{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T11:51:29Z","timestamp":1792065089619,"version":"4.4.0"},"reference-count":19,"publisher":"American Veterinary Medical Association (AVMA)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2013,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:p><jats:bold>Objective<\/jats:bold>\u2014To compare 1-year outcomes after lateral fabellar suture stabilization (LFS) and tibial plateau leveling osteotomy (TPLO) for the treatment of dogs with cranial cruciate ligament disease.<\/jats:p>\n<jats:p><jats:bold>Design<\/jats:bold>\u2014Randomized blinded controlled clinical trial.<\/jats:p>\n<jats:p><jats:bold>Animals<\/jats:bold>\u201480 dogs with naturally occurring unilateral cranial cruciate ligament disease.<\/jats:p>\n<jats:p><jats:bold>Procedures<\/jats:bold>\u2014All dogs were randomly assigned to undergo LFS (n = 40) or TPLO (40). Clinical data collected included age, weight, body condition score, history information, stifle joint instability, radiographic findings, surgical findings, and complications. Outcome measures were determined prior to surgery and at 6 and 12 weeks and 6 and 12 months after surgery, including values of pressure platform gait analysis variables, Canine Brief Pain Inventory scores, owner satisfaction ratings, thigh circumference, and stifle joint goniometry values.<\/jats:p>\n<jats:p><jats:bold>Results<\/jats:bold>\u2014Signalment and data for possible confounding variables were similar between groups. Peak vertical force of affected hind limbs at a walk and trot was 5% to 11% higher for dogs in the TPLO group versus those in the LFS group during the 12 months after surgery. Canine Brief Pain Inventory, goniometry, and thigh circumference results indicated dogs in both groups improved after surgery, but significant differences between groups were not detected. Owner satisfaction ratings at 12 months after surgery were significantly different between groups; 93% and 75% of owners of dogs in the TPLO and LFS groups indicated a satisfaction score \u2265 9 (scale, 1 to 10), respectively.<\/jats:p>\n<jats:p><jats:bold>Conclusions and Clinical Relevance<\/jats:bold>\u2014Kinematic and owner satisfaction results indicated dogs that underwent TPLO had better outcomes than those that underwent LFS.<\/jats:p>","DOI":"10.2460\/javma.243.5.675","type":"journal-article","created":{"date-parts":[[2013,8,23]],"date-time":"2013-08-23T14:11:43Z","timestamp":1377267103000},"page":"675-680","source":"Crossref","is-referenced-by-count":90,"title":["Comparison of lateral fabellar suture and tibial plateau leveling osteotomy techniques for treatment of dogs with cranial cruciate ligament disease"],"prefix":"10.2460","volume":"243","author":[{"given":"Wanda J.","family":"Gordon-Evans","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominique J.","family":"Griffon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Bubb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim M.","family":"Knap","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghan","family":"Sullivan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard B.","family":"Evans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"1604","DOI":"10.2460\/javma.2005.227.1604","article-title":"Estimate of the annual economic impact of treatment of cranial cruciate ligament injury in dogs in the United States","volume":"227","author":"Wilke","year":"2005"},{"key":"ref2","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"184","DOI":"10.2460\/javma.2003.222.184","article-title":"Surgical and postoperative complications associated with tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture: 397 cases (1998\u20132001)","volume":"222","author":"Pacchiana","year":"2003"},{"key":"ref3","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"44","DOI":"10.5326\/0420044","article-title":"Complications associated with 696 tibial plateau leveling osteotomies (2001\u20132003)","volume":"42","author":"Stauffer","year":"2006"},{"key":"ref4","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"232","DOI":"10.2460\/javma.2005.226.232","article-title":"Effect of surgical technique on limb function after surgery for rupture of the cranial cruciate ligament in dogs","volume":"226","author":"Conzemius","year":"2005"},{"key":"ref5","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1111\/j.1532-950X.2009.00628.x","article-title":"Comparison of short- and long-term function and radiographic osteoarthrosis in dogs after postoperative physical rehabilitation and tibial plateau leveling osteotomy or lateral fabellar suture stabilization","volume":"39","author":"Au","year":"2010"},{"key":"ref6","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"133","DOI":"10.1111\/j.1532-950X.2005.00021.x","article-title":"Long-term radiographic comparison of tibial plateau leveling osteotomy versus extracapsular stabilization for cranial cruciate ligament rupture in the dog","volume":"34","author":"Lazar","year":"2005"},{"key":"ref7","series-title":"The Wall Street Journal","first-page":"A1","article-title":"This joint problem makes dogs, owners, weak in the knees: a human jock's ailment also plagues pooches; an $80 pet's $6,000 bill","author":"Helliker","year":"2006"},{"key":"ref8","series-title":"TPLO\u2014not a good choice"},{"key":"ref9","series-title":"Veterinary care without the bite","article-title":"Consumer Reports"},{"key":"ref10","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1111\/j.1532-950X.2005.00016.x","article-title":"Applications of evidence-based medicine: cranial cruciate ligament injury repair in the dog","volume":"34","author":"Aragon","year":"2005"},{"key":"ref11","series-title":"Vet Clin North Am Small Anim Pract","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1016\/S0195-5616(93)50082-7","article-title":"Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine","volume":"23","author":"Slocum","year":"1993"},{"key":"ref12","series-title":"Small animal arthroscopy","first-page":"118","article-title":"Stifle arthroscopy","author":"Beale","year":"2003"},{"key":"ref13","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"631","DOI":"10.2460\/ajvr.68.6.631","article-title":"Development and psychometric testing of an instrument designed to measure chronic pain in dogs with osteoarthritis","volume":"68","author":"Brown","year":"2007"},{"key":"ref14","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"1278","DOI":"10.2460\/javma.233.8.1278","article-title":"Ability of the canine brief pain inventory to detect response to treatment in dogs with osteoarthritis","volume":"233","author":"Brown","year":"2008"},{"key":"ref15","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"979","DOI":"10.2460\/ajvr.2002.63.979","article-title":"Reliability of goniometry in Labrador Retrievers","volume":"63","author":"Jaegger","year":"2002"},{"key":"ref16","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"529","DOI":"10.2460\/ajvr.67.3.529","article-title":"Effects of early intensive postoperative physiotherapy on limb function after tibial plateau leveling osteotomy in dogs with deficiency of the cranial cruciate ligament","volume":"67","author":"Monk","year":"2006"},{"key":"ref17","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"1325","DOI":"10.2460\/javma.2002.220.1325","article-title":"Effects of postoperative rehabilitation on limb function after cranial cruciate ligament repair in dogs","volume":"220","author":"Marsolais","year":"2002"},{"key":"ref18","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1111\/j.1532-950X.2008.00372.x","article-title":"Relationship between objective and subjective assessment of limb function in normal dogs with an experimentally induced lameness","volume":"37","author":"Waxman","year":"2008"},{"key":"ref19","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1111\/j.1532-950X.2005.00067.x","article-title":"Accuracy and optimization of force platform gait analysis in Labradors with cranial cruciate disease evaluated at a walking gait","volume":"34","author":"Evans","year":"2005"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/243\/5\/javma.243.5.675.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/243\/5\/javma.243.5.675.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/243\/5\/javma.243.5.675.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T11:40:50Z","timestamp":1741347650000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/243\/5\/javma.243.5.675.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,1]]},"references-count":19,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.2460\/javma.243.5.675","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2013,9,1]]}}}