{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:50:39Z","timestamp":1760043039443},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T00:00:00Z","timestamp":1630108800000},"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":[[2022,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the strength of four constructs used to secure an osteotomy in a Center of Rotation Angulation (CORA)\u2010Based Leveling Osteotomy (CBLO) in an ex vivo model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Ex vivo study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample population<\/jats:title><jats:p>Thirty\u2010two canine tibiae from 17 skeletally mature cadavers weighing between 18 and 33.2\u2009kg.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010two paired tibiae with patella and patellar tendon were collected. Each tibia was randomly allocated to a construct group: plate and pin (Plate), plate with countersink compression screw (HCS), plate with tension band (TB), or plate with HCS and TB (HCSTB). Samples were loaded by distraction until failure. The stiffness, yield load, and ultimate load were compared between each fixation method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No difference in stiffness of the constructs was detected between groups (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.6937). Yield load for the HCSTB group (1211.06\u2009N) was greater than the TB group (1016.41\u2009N), the HCS group (907.20\u2009N), and the Plate group (787.73\u2009N) (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.0069). The ultimate load for the HCSTB group (1387.82\u2009N) was greater than the TB group (1076.36\u2009N), HCS group (926.62\u2009N), and the Plate group (774.35\u2009N) (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.0004).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>CBLO fixation augmented with a TB and HCS provided a stronger construct that withstood a greater yield load and ultimate load than either augmentation strategy alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>Augmenting a CBLO fixation with a TB and a HCS can provide increased construct strength.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13696","type":"journal-article","created":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T12:22:16Z","timestamp":1630153336000},"page":"157-162","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Ex vivo biomechanical comparison of four Center of Rotation Angulation Based Leveling Osteotomy fixation methods"],"prefix":"10.1111","volume":"51","author":[{"given":"Melody E.","family":"Whitney","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences College of Veterinary Medicine, Mississippi State University  Starkville Mississippi USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James R.","family":"Butler","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences College of Veterinary Medicine, Mississippi State University  Starkville Mississippi USA"},{"name":"Care Center Veterinary Specialists  Dayton Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L.","family":"Dycus","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Nexus Veterinary Specialists  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Landon B.","family":"Teer","sequence":"additional","affiliation":[{"name":"Department of Agricultural and Biological Engineering Bagley College of Engineering, Mississippi State University  Starkville Mississippi USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve H.","family":"Elder","sequence":"additional","affiliation":[{"name":"Department of Agricultural and Biological Engineering Bagley College of Engineering, Mississippi State University  Starkville Mississippi USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren B.","family":"Priddy","sequence":"additional","affiliation":[{"name":"Department of Agricultural and Biological Engineering Bagley College of Engineering, Mississippi State University  Starkville Mississippi USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert W.","family":"Wills","sequence":"additional","affiliation":[{"name":"Department of Comparative Biomedical Science College of Veterinary Medicine, Mississippi State University  Starkville Mississippi USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1633097"},{"issue":"02","key":"e_1_2_8_3_1","first-page":"A24","article-title":"Radiographic healing following stabilization of cranial cruciate ligament deficient stifles with a CORA\u2010based leveling osteotomy (CBLO), bone plate\/headless compression screw construct augmented with a tension band","volume":"31","author":"Johnson T","year":"2018","journal-title":"Vet Comp Orthop 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