{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T08:45:23Z","timestamp":1743756323531,"version":"3.38.0"},"reference-count":16,"publisher":"American Veterinary Medical Association (AVMA)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2023,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To describe the dome trochleoplasty procedure and report the short-term outcomes and complications associated with a novel technique to correct patellar luxation and patella alta.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>13 dogs (16 stifle joints) diagnosed with medial patellar luxation with concurrent patella alta in dogs &gt; 20 kg.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL PRESENTATION<\/jats:title>\n<jats:p>Medical records of dogs weighing &gt; 20 kg that underwent a dome trochleoplasty for correction of a medial luxating patella were prospectively evaluated. The procedure described involves an osteotomy of the femoral trochlea, which is then translated and\/or rotated to correct patellar luxation. Clinical results were assessed using subjective lameness scoring, radiographic evaluation, and the Canine Brief Pain Inventory (CBPI) tool.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>16 stifle joints were included in this study. The overall complication rate was 50%. Major complications occurred in 43.8% of stifle joints due to pin migration and recurrent luxation of the patella. One dog experienced a catastrophic complication 4 months postoperatively. Uncomplicated osteotomy healing was present in 94% of dogs. The median initial lameness score was 2 (mean, 1.81; range, 0 to 4) and at the final recheck was 0 (mean, 0.31; range, 0 to 2). The CBPI scores were available for 50% of stifle joints. The median initial CBPI score was 45.5 (mean, 48.8; range, 32 to 74) and at the final recheck was 17.5 (mean, 20.5; range, 0 to 43).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>The dome trochleoplasty procedure offers an alternative technique for surgical correction of patellar luxation secondary to patella alta in large-breed dogs, but due to its higher complication and reluxation rates, it should be used cautiously and probably in combination with other corrective procedures, such as tibial tuberosity transposition, soft tissue imbrication, and\/or soft tissue release rather than as a stand-alone procedure.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.23.06.0307","type":"journal-article","created":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T12:18:11Z","timestamp":1692101891000},"page":"1-6","source":"Crossref","is-referenced-by-count":1,"title":["Dome trochleoplasty for correction of patella alta and patella luxation in dogs &gt; 20 kg"],"prefix":"10.2460","volume":"261","author":[{"given":"Timothy D.","family":"Ericksen","sequence":"first","affiliation":[{"name":"NorthStar VETS, Robbinsville, NJ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Stobie","sequence":"additional","affiliation":[{"name":"NorthStar VETS, Robbinsville, NJ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Culbert","sequence":"additional","affiliation":[{"name":"NorthStar VETS, Robbinsville, NJ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominick","family":"Valenzano","sequence":"additional","affiliation":[{"name":"NorthStar VETS, Robbinsville, NJ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel F.","family":"Bogart","sequence":"additional","affiliation":[{"name":"Department of Psychology, College of Science and Mathematics, Rowan University, Glassboro, NJ"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Vet Med (Auckl)","first-page":"23","article-title":"Patellar luxation in dogs","volume":"9","author":"Di Dona F","year":"2018","unstructured":"Di Dona F, Della Valle G, Fatone G. Patellar luxation in dogs. Vet Med (Auckl). 