{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:21:45Z","timestamp":1767705705264,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T00:00:00Z","timestamp":1683158400000},"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":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To report a modification of the tibial tuberosity transposition (m\u2010TTT) technique used to treat medial patellar luxation (MPL) in dogs, and report its complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p>Retrospective case series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample population<\/jats:title><jats:p>Dogs (<jats:italic>n<\/jats:italic>\u2009=\u2009235) undergoing MPL correction, using m\u2010TTT (<jats:italic>n<\/jats:italic>\u2009=\u2009300 stifles).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records and client surveys were reviewed to determine complications associated with this technique and they were compared with previously reported complications using similar techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Short\u2010term minor complications included low\u2010grade reluxation (11 stifles, 3.6%), incisional seroma (nine stifles, 3%), pin\u2010associated swelling (seven stifles, 2.3%), patellar desmitis (six stifles, 2%), superficial incisional infection (four stifles, 1.3%), pin migration (three stifles, 1%), tibial tuberosity (TT) fracture (two stifles, 0.6%), tibial tuberosity displacement and patella alta (one stifle, 0.3%), pin\u2010associated discomfort (one stifle, 0.3%), trochlear block fracture (one stifle, 0.3%). Short\u2010term major complications included pin migration (three stifles, 1%), incisional infection (two stifles, 0.6%), tibial tuberosity fracture (two stifles, 0.6%), and high grade reluxation (two stifles, 0.6%). Long\u2010term follow\u2010up examination data were available for 109\/300 (36.3%) stifles. One minor complication and four major complications were documented. All long\u2010term complications were due to pin migration. The overall major complication rate was 4.3% (13\/300 stifles), with a minor complication rate of 15% (46\/300 stifles). The owner survey indicated a 100% satisfaction rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The m\u2010TTT technique yielded acceptable complication rates, with high owner satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical significance<\/jats:title><jats:p>The m\u2010TTT should be considered as an alternative technique for treating dogs with MPL requiring a tibial tuberosity transposition.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vsu.13966","type":"journal-article","created":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T02:40:50Z","timestamp":1683254450000},"page":"756-765","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Outcomes and complications of a modified tibial tuberosity transposition technique in the treatment of medial patellar luxation in dogs"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5258-9185","authenticated-orcid":false,"given":"Brittany L.","family":"Cortina","sequence":"first","affiliation":[{"name":"Metropolitan Veterinary Hospital  Copley Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3574-2931","authenticated-orcid":false,"given":"Alex","family":"Terreros","sequence":"additional","affiliation":[{"name":"Metropolitan Veterinary Hospital  Copley Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Mark","family":"Daye","sequence":"additional","affiliation":[{"name":"Metropolitan Veterinary Hospital  Copley Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0091-0279(71)50052-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-5616(93)50087-6"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1632502"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-08-01-0009"},{"key":"e_1_2_8_6_1","first-page":"349","article-title":"Retrospective risk factor assessment for complication following TTT in 137 canine stifles with medial patellar luxation","volume":"55","author":"Stanke NJ","year":"2014","journal-title":"Can Vet J"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-13-08-0100"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1160\/VCOT-06-10-0074"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-13-05-0064"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.13093"},{"key":"e_1_2_8_11_1","first-page":"1291","volume-title":"Small Animal Surgery","author":"Schulz K","year":"2007"},{"key":"e_1_2_8_12_1","first-page":"1141","volume-title":"Veterinary Surgery: Small Animal","author":"Kowaleski MP","year":"2012"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.1987.tb00910.x"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.238.9.1168"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-16-09-0132"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1683872"},{"key":"e_1_2_8_17_1","first-page":"e43","article-title":"Tibial tuberosity transposition stabilization using a cortical screw placed adjacent to the tuberosity in dogs with patellar luxation","volume":"2","author":"Filliquist B","year":"2019","journal-title":"Vet Comp Orthop Traumatol"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2010.00763.x"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-15-12-0206"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1693968"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12939"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-16-05-0073"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.249.2.208"},{"key":"e_1_2_8_24_1","first-page":"39","article-title":"Comparison of complication rates of unilateral, staged bilateral, and single\u2010session bilateral surgery for the treatment of bilateral medial patellar luxation in dogs","volume":"58","author":"Fullagar BA","year":"2017","journal-title":"Can Vet J"}],"container-title":["Veterinary Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vsu.13966","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T15:57:58Z","timestamp":1703260678000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vsu.13966"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,4]]},"references-count":23,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1111\/vsu.13966"],"URL":"https:\/\/doi.org\/10.1111\/vsu.13966","archive":["Portico"],"relation":{},"ISSN":["0161-3499","1532-950X"],"issn-type":[{"type":"print","value":"0161-3499"},{"type":"electronic","value":"1532-950X"}],"subject":[],"published":{"date-parts":[[2023,5,4]]},"assertion":[{"value":"2023-01-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}