{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T19:37:35Z","timestamp":1766518655448,"version":"3.40.5"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T00:00:00Z","timestamp":1593648000000},"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":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To describe outcomes of dogs with excessive tibial plateau angle (eTPA) and cranial cruciate ligament (CrCL) disease treated with center of rotation of angulation\u2010based leveling osteotomy (CBLO) and cranial closing wedge ostectomy (CCWO).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Retrospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Twenty\u2010one dogs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of dogs with CrCL disease and eTPA (&gt;34\u00b0) treated with CBLO\/CCWO were reviewed. Signalment, body weight, intra\u2010articular structure appearance, TPA (preoperatively, postoperatively, and at osteotomy healing), postoperative function, and complications were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010one dogs (28 stifles) with CrCL disease\/eTPA underwent CBLO\/CCWO. Twenty stifles had complete CrCL tears and eight tears were partial. Mean age and weight of dogs were 4\u2009years (range, 1\u20109) and 27\u2009kg (range, 4\u201065), respectively. Medial menisci were normal in 20 stifles, torn in 5, and degenerative in 3. All lateral menisci were normal. The caudal cruciate ligament was normal in 26 stifles and partially torn in 2. Mean TPA was 43\u00b0 preoperatively, 10\u00b0 postoperatively, and 10\u00b0 at final recheck. Grade 4 healing occurred in all osteotomies by 8\u2009weeks postoperatively. Complications included one pin migration, breakage of two proximal screws (1 case), one late\u2010onset caudolateral band CrCL tear, two late\u2010onset meniscal tears, and one surgical site infection. Eighteen dogs returned to full function, and three dogs achieved acceptable function, at a mean of 27\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Center of rotation of angulation\u2010based leveling osteotomy\/CCWO resulted in grade 4 osteotomy healing by 8\u2009weeks, minimal complications, and acceptable to full return to function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Center of rotation of angulation\u2010based leveling osteotomy\/CCWO should be considered to treat canine CrCL disease\/eTPA.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13480","type":"journal-article","created":{"date-parts":[[2020,7,2]],"date-time":"2020-07-02T18:04:52Z","timestamp":1593713092000},"page":"1125-1131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Center of rotation of angulation\u2010based leveling osteotomy combined with a coplanar cranial 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