{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T18:12:58Z","timestamp":1791655978032,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T00:00:00Z","timestamp":1562630400000},"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":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To report extended long\u2010term outcomes of dogs with cranial cruciate ligament rupture treated by tibial plateau leveling osteotomy (TPLO) or tibial tuberosity advancement (TTA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Retrospective clinical cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Client\u2010owned dogs with \u22653\u2009years follow\u2010up (118 dogs, 166 stifles).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Records from June 2012 to May 2015 were reviewed. Follow\u2010up examination and radiography were performed in dogs meeting the inclusion criteria. Measures of outcomes included a radiographic osteoarthritis score (preoperative, 8\u2009weeks postoperative, and\u2009\u22653\u2009years postoperative), the Canine Brief Pain Inventory, and the Canine Orthopedic Index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010four dogs treated with TPLO (133 stifles) and 24 dogs treated with TTA (33 stifles) met the inclusion criteria. All dogs underwent meniscal release or partial medial meniscectomy. Osteoarthritis score progressed more after TTA (<jats:italic>P<\/jats:italic> = .003) and in dogs with bilateral surgery (<jats:italic>P<\/jats:italic> = .022). Long\u2010term outcomes that were better after TPLO compared with TTA included average pain in the last 7\u2009days (<jats:italic>P<\/jats:italic> = .007), interference with walking (<jats:italic>P<\/jats:italic> = .010), morning stiffness (<jats:italic>P<\/jats:italic> = .004), jumping (<jats:italic>P<\/jats:italic> = .003) and climbing (<jats:italic>P<\/jats:italic> = .040), limping during mild activities (<jats:italic>P<\/jats:italic> = .001), and overall quality of life (<jats:italic>P<\/jats:italic> = .045).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Osteoarthritis progressed more after TTA and in dogs with bilateral stifle surgery. Dogs treated with TPLO subjectively seemed to have less pain and fewer mobility issues.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Tibial plateau leveling osteotomy provides a better long\u2010term radiographic and functional outcome than TTA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13277","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T11:48:58Z","timestamp":1562672938000},"page":"146-154","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Extended long\u2010term radiographic and functional comparison of tibial plateau leveling osteotomy vs tibial tuberosity advancement for cranial cruciate ligament rupture in the dog"],"prefix":"10.1111","volume":"49","author":[{"given":"Elisabeth V.","family":"Moore","sequence":"first","affiliation":[{"name":"Surgery Department, Chesapeake Veterinary Surgical Specialists  Towson Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Weeren","sequence":"additional","affiliation":[{"name":"Surgery Department, Chesapeake Veterinary Surgical Specialists  Towson Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Paek","sequence":"additional","affiliation":[{"name":"Radiology Department Synergy Veterinary Imaging Partners  Columbia Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-5616(97)50076-3"},{"key":"e_1_2_7_3_1","unstructured":"Veterinary Pet Insurance (VPI). 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