{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:24:11Z","timestamp":1787016251657,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T00:00:00Z","timestamp":1619654400000},"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":[[2021,7]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n To evaluate the effect of postoperative tibial plateau angle (TPA) following tibial plateau leveling osteotomy (TPLO) on the risk of patella fracture during the convalescent period.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Retrospective study.<\/jats:p>\n <\/jats:sec>\n \n Sample Population<\/jats:title>\n Fracture group: 20 stifles; reference group: 65 stifles.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Medical records were reviewed for stifles with patellar fractures after a TPLO procedure (fracture group) and stifles with >180\u2009days radiographic examination with no complications following TPLO (reference group). Stifle radiographs were masked to group and final TPA (fTPA) was measured, at the time of fracture diagnosis (fracture group) and at last follow\u2010up (reference group), using PACS software. TPAs in the fracture and reference groups were compared using the Wilcoxon rank\u2010sum test. Statistical significance was set at .05.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Patellar fractures were diagnosed at a median of 69\u2009days (range 31\u2013189) after surgery. The median duration of follow\u2010up time for the reference group was 471\u2009days (range 180\u20131868). Median fTPA for the fracture group was 1.4\u00b0 (range [\u221210.3]\u20137.1). Median fTPA for the reference group was 4.1\u00b0 (range [\u22123.9]\u201314.1). The odds of patellar fractures increased by 21.7% (95% CI: 8.6%\u201335.6%) for every 1\u00b0 decrease in fTPA.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The risk of patella fractures increased as TPAs after TPLOs decreased.<\/jats:p>\n <\/jats:sec>\n \n Clinical Significance<\/jats:title>\n Care should be taken to avoid excessive rotation during TPLO to decrease the likelihood of postoperative patellar fractures.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/vsu.13640","type":"journal-article","created":{"date-parts":[[2021,4,29]],"date-time":"2021-04-29T11:01:36Z","timestamp":1619694096000},"page":"984-989","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Evaluation of the risk of patella fracture as the result of decreasing tibial plateau angle following tibial plateau leveling osteotomy"],"prefix":"10.1111","volume":"50","author":[{"given":"Cindy M.","family":"Geier","sequence":"first","affiliation":[{"name":"Department of Small Animal Surgery BluePearl Specialty + Emergency Pet Hospital Sandy Springs Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4606-3632","authenticated-orcid":false,"given":"Steven W.","family":"Frederick","sequence":"additional","affiliation":[{"name":"Department of Small Animal Surgery BluePearl Specialty + Emergency Pet Hospital Sandy Springs Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan R.","family":"Cross","sequence":"additional","affiliation":[{"name":"Department of Small Animal Surgery BluePearl Specialty + Emergency Pet Hospital Sandy Springs Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,29]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/vsu.12614"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2003.222.184"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2010.00663.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-5616(93)50082-7"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-10-07-0109"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2012.01018.x"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/jvet.2003.50047"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2007.00348.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2006.00125.x"},{"key":"e_1_2_8_11_1","first-page":"624","volume-title":"Biostatistical 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