{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:25:31Z","timestamp":1792009531294,"version":"4.4.0"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"06","funder":[{"name":"Cummings School of Veterinary Medicine at Tufts University","award":["NIH 5T35 OD010963"],"award-info":[{"award-number":["NIH 5T35 OD010963"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vet Comp Orthop Traumatol"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Objectives: To describe the surgical technique and report short-term outcome for combined tibial plateau levelling osteotomy and tibial tuberosity transposition (TPLO-TTT) as an option in the treatment of cranial cruciate ligament insufficiency with concomitant medial patellar luxation.<\/jats:p><jats:p>Methods: Medical records were reviewed (2011\u20132013) of dogs that underwent a standard tibial plateau levelling osteotomy followed by a tibial tuberosity transposition in the frontal plane and stabilized with pin and tension-band wire fixation as a component of surgical treatment for combined cranial cruciate ligament insufficiency and medial patellar luxation. Signalment, fixation method together with any ancillary procedures, function at the in-hospital follow-up examinations, and any complications were recorded. Healing was assessed retrospectively based on the grading criteria of the International Society Of Limb Salvage.<\/jats:p><jats:p>Results: Fifteen stifle joints in 11 dogs were identified; 13 stifles were available for in hospital follow-up. All 13 achieved union (3 with grade III\/IV and 10 with grade IV\/IV radiographic healing scores); mean time to healing was 10.6 (\u00b1 2.9) weeks. Patellar ligament thickening was also identified radio-graphically in seven of the 13 of stifle joints. All dogs were reported to have mild or no lameness at their last follow-up examination. No catastrophic or major postoperative complications occurred that required additional surgery. Patellar re-luxation did not occur in any of the 13 stifles available for in-hospital follow-up.<\/jats:p><jats:p>Clinical significance: The TPLO-TTT was found to be a reliable and effective technique when used as a part of the treatment of combined cranial cruciate ligament insufficiency with concomitant medial patellar luxation in this series of dogs.<\/jats:p><jats:p>Supplementary Material to this article is available online at http:\/\/dx.doi.org\/10.3415\/VCOT-15-12-0195.<\/jats:p>","DOI":"10.3415\/vcot-15-12-0195","type":"journal-article","created":{"date-parts":[[2016,10,14]],"date-time":"2016-10-14T09:37:08Z","timestamp":1476437828000},"page":"536-540","source":"Crossref","is-referenced-by-count":24,"title":["Combined tibial plateau levelling osteotomy and tibial tuberosity transposition for treatment of cranial cruciate ligament insufficiency with concomitant medial patellar luxation"],"prefix":"10.3415","volume":"29","author":[{"given":"Katherine","family":"Leonard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kowaleski","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Saunders","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"McCarthy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randy","family":"Boudrieau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2017,12,19]]},"reference":[{"key":"10.3415\/VCOT-15-12-0195-1","unstructured":"Kowaleski MP, Boudrieau RJ, Pozzi A. The stifle joint. In: Tobias KM, Johnston SA, editors. Veterinary Surgery: Small Animal, vol. 1. St. Louis: Elsevier\/Saunders; 2012. Pg. 906-998"},{"key":"10.3415\/VCOT-15-12-0195-2","unstructured":"Olmstead ML. The stifle joint. In: Small Animal Orthopedics. St. Louis: Mosby-Year Book; 1995. Pg. 395-416"},{"key":"10.3415\/VCOT-15-12-0195-3","doi-asserted-by":"crossref","unstructured":"Millis DL, Levine D, Taylor RA. Common orthopedic conditions and their physical rehabilitation. In: Canine Rehabilitation and Physical Therapy. St. Louis: Elsevier; 2004. Pg. 355-387","DOI":"10.1016\/B978-0-7216-9555-6.50025-5"},{"key":"10.3415\/VCOT-15-12-0195-4","doi-asserted-by":"publisher","DOI":"10.2460\/javma.236.8.887"},{"key":"10.3415\/VCOT-15-12-0195-5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950x.2005.00040.x"},{"key":"10.3415\/VCOT-15-12-0195-6","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2003.222.184"},{"key":"10.3415\/VCOT-15-12-0195-7","doi-asserted-by":"publisher","DOI":"10.2460\/javma.2003.222.1726"},{"key":"10.3415\/VCOT-15-12-0195-8","doi-asserted-by":"publisher","DOI":"10.5326\/0420044"},{"key":"10.3415\/VCOT-15-12-0195-9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00391.x"},{"key":"10.3415\/VCOT-15-12-0195-10","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2008.00439.x"},{"key":"10.3415\/VCOT-15-12-0195-11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2006.00217.x"},{"key":"10.3415\/VCOT-15-12-0195-12","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-5827.2009.00854.x"},{"key":"10.3415\/VCOT-15-12-0195-13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2011.00826.x"},{"key":"10.3415\/VCOT-15-12-0195-14","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1111\/j.1532-950X.2013.12048.x","volume":"42","author":"Kowaleski","year":"2013","journal-title":"Vet Surg"},{"key":"10.3415\/VCOT-15-12-0195-15","doi-asserted-by":"crossref","unstructured":"Glasser D, Langlais F. The ISOLS radiological implants evaluation system. In: Langlais F, Tomeno B, editors. Limb Salvage: Major Reconstructions in Oncologic and Nontumoral Conditions. Berlin, Germany: Springer; 1991. pg. 23-31","DOI":"10.1007\/978-3-642-75879-9"},{"key":"10.3415\/VCOT-15-12-0195-16","first-page":"235","volume":"4","author":"Carey","year":"2005","journal-title":"Vet Comp Orthop Traumatol"},{"key":"10.3415\/VCOT-15-12-0195-17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2010.00763.x"},{"key":"10.3415\/VCOT-15-12-0195-18","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1055\/s-0038-1632797","volume":"17","author":"Kowaleski","year":"2004","journal-title":"Vet Comp Orthop Traumatol"},{"key":"10.3415\/VCOT-15-12-0195-19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2014.12173.x"},{"key":"10.3415\/VCOT-15-12-0195-20","doi-asserted-by":"publisher","DOI":"10.3415\/VCOT-10-01-0015"},{"key":"10.3415\/VCOT-15-12-0195-21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-950X.2005.00051.x"}],"container-title":["Veterinary and Comparative Orthopaedics and Traumatology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.3415\/VCOT-15-12-0195.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T23:00:48Z","timestamp":1718838048000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.3415\/VCOT-15-12-0195"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,11]]},"references-count":21,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2017,12,21]]},"published-print":{"date-parts":[[2016]]}},"URL":"https:\/\/doi.org\/10.3415\/vcot-15-12-0195","relation":{},"ISSN":["0932-0814","2567-6911"],"issn-type":[{"value":"0932-0814","type":"print"},{"value":"2567-6911","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,11]]}}}