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Curuci et al: Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs
Veterinary and Comparative Orthopedics and Traumatology 6, 2024

🔍 Key Findings Summary

  • 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
  • Mean TPA correction: from 39.4° to 6.3°
  • Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
  • Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
  • Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
  • The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO

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Curuci et al: Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs
Veterinary and Comparative Orthopedics and Traumatology 6, 2024

🔍 Key Findings Summary

  • 16 dogs (18 stifles) with CrCL rupture and TPA >34° were treated using the DCTPLO
  • Mean TPA correction: from 39.4° to 6.3°
  • Bone union at 60 days in 17/18 stifles; remaining healed by 90 days
  • Minor complications (e.g., small wedge gaps) in 2/18 stifles — no major complications
  • Patellar ligament thickening seen in 16/18 stifles but no clinical signs noted
  • The technique enabled safer reduction with less risk of tibial crest fracture vs. conventional TPLO

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Multiple Choice Questions on this study

In Curuci 2024 et al., on double-cut TPLO, how many stifles achieved radiographic union by 60 days?

A. 12 of 18
B. 14 of 18
C. 17 of 18
D. All 18
E. 10 of 18

Answer: 17 of 18

Explanation: Union was achieved in 17/18 stifles by 60 days, with the last by 90 days:contentReference[oaicite:2]{index=2}
In Curuci 2024 et al., on double-cut TPLO, what was the mean reduction in TPA achieved postoperatively?

A. From 42.2° to 7.1°
B. From 39.4° to 6.3°
C. From 37.0° to 9.2°
D. From 34.1° to 4.8°
E. From 41.0° to 6.8°

Answer: From 39.4° to 6.3°

Explanation: Reported mean pre- and post-operative TPAs were 39.4° and 6.3°, respectively:contentReference[oaicite:1]{index=1}
In Curuci 2024 et al., which of the following statements best describes the complication rate?

A. Major complications in 3/18 stifles
B. Minor complications in 2/18 stifles
C. No complications reported
D. Minor complications in 8/18 stifles
E. Only implant loosening observed

Answer: Minor complications in 2/18 stifles

Explanation: Only minor complications were noted (2/18), with no revisions or treatments required:contentReference[oaicite:5]{index=5}
In Curuci 2024 et al., what was a reported benefit of the wedge resection used in DCTPLO?

A. Eliminated need for implants
B. Allowed larger dogs to be treated
C. Simplified preoperative planning
D. Reduced need for TPLO rotation
E. Prevented medial meniscal damage

Answer: Reduced need for TPLO rotation

Explanation: Removing the semicircular wedge reduced the amount of TPLO rotation required to level the plateau:contentReference[oaicite:4]{index=4}
In Curuci 2024 et al., which complication occurred most commonly after DCTPLO?

A. Tibial tuberosity fracture
B. Implant failure
C. Patellar ligament thickening
D. Infection
E. Non-union

Answer: Patellar ligament thickening

Explanation: Observed in 16/18 stifles postoperatively, though no clinical impact was noted:contentReference[oaicite:3]{index=3}

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Double-Cut Tibial Plateau Leveling Osteotomy for the Management of Cranial Cruciate Ligament Insufficiency in Dogs with an Excessive Plateau Angle: Early Clinical Results in 16 Dogs