{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T06:03:26Z","timestamp":1775282606577,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,22]],"date-time":"2018-11-22T00:00:00Z","timestamp":1542844800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the discrepancy between true distance of tibial tuberosity advancement (tTTA) and the most commonly used cages. The null hypothesis was that tTTA would be within 1.5 mm difference of the cage size.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Ex vivo study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sample population<\/jats:title>\n                    <jats:p>Eight foam cortical shell specimens modeled from canine tibias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Modified tibial tuberosity advancement (TTA) was performed to allow repeated measurement of the tTTA. The Pearson correlation test was used to evaluate the relationships of tTTA and cage sizes (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.05). The difference between tTTA and cage size was calculated to establish the degree of underadvancement during the TTA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Two hundred forty tTTA measurements were recorded. The tTTA was less than each corresponding cage size (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Four cage sizes resulted in a difference greater than 1.5\u2009mm (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001\u2010.04). The 6\u2010mm cage resulted in median tTTA of 4.3\u2009mm, which did not differ significantly from 4.5\u2009mm (range, 3.2\u20106.65). The median underadvancement ranged from 1.7 to 2.5\u2009mm for the tested cage sizes. The percentage underadvancement ranged from 21% to 28% for the tested cage sizes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The tTTA was less than the corresponding cage sizes by at least 1.5\u2009mm in all except the 6\u2010mm cage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical significance<\/jats:title>\n                    <jats:p>Selection of a larger cage size during the TTA may be advantageous to compensate for underadvancement and to minimize the risk of residual cranial tibial translation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vsu.13135","type":"journal-article","created":{"date-parts":[[2018,11,23]],"date-time":"2018-11-23T03:58:35Z","timestamp":1542945515000},"page":"186-191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Discrepancy between true distance of tibial tuberosity advancement and cage size: An ex vivo study"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2747-9360","authenticated-orcid":false,"given":"Dong\u2010Woo","family":"Jin","sequence":"first","affiliation":[{"name":"Affiliated Veterinary Specialists Maitland Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey N.","family":"Peck","sequence":"additional","affiliation":[{"name":"Affiliated Veterinary Specialists Maitland Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl A.","family":"Tano","sequence":"additional","affiliation":[{"name":"Affiliated Veterinary Specialists Maitland Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"Morgan","sequence":"additional","affiliation":[{"name":"Long Island Veterinary Specialists Plainview New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.2460\/ajvr.1977.38.11.1807","article-title":"The cruciate ligaments of the canine stifle: an anatomical and functional analysis","volume":"38","author":"Arnoczky SP","year":"1977","journal-title":"Am J Vet Res"},{"key":"e_1_2_6_3_1","first-page":"533","article-title":"A retrospective study evaluating the degree of degenerative joint disease in stifle of dogs following surgical repair of anterior cruciate ligament rupture","volume":"21","author":"Elkins AD","year":"1991","journal-title":"J Am Anim Hosp Assoc"},{"key":"e_1_2_6_4_1","first-page":"129","article-title":"Progression of stifle osteoarthritis following reconstruction of the cranial cruciate ligament in 21 dogs","volume":"28","author":"Vasseur PB","year":"1992","journal-title":"J Am Anim Hosp Assoc"},{"key":"e_1_2_6_5_1","unstructured":"MontavonPM DamurDM TepicS.Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. 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