Story et al: Morphologic impact of four surgical techniques to correct excessive tibial plateau angle in dogs: A theoretical radiographic analysis
Veterinary Surgery 8, 2024

🔍 Key Findings

• All four techniques achieved TPA <14°, meeting the threshold for acceptable surgical correction in eTPA cases.
• Group A (CBLO + CCWO) and Group D (PTNWO) showed highest accuracy in achieving target TPA values.
• Group B (TPLO + CCWO) resulted in significant tibial shortening compared to other techniques.
• Group A caused the greatest cranial mechanical axis shift, while Group B caused the least.
• Group C (mCCWO) resulted in consistent under-correction of TPA, despite aiming for 0°.
• Modified or neutral wedge osteotomies (Groups C and D) had minimal effect on tibial length, making them suitable when preservation is important.
• All techniques involved mechanical axis shifts, highlighting the importance of preoperative planning to minimize morphologic disruption.
• Supplemental fixation was standard for all procedures to reduce risks such as tibial tuberosity fracture and plateau leveling loss.