2018;9:23-32. doi:10.2147\/VMRR.S142545"},{"issue":"1","key":"ref2","series-title":"Vet Surg","first-page":"78","article-title":"Vertical patellar position in large-breed dogs with clinically normal stifles and large-breed dogs with medial patellar luxation","volume":"35","author":"Johnson AL","year":"2006","unstructured":"Johnson AL, Broaddus KD, Hauptman JG, Marsh S, Monsere J, Sepulveda G. Vertical patellar position in large-breed dogs with clinically normal stifles and large-breed dogs with medial patellar luxation. Vet Surg. 2006;35(1):78-81. doi:10.1111\/j.1532-950X.2005.00115.x"},{"issue":"1","key":"ref3","series-title":"J Small Anim Pract","first-page":"3","article-title":"Patellar luxation in 70 large breed dogs","volume":"47","author":"Gibbons SE","year":"2006","unstructured":"Gibbons SE, Macias C, Tonzing MA, Pinchbeck GL, McKee WM. Patellar luxation in 70 large breed dogs. J Small Anim Pract. 2006;47(1):3-9. doi:10.1111\/j.1748-5827.2006.00004.x"},{"key":"ref4","series-title":"Veterinary Surgery Small Animal","first-page":"1146","article-title":"Stifle joint","author":"Kowaleski MP","year":"2018","unstructured":"Kowaleski MP, Boudrieau RJ, Pozzi A. Stifle joint. In: Tobias KM, Johnston SA, eds. Veterinary Surgery Small Animal. Vol 1. 2nd ed. Elsevier; 2018:1146-1147."},{"key":"ref5","series-title":"Clin Orthop Relat Res","first-page":"48","article-title":"Wedge recession for treatment of recurrent luxation of the patella: a preliminary report","volume":"164","author":"Slocum B","year":"1982","unstructured":"Slocum B, Slocum DB, Devine T, Boone E. Wedge recession for treatment of recurrent luxation of the patella: a preliminary report. Clin Orthop Relat Res. 1982;164:48-53. doi:10.1097\/00003086-198204000-00012"},{"issue":"2","key":"ref6","series-title":"Vet Surg","first-page":"140","article-title":"Comparison of trochlear block recession and trochlear wedge recession for canine patellar luxation using a cadaver model","volume":"30","author":"Johnson AL","year":"2001","unstructured":"Johnson AL, Probst CW, Decamp CE,  Comparison of trochlear block recession and trochlear wedge recession for canine patellar luxation using a cadaver model. Vet Surg. 2001;30(2):140-150. doi:10.1053\/jvet.2001.21391"},{"issue":"1","key":"ref7","series-title":"Vet Surg","first-page":"31","article-title":"Clinical results of surgical correction of medial luxation of the patella in dogs","volume":"16","author":"Willauer CC","year":"1987","unstructured":"Willauer CC, Vasseur PB. Clinical results of surgical correction of medial luxation of the patella in dogs. Vet Surg. 1987;16(1):31-36. doi:10.1111\/j.1532-950X.1987.tb00910.x"},{"issue":"4","key":"ref8","series-title":"Vet Comp Orthop Traumatol","first-page":"332","article-title":"Complications following surgical correction of medial patellar luxation in small-to-medium-size dogs","volume":"32","author":"Rossanese M","year":"2019","unstructured":"Rossanese M, German AJ, Comerford E, Pettitt R, Tomlinson A, de Vicente F.  Complications following surgical correction of medial patellar luxation in small-to-medium-size dogs. Vet Comp Orthop Traumatol. 2019;32(4):332-340. doi:10.1055\/s-0039-1683872"},{"issue":"4","key":"ref9","series-title":"Vet Comp Orthop Traumatol","first-page":"263","article-title":"Major complications and risk factors associated with surgical correction of congenital medial patellar luxation in 124 dogs","volume":"27","author":"Cashmore RG","year":"2014","unstructured":"Cashmore RG, Havlicek M, Perkins NR,  Major complications and risk factors associated with surgical correction of congenital medial patellar luxation in 124 dogs. Vet Comp Orthop Traumatol. 2014;27(4):263-270. doi:10.3415\/VCOT-13-08-0100"},{"key":"ref10","series-title":"Piermattei\u2019s Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat","first-page":"392","article-title":"Approach to the stifle joint through a lateral incision","author":"Piermattei DL","year":"2014","unstructured":"Piermattei DL, Johnson KA, Giddings FD. Approach to the stifle joint through a lateral incision. In: Piermattei\u2019s Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 5th ed. Elsevier; 2014:392-395."