Evidence map›Paper›PMID 42295015›Full record

ArticleVeterinary surgery : VS2026

Clinical outcomes and complications after proximal tibial detorsional osteotomy for patellar luxation in dogs: A multicenter retrospective study.

Massimo Petazzoni, Tommaso Nicetto, Federico Longo

Abstract readMulticenter Study
In one paragraph

Article in Veterinary surgery : VS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Massimo PetazzoniClinica Veterinaria Milano Sud, Milan, Italy.ORCID https://orcid.org/0000-0003-2893-3446
Tommaso NicettoDiagnostica Piccoli Animali, Clinica Veterinaria Pedrani, Vicenza, Italy.
Federico LongoClinic for Small Animal Surgery, University of Zurich, Zürich, Switzerland.ORCID https://orcid.org/0000-0002-3396-4768

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo report outcomes and complications of proximal tibial detorsional osteotomy (PTDO) in dogs with patellar luxation (PL). STUDY

designMulticenter retrospective observational case series. ANIMALS: A total of 53 stifles in 50 client-owned dogs.

methodsMedical records (2013-2023) were reviewed. Preoperative tibial torsion was assessed by computed tomography (CT; tibial torsion angle [TTA]) or by standardized caudocranial radiographs (tibial tuberosity alignment). Concurrent procedures and implants were recorded. Postoperative radiographs were evaluated for patellar position, tibial alignment, bone healing, and implant position. Final limb function was categorized as full, acceptable, or unacceptable based on lameness, patellar tracking, complications, and radiographic outcomes.

resultsMedial PL was present in 52/53 (98%) cases. Preoperative medial displacement of the tibial tuberosity was diagnosed in 52/53 (98%) limbs. Mean preoperative TTA was 8.8° ± 4.7 (external torsion). Normal patellar tracking was restored in 51/53 (96%) cases. Final limb function was full in 38/53 (72%) and acceptable in 13/53 (24%) cases. Mean radiographic follow-up was 3.0 ± 0.9 months (short-term). Mean time to radiographic union was 2.7 ± 0.5 months. Overall complications occurred in 18/53 (33%: 11% major; 22% minor); most major events were implant-related and managed successfully with revision.

conclusionPTDO effectively corrected abnormal tibial torsion, resulting in restoration of zormal patellar tracking in 96% of stifles. A 11% major complication rate was observed. CLINICAL RELEVANCE: PTDO is a reliable surgical technique to treat abnormal tibial torsion in dogs with PL.

Indexed as

Dog DiseasesOsteotomyPatellar DislocationTibiaAnimalsDogsFemaleMalePostoperative ComplicationsRetrospective StudiesStifleTreatment Outcome

Identifiers

PMID42295015
PMCPMC13420934

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