u00e8ge Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc H.","family":"Balligand","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences \u2013 Small Animal Surgery, Faculty of Veterinary Medicine University of Li\u00e8ge Li\u00e8ge Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,14]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"906","volume-title":"Veterinary Surgery Small Animal","author":"Kowaleski MP","year":"2013"},{"doi-asserted-by":"publisher","key":"e_1_2_6_3_1","DOI":"10.1055\/s-0038-1633097"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"1016","DOI":"10.2460\/javma.1993.203.07.1016","article-title":"Epidemiology of cranial cruciate ligament rupture in dogs","volume":"203","author":"Whitehair JG","year":"1993","journal-title":"J Am Vet Med Assoc."},{"doi-asserted-by":"publisher","key":"e_1_2_6_5_1","DOI":"10.1186\/s12917-014-0266-8"},{"doi-asserted-by":"publisher","key":"e_1_2_6_6_1","DOI":"10.2460\/javma.242.10.1364"},{"key":"e_1_2_6_7_1","first-page":"148","article-title":"Tibial tuberosity fracture as a complication of tibial tuberosity advancement","volume":"2","author":"Calvo 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