Presented in part at the 2008 ACVS Veterinary Symposium in San Diego, CA, October 23–25, 2008.
Comparison of Tibial Plateau Angle Changes after Tibial Plateau Leveling Osteotomy Fixation with Conventional or Locking Screw Technology
Article first published online: 24 MAR 2010
© Copyright 2010 by The American College of Veterinary Surgeons
Special Issue: The Canine Stifle (Part 2)
Volume 39, Issue 4, pages 475–481, June 2010
How to Cite
Conkling, A. L., Fagin, B. and Daye, R. M. (2010), Comparison of Tibial Plateau Angle Changes after Tibial Plateau Leveling Osteotomy Fixation with Conventional or Locking Screw Technology. Veterinary Surgery, 39: 475–481. doi: 10.1111/j.1532-950X.2010.00656.x
- Issue published online: 1 JUN 2010
- Article first published online: 24 MAR 2010
- Submitted February 2009, Accepted October 2009
Objective: To compare the effects of locking and conventional screws on postoperative tibial plateau angle (TPA), osteotomy healing, and complication rate after tibial plateau leveling osteotomy (TPLO) in dogs treated for naturally occurring cranial cruciate ligament (CCL) rupture.
Study Design: Prospective clinical study.
Study Population: Dogs (n=118) with CCL rupture.
Dogs (≥20 kg) with unilateral CCL rupture and sufficient bone stock for TPLO and use of a 3.5-mm-broad or -narrow TPLO plate were sequentially allocated to have plate fixation with locking or conventional screws. Data analyzed included breed, age, sex, body weight, body condition score, limb operated, implants used, meniscal status, operative time, and days to recheck. Preoperative, immediate postoperative, and 8-week recheck mediolateral radiographs were reviewed, and TPA, complications, and healing status were evaluated.
Results: Stifles in the locking screw group had significantly less change in postoperative TPA than stifles in the conventional screw group. Locking screw fixation also had significantly higher grades of osteotomy healing, assessed on a mediolateral radiographic view.
Conclusions: TPLO plates secured with locking screws are acceptable when compared with those secured with conventional screws; osteotomy healing is improved and TPA better conserved when using locking screws.
Clinical Relevance: Locking screw fixation serves to increase stabilization of TPA during TPLO healing and provides improved radiographic evidence of osteotomy healing.