{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:44:48Z","timestamp":1760402688418,"version":"build-2065373602"},"reference-count":37,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Veterinary Sciences"],"abstract":"<jats:p>Persistent stifle instability is a recognized complication following tibial tuberosity advancement techniques (TTAT). The aim of this study is to report the feasibility and outcome of tibial plateau leveling techniques (TPLT) to treat dogs with persistent lameness, suspected to be secondary to persistent stifle instability, following (TTAT). Medical records of dogs presented for persistent lameness after TTAT were reviewed. Preoperative data included orthopedic examination, lameness score and radiographs. Inclusion criteria included performance of a surgery to address persistent lameness and suspected instability. Short-term follow up data included orthopedic examination and radiographs of the stifle. Long-term follow up was based on postoperative Liverpool Osteoarthritis in Dogs (LOAD) questionnaire. Seven dogs were included in the study. Mean subjective preoperative lameness score was 3 \u00b1 1.53. Mean preoperative patellar ligament angle relative to the tibial plateau (PLATP) was 94\u00b0 and mean tibial plateau angle (TPA) was 28\u00b0. Six dogs had tibial plateau leveling osteotomy and one had modified cranial closing wedge ostectomy. Mean postoperative PLATP was 79\u00b0 and mean TPA was 5\u00b0. Mean subjective lameness score at follow up was 0.57 \u00b1 0.49. Minor complications were present in 2 dogs and major complication in 1 dog. Mean LOAD questionnaire score was 6.6\/52. TPLT can be performed after TTAT and may improve clinical function and stability in these cases in which persistent instability is suspected.<\/jats:p>","DOI":"10.3390\/vetsci9010016","type":"journal-article","created":{"date-parts":[[2022,1,9]],"date-time":"2022-01-09T23:35:09Z","timestamp":1641771309000},"page":"16","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Tibial Plateau Leveling Following Tibial Tuberosity Advancement: A Case Series"],"prefix":"10.3390","volume":"9","author":[{"given":"Daniele","family":"Serrani","sequence":"first","affiliation":[{"name":"Southern Counties Veterinary Specialists, Forest Corner Farm, Hangersley, Ringwood BH24 3JW, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4265-1429","authenticated-orcid":false,"given":"Pierre","family":"Picavet","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, FARAH, Faculty of Veterinary Medicine, University of Li\u00e8ge, 4000 Li\u00e8ge, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Marti","sequence":"additional","affiliation":[{"name":"Southern Counties Veterinary Specialists, Forest Corner Farm, Hangersley, Ringwood BH24 3JW, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard","family":"Bouvy","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, FARAH, Faculty of Veterinary Medicine, University of Li\u00e8ge, 4000 Li\u00e8ge, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Balligand","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, FARAH, Faculty of Veterinary Medicine, University of Li\u00e8ge, 4000 Li\u00e8ge, Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Witte","sequence":"additional","affiliation":[{"name":"A30 Referrals, Station Rd, St Columb Major, Saint Columb TR9 6BX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1055\/s-0038-1633097","article-title":"Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989","volume":"7","author":"Johnson","year":"1994","journal-title":"Vet. 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