{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:42:42Z","timestamp":1789843362586,"version":"4.0.1"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,11,16]],"date-time":"2017-11-16T00:00:00Z","timestamp":1510790400000},"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 describe a new technique to control intraoperative hemorrhage during tibial plateau leveling osteotomy (TPLO) and report subsequent short\u2010term and long\u2010term complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Nine dogs with arterial hemorrhage during TPLO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of dogs with hemorrhage controlled through the osteotomy gap of a TPLO were reviewed at 2 institutions over 8 years. Inclusion criteria included diagnosis of single cranial cruciate ligament rupture, intraoperative arterial hemorrhage during the radial osteotomy controlled with bipolar electrocautery or hemostatic clips placed along the cranial tibial artery through the osteotomy, complete medical records, radiographic follow\u2010up for at least 8 weeks postoperatively, and completion of long\u2010term follow\u2010up questionnaire by the owner.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Dogs were 4.6\u2009\u00b1\u20091.8 years old and weighed 36.6\u2009\u00b1\u20099.7 kg. In total, 3\u2009\u00b1\u20091 hemostatic clips were placed per stifle. Intraoperative hemostasis was achieved in all cases. One of the first dogs received a blood transfusion during the procedure and had a postoperative packed cell volume of 37%. The only complication consisted of fibular fracture, which was noticed on radiographs of 1 dog 8 weeks after TPLO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arterial hemorrhage during the radial osteotomy of a TPLO can be controlled by occlusion of the compromised artery through distraction of the osteotomy gap. This technique was not associated with long\u2010term complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.12749","type":"journal-article","created":{"date-parts":[[2017,11,16]],"date-time":"2017-11-16T14:16:26Z","timestamp":1510841786000},"page":"60-65","source":"Crossref","is-referenced-by-count":10,"title":["Control of hemorrhage through the osteotomy gap during tibial plateau leveling osteotomy: 9 cases"],"prefix":"10.1111","volume":"47","author":[{"given":"Luis","family":"Matres\u2010Lorenzo","sequence":"first","affiliation":[{"name":"Centre Hospitalier V\u00e9t\u00e9rinaire Saint\u2010Martin Saint Martin Bellevue France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aidan","family":"McAlinden","sequence":"additional","affiliation":[{"name":"Section of Veterinary Clinical Studies, University Veterinary Hospital, School of Veterinary Medicine University College Dublin Dublin 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