},{"issue":"12","key":"ref11","series-title":"PLoS One","first-page":"e0243819","article-title":"Kinetic gait analysis in healthy dogs and dogs with osteoarthritis: an evaluation of precision and overlap performance of a pressure-sensitive walkway and the use of symmetry indices","volume":"15","author":"Br\u00f8nniche M\u00f8ller Nielsen M","year":"2020","unstructured":"Br\u00f8nniche M\u00f8ller Nielsen M, Pedersen T, Mouritzen A,  Kinetic gait analysis in healthy dogs and dogs with osteoarthritis: an evaluation of precision and overlap performance of a pressure-sensitive walkway and the use of symmetry indices. PLoS One. 2020;15(12):e0243819. doi:10.1371\/journal.pone.0243819"},{"issue":"8","key":"ref12","series-title":"J Am Vet Med Assoc","first-page":"1278","article-title":"Ability of the canine brief pain inventory to detect response to treatment in dogs with osteoarthritis","volume":"233","author":"Brown DC","year":"2008","unstructured":"Brown DC, Boston RC, Coyne JC, Farrar JT. Ability of the canine brief pain inventory to detect response to treatment in dogs with osteoarthritis. J Am Vet Med Assoc. 2008;233(8):1278-1283. doi:10.2460\/javma.233.8.1278"},{"issue":"2","key":"ref13","series-title":"Vet Comp Orthop Traumatol","first-page":"124","article-title":"Patellar groove replacement in patellar luxation with severe femoro-patellar osteoarthritis","volume":"28","author":"Dokic Z","year":"2015","unstructured":"Dokic Z, Lorinson D, Weigel JP, Vezzoni A. Patellar groove replacement in patellar luxation with severe femoro-patellar osteoarthritis. Vet Comp Orthop Traumatol. 2015;28(2):124-130. doi:10.3415\/VCOT-14-07-0106"},{"issue":"4","key":"ref14","series-title":"Vet Comp Orthop Traumatol","first-page":"281","article-title":"Latero-distal transposition of the tibial crest in cases of medial patellar luxation with patella alta","volume":"25","author":"Segal U","year":"2012","unstructured":"Segal U, Or M, Shani J. Latero-distal transposition of the tibial crest in cases of medial patellar luxation with patella alta. Vet Comp Orthop Traumatol. 2012;25(4):281-285. doi:10.3415\/VCOT-11-07-0108"},{"issue":"4","key":"ref15","series-title":"Vet Comp Orthop Traumatol","first-page":"274","article-title":"Distal tibial tuberosity translation using TTA implants for the treatment of patella alta in large breed dogs. Surgical technique and clinical outcome","volume":"28","author":"Pugliese LC","year":"2015","unstructured":"Pugliese LC, Pike FS, Aiken SW. Distal tibial tuberosity translation using TTA implants for the treatment of patella alta in large breed dogs. Surgical technique and clinical outcome. Vet Comp Orthop Traumatol. 2015;28(4):274-281. doi:10.3415\/VCOT-14-05-0075"},{"issue":"3","key":"ref16","series-title":"Vet Comp Orthop Traumatol","first-page":"204","article-title":"Patellar luxation as a complication of surgical intervention for the management of cranial cruciate ligament rupture in dogs. A retrospective study of 32 cases","volume":"20","author":"Arthurs GI","year":"2007","unstructured":"Arthurs GI, Langley-Hobbs SJ. Patellar luxation as a complication of surgical intervention for the management of cranial cruciate ligament rupture in dogs. A retrospective study of 32 cases. Vet Comp Orthop Traumatol. 2007;20(3):204-210. doi:10.1160\/VCOT-06-10-0074"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/261\/11\/javma.23.06.0307.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/261\/11\/javma.23.06.0307.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/261\/11\/javma.23.06.0307.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T13:04:37Z","timestamp":1741352677000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/261\/11\/javma.23.06.0307.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,1]]},"references-count":16,"journal-issue":{"issue":"11"},"URL":"https:\/\/doi.org\/10.2460\/javma.23.06.0307","relation":{},"ISSN":["0003-1488"],"issn-type":[{"type":"print","value":"0003-1488"}],"subject":[],"published":{"date-parts":[[2023,11,1]]}}}