{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T10:39:25Z","timestamp":1788777565411,"version":"build-2803163510"},"reference-count":22,"publisher":"American Veterinary Medical Association (AVMA)","issue":"15","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To evaluate outcomes of tibial tuberosity avulsion fractures (TTAF) in dogs with implants left in situ past skeletal maturity and to compare clinical outcomes with published outcomes in dogs whose implants were removed 4 to 6 weeks postoperatively.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>47 client-owned dogs.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>In this retrospective study, 47 dogs had surgery to correct a TTAF before 10 months of age and had the implants left in situ past skeletal maturity. Of these, 42 were followed for a median of 36 months postoperatively. Short- and long-term complications were recorded and compared with historically published data in which the implants were removed within 6 weeks of surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>14% (6\/42) of our population experienced minor long-term complications (stiffness and lameness), 6% (3\/47) experienced major short-term complications (repair failure), and 14% (6\/24) experienced major long-term complications (implant removal). There was no difference in long-term outcomes when compared with results of historical reports in which implants were removed 4 to 6 weeks postoperatively. Client satisfaction was high, with 93% (38\/41) grading outcomes as excellent and 95% (39\/41) stating they would have surgery performed again in retrospect.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Immature dogs with surgically repaired TTAFs have favorable long-term outcomes when the implants were left in situ past skeletal maturity. Dogs with TTAF repairs may not need implant removal unless it becomes clinically necessary. Avoiding a second procedure will decrease patient morbidity, recovery time, and cost.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.22.07.0336","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T12:27:04Z","timestamp":1664368024000},"page":"1941-1946","source":"Crossref","is-referenced-by-count":2,"title":["Good clinical outcomes achieved in young dogs with tibial tuberosity avulsion fracture repairs when implants were left in situ past skeletal maturity"],"prefix":"10.2460","volume":"260","author":[{"given":"Zachary A.","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Surgery, Las Vegas Veterinary Specialty Center, Las Vegas, NV"},{"name":"Department of Surgery, Metropolitan Animal Hospital, Copley, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sady Y.","family":"Cabrera","sequence":"additional","affiliation":[{"name":"Department of Surgery, Metropolitan Animal Specialty Hospital, Los Angeles, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Mason","sequence":"additional","affiliation":[{"name":"Department of Surgery, Las Vegas Veterinary Specialty Center, Las Vegas, NV"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip H.","family":"Kass","sequence":"additional","affiliation":[{"name":"Department of Population Health and Reproduction, School of Veterinary Medicine, University of California-Davis, Davis, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"12","key":"ref1","series-title":"Vet Rec","first-page":"352","article-title":"Avulsion of the tibial tuberosity with separation of the proximal tibial physis in seven dogs.","volume":"149","author":"Pratt JN","year":"2001","unstructured":"Pratt JN. Avulsion of the tibial tuberosity with separation of the proximal tibial physis in seven dogs. Vet Rec. 2001;149(12):352\u2013356. 11594381"},{"issue":"7","key":"ref2","series-title":"J Small Anim Pract","first-page":"340","article-title":"Tibial tuberosity avulsion fracture in dogs: a review of 59 dogs.","volume":"49","author":"Gower JA, Bound NJ, Moores AP","year":"2008","unstructured":"Gower JA, Bound NJ, Moores AP. Tibial tuberosity avulsion fracture in dogs: a review of 59 dogs. J Small Anim Pract. 2008;49(7):340\u2013343. 18638057"},{"issue":"2","key":"ref3","series-title":"Vet Comp Orthop Traumatol.","first-page":"54","article-title":"Complications of canine tibial tuberosity avulsion fractures.","volume":"4","author":"Johnson KA, Goldsmid S","year":"1991","unstructured":"Johnson KA, Goldsmid S. Complications of canine tibial tuberosity avulsion fractures. 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