{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:21:12Z","timestamp":1790623272263,"version":"4.1.0"},"reference-count":30,"publisher":"American Veterinary Medical Association (AVMA)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"Abstract<\/jats:title>\n \n OBJECTIVE<\/jats:title>\n To investigate the use of a locking 3.5\/4.0-mm jumbo tibial plateau leveling osteotomy (TPLO) plate in maintaining the postoperative tibial plateau angle (TPA) in giant-breed dogs weighing > 50 kg and to report the associated complications.<\/jats:p>\n <\/jats:sec>\n \n ANIMALS<\/jats:title>\n Canine patients weighing > 50 kg that underwent TPLO stabilized with a locking 3.5\/4.0-mm jumbo TPLO plate between January 2017 and May 2022.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Retrospective case series retrieving postoperative outcomes from the medical records. Healing scores and TPAs were calculated using postoperative and recheck radiographs. Owner-perceived outcomes were obtained via questionnaire.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n 24 stifles in 22 dogs were included. Postoperative complications were recorded in 11 of 24 cases (45.8%) inclusive of 1 minor, 1 catastrophic, and 9 major complications. A statistically significant increase in TPA over the convalescent period was found. Grade 4 healing was present in 18 of 24 (75%) stifles, while the remainder were scored as grade 3.<\/jats:p>\n <\/jats:sec>\n \n CLINICAL RELEVANCE<\/jats:title>\n The use of a locking 3.5\/4.0-mm jumbo TPLO plate did not prevent a statistically significant increase in TPA through convalescence. This procedure displayed an unacceptably high complication rate when compared with contemporary literature of TPLO. Despite a high complication rate in this patient population, most complications were successfully managed with medical and\/or surgical treatment, and high mean and median healing scores were achieved at the radiographic recheck. Additionally, owner-perceived long-term outcomes were excellent.<\/jats:p>\n <\/jats:sec>","DOI":"10.2460\/javma.23.07.0379","type":"journal-article","created":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T11:24:43Z","timestamp":1694517883000},"page":"1-8","source":"Crossref","is-referenced-by-count":5,"title":["Use of a jumbo plate in dogs greater than 50 kg following tibial plateau leveling osteotomy does not prevent increase in tibial plateau angle through convalescence"],"prefix":"10.2460","volume":"261","author":[{"given":"Mathew R. A.","family":"MacCormick","sequence":"first","affiliation":[{"name":"Small Animal Surgery Department, Metropolitan Veterinary Hospital, Akron, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Daye","sequence":"additional","affiliation":[{"name":"Small Animal Surgery Department, Metropolitan Veterinary Hospital, Akron, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"2","key":"ref1","series-title":"Vet Comp Orthop Traumatol","first-page":"56","article-title":"Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989","volume":"7","author":"Johnson JA","year":"1994","unstructured":"Johnson JA, Austin C, Breur GJ. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. 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