DOI
https://doi.org/10.18849/ve.v4i1.179Abstract
PICO question
In dogs with cruciate disease, is the use of TTA Rapid (TTAR) compared to traditional TTA (tTTA) associated with a higher risk of tibial diaphyseal fractures?
Clinical bottom line
Based on studies published between January 2013 and January 2018, the rate of tibial diaphyseal fractures as a complication of Tibial Tuberosity Advancement Rapid (TTAR) surgery is within the published limits of traditional Tibial Tuberosity Advancement (tTTA). In this period, seven studies were related to tTTA, comprising of four; one case series, two retrospective case-control studies, and one retrospective cohort study. Five case series were related to TTAR. All evidence within this period has been observational (Level 3 and 4 evidence). No direct head-to-head comparison between the techniques has been studied.
References
Arican, M., Parlak, K., & Şahin, H. (2017). Evaluation and application of the TTA-rapid method in dogs with cranial cruciate ligament rupture. Acta Veterinaria, 67(2), 238–253. http://doi.org/10.1515/acve-2017-0020
Brunel, L., Etchepareborde, S., Barthélémy, N., et al. (2013) Mechanical testing of a new osteotomy design for tibial tuberosity advancement using the modified Maquet technique. Veterinary and Comparative Orthopaedics and Traumatology 26, 47–53.
Bleakley, S. (2015) TTA-2: Research Prokects, Kyon Symposium
Butterworth, S. J., & Kydd, D. M. (2017). TTA-Rapid in the treatment of the canine cruciate deficient stifle: short- and medium-term outcome. Journal of Small Animal Practice, 58(1), 35–41. http://doi.org/10.1111/jsap.12610
Costa, M., Craig, D., Cambridge, T., Sebestyen, P., Su, Y., & Fahie, M. A. (2017). Major complications of tibial tuberosity advancement in 1613 dogs. Veterinary Surgery, 46(4), 494–500. http://doi.org/10.1111/vsu.12649
Danielson, B., Barnhart, M., Watson, A., Kennedy, S., & Naber, S. (2016). Short-Term Radiographic Complications and Healing Assessment of Single-Session Bilateral Tibial Tuberosity Advancements. Journal of the American Animal Hospital Association, 52(2), 109–114. http://doi.org/10.5326/JAAHA-MS-6194
de Sousa, R., Egan, P., Parsons, K., Butterworth, S., Calvo, I., Roch, S., & Moores, A. P. (2017). Treatment of tibial diaphyseal fractures following plateless tibial tuberosity advancement to manage cranial cruciate disease. Journal of Small Animal Practice, 58(7), 372–379. http://doi.org/10.1111/jsap.12673
de Lima Dantas, B., Sul, R., Parkin, T., & Calvo, I. (2016). Incidence of complications associated with tibial tuberosity advancement in boxer dogs. Veterinary and Comparative Orthopaedics and Traumatology, 29(1), 39–45. http://doi.org/10.3415/VCOT-15-02-0036
Dyall, B., & Schmökel, H. (2017). Tibial tuberosity advancement in small-breed dogs using TTA Rapid implants: complications and outcome. Journal of Small Animal Practice, 58(6), 314–322. http://doi.org/10.1111/jsap.12654
Hans, E. C., Barnhart, M. D., Kennedy, S. C., & Naber, S. J. (2017). Comparison of complications following tibial tuberosity advancement and tibial plateau levelling osteotomy in very large and giant dogs 50 kg or more in body weight. Veterinary and Comparative Orthopaedics and Traumatology, 30 (4), 299–305. http://doi.org/10.3415/VCOT-16-07-0106
Kiefer, J. E., Langenbach, A., Boim, J., Gordon, S., & Marcellin-Little, D. J. (2015). Single-stage bilateral tibial tuberosity advancement for treatment of bilateral canine cranial cruciate ligament deficiency. Veterinary and Comparative Orthopaedics and Traumatology, 28 (3), 215–219. http://doi.org/10.3415/VCOT-14-08-0130
MacDonald, T. L., Allen, D. A., & Monteith, G. J. (2013). Clinical assessment following tibial tuberosity advancement in 28 stifles at 6 months and 1 year after surgery. Canadian Veterinary Journal, 54 (3), 249–254.
Montavon PM, Damur DM, Tepic S (2002). Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. Proceedings of the 1st World Orthopedic Veterinary Congress; 2002 September 5–8; Munich, Germany. 152.
Ness M (2016) The Modified Maquet Procedure (MMP) in Dogs: Technical Development and Initial Clinical Experience, Journal of the American Animal Hospital Association, 52 (4), 242–250.
Proot, J. L. J., & Corr, S. A. (2013). Clinical audit for the tibial tuberosity advancement procedure. Veterinary and Comparative Orthopaedics and Traumatology, 26 (4), 280–284. http://doi.org/10.3415/VCOT-12-04-0052
Samoy, Y., Verhoeven, G., Bosmans, T., Van der Vekens, E., de Bakker, E., Verleyen, P., & Van Ryssen, B. (2015). TTA Rapid: Description of the Technique and Short Term Clinical Trial Results of the First 50 Cases. Veterinary Surgery, 44 (4), 474–484. http://doi.org/10.1111/j.1532-950X.2014.12298.x
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