{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:04:15Z","timestamp":1789736655525,"version":"4.0.1"},"reference-count":17,"publisher":"American Veterinary Medical Association (AVMA)","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To radiographically evaluate patellar tendon thickness (PTT) following tibial plateau leveling osteotomy (TPLO) performed with or without joint inspection, and to assess the effect of osteotomy positioning (distally centered osteotomy [DCO] vs ideally centered osteotomy [ICO]) on PTT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Medical records of client-owned dogs following TPLO between January 1, 2023, and December 31, 2023, were reviewed retrospectively. Joint intervention was categorized as mini medial arthrotomy (MA) or no arthrotomy (NA). Patellar tendon thickness was measured radiographically preoperatively, postoperatively, and at recheck examination. Analysis of covariance models were used to compare outcomes between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>91 stifles underwent MA, and 54 stifles had NA. Postoperative PTT was greater following MA than NA, with least-squares mean values of 7.42 mm (95% CI, 7.02 to 7.83 mm) and 5.44 mm (95% CI, 5.03 to 5.90 mm), respectively. No difference between groups was identified at recheck examination. Ninety-five stifles were classified as ICO and 50 as DCO. Osteotomy positioning was not associated with postoperative PTT. At recheck examination, DCO cases demonstrated greater PTT than ICO cases, with least-squares mean values of 7.81 mm (95% CI, 6.86 to 8.89 mm) and 6.55 mm (95% CI, 6.00 to 7.14 mm), respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Joint inspection was associated with increased PTT immediately postoperatively, but this effect did not persist at recheck examination. Distally centered osteotomy was associated with greater PTT at recheck examination compared to ICO.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Mini medial arthrotomy may contribute to transient postoperative patellar tendon thickening following TPLO. Distally centered osteotomy may predispose dogs to persistent radiographic patellar tendon thickening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2460\/javma.26.03.0229","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:16:06Z","timestamp":1783700166000},"page":"1-8","source":"Crossref","is-referenced-by-count":0,"title":["Distally centered osteotomies, but not joint inspection, are associated with increased radiographic patellar tendon thickness at short-term follow-up after tibial plateau leveling osteotomy in dogs"],"prefix":"10.2460","volume":"264","author":[{"given":"Darby D.","family":"Toth","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Hamon","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina B.","family":"M\u00e1rquez","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Pritchard","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7144-8529","authenticated-orcid":true,"given":"James K.","family":"Roush","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walter C.","family":"Renberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4265-1429","authenticated-orcid":true,"given":"Pierre P.","family":"Picavet","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"2","key":"ref1","series-title":"J Am Vet Med Assoc","first-page":"184","article-title":"Surgical and postoperative complications associated with tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture: 397 cases (1998-2001)","volume":"222","author":"Pacchiana PD","year":"2003","unstructured":"Pacchiana PD, Morris E, Gillings SL, Jessen CR, Lipowitz AJ. Surgical and postoperative complications associated with tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture: 397 cases (1998-2001). J Am Vet Med Assoc. 2003;222(2):184-193. doi:10.2460\/javma.2003.222.184"},{"issue":"2","key":"ref2","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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Vet Surg. 2009;38(1):1-22. doi:10.1111\/j.1532-950X.2008.00439.x"}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/264\/10\/javma.26.03.0229.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/264\/10\/javma.26.03.0229.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/264\/10\/javma.26.03.0229.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T12:14:42Z","timestamp":1789733682000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/264\/10\/javma.26.03.0229.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":17,"journal-issue":{"issue":"10"},"URL":"https:\/\/doi.org\/10.2460\/javma.26.03.0229","relation":{},"ISSN":["0003-1488"],"issn-type":[{"value":"0003-1488","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10,1]]}}}