A modified technique for radiographic measurement of the tibial plateau angle in dogs

https://doi.org/10.17221/21/2017-VETMEDCitation:Stehlik L., Vignoli M., Proks P., Trnkova S., Necas A. (2017): A modified technique for radiographic measurement of the tibial plateau angle in dogs. Veterinarni Medicina, 62: 583-588.
download PDF
This prospective study was aimed at testing a modified method for the measurement of the tibial plateau angle on radiographs of the stifle joint and the proximal part of the tibia. Forty-four stifle joints of 32 client-owned dogs were included in this study. Dogs were presented for hindlimb lameness and suspected cranial cruciate ligament rupture. The diagnostic procedures included radiographic examination. The mediolateral projection of the stifle joint including the tibia and the tarsal joint was used in this study. We tested the most widely used gold standard method as well as three additional methods for tibial plateau angle measurement on each joint. The tibial plateau angle, the positioning of the stifle joint and the presence of osteoarthrosis were recorded. Only 29 (66%) joints had correct position on the radiograph and were used for further study. Repeated-measures ANOVA identified significant differences in mean tibial plateau angle between the different measuring methods. Dunnett’s post-hoc test identified a significant difference between the TA-2 and TA-2i methods and TA-0. No significant differences in tibial plateau angle were identified between joints with and without osteoarthrosis. The positioning of the limb significantly influenced the tibial plateau angle. One of the modified methods was found to not differ significantly from the gold standard method; thus, it can be recommended for further testing.
References:
Abel Steven B., Hammer Douglas L., Shott Susan (2003): Use of the proximal portion of the tibia for measurement of the tibial plateau angle in dogs. American Journal of Veterinary Research, 64, 1117-1123  https://doi.org/10.2460/ajvr.2003.64.1117
 
Aragon Carlos L., Budsberg Steven C. (2005): Applications of Evidence-Based Medicine: Cranial Cruciate Ligament Injury Repair in the Dog. Veterinary Surgery, 34, 93-98  https://doi.org/10.1111/j.1532-950X.2005.00016.x
 
Arnoczky SP, Marshall JL (1977): The cruciate ligaments of the canine stifle: an anatomical and functional analysis. American Journal of Veterinary Research 38, 1807–1814.
 
Baroni Ermenegildo, Matthias Richard R., Marcellin-Little Denis J., Vezzoni Aldo, Stebbins Martha E. (2003): Comparison of radiographic assessments of the tibial plateau slope in dogs. American Journal of Veterinary Research, 64, 586-589  https://doi.org/10.2460/ajvr.2003.64.586
 
Boudrieau RJ (2009): Tibial plateau leveling osteotomy or tibial tuberosity advancement? Veterinary Surgery 38, 1–22.
 
Caylor KB, Zumpano CA, Evans LM, Moore RW (2001): Intra- and interobserver measurement variability of tibial plateau slope from lateral radiographs in dogs. Journal of the American Animal Hospital Association, 37, 263-268  https://doi.org/10.5326/15473317-37-3-263
 
De Rooster H, Van Bree H (1999): Radiographic measurement of craniocaudal instability in stifle joints of clinically normal dogs and dogs with injury of a cranial cruciate ligament. American Journal of Veterinary Research 60, 1567–1570.
 
Fettig Arthur A., Rand William M., Sato Amy F., Solano Mauricio, McCarthy Robert J., Boudrieau Randy J. (2003): Observer variability of tibial plateau slope measurement in 40 dogs with cranial cruciate ligament-deficient stifle joints. Veterinary Surgery, 32, 471-478  https://doi.org/10.1053/jvet.2003.50054
 
Fitzpatrick Noel, Solano Miguel Angel (2010): Predictive Variables for Complications after TPLO with Stifle Inspection by Arthrotomy in 1000 Consecutive Dogs. Veterinary Surgery, 39, 460-474  https://doi.org/10.1111/j.1532-950X.2010.00663.x
 
FUJITA Yukihiro, HARA Yasushi, OCHI Hiroki, NEZU Yoshinori, HARADA Yasuji, YOGO Takuya, ORIMA Hiromitsu, TAGAWA Masahiro (2006): The Possible Role of the Tibial Plateau Angle for the Severity of Osteoarthritis in Dogs with Cranial Cruciate Ligament Rupture. Journal of Veterinary Medical Science, 68, 675-679  https://doi.org/10.1292/jvms.68.675
 
KIM STANLEY E., POZZI ANTONIO, KOWALESKI MICHAEL P., LEWIS DANIEL D. (2008): Tibial Osteotomies for Cranial Cruciate Ligament Insufficiency in Dogs. Veterinary Surgery, 37, 111-125  https://doi.org/10.1111/j.1532-950X.2007.00361.x
 
Kowaleski Michael P., Apelt Detlef, Mattoon John S., Litsky Alan S. (2005): The Effect of Tibial Plateau Leveling Osteotomy Position on Cranial Tibial Subluxation: An In Vitro Study. Veterinary Surgery, 34, 332-336  https://doi.org/10.1111/j.1532-950X.2005.00051.x
 
Montavon PM, Damur DM, Tepic S (2002): Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. 1st World Orthopaedic Veterinary Congress, 152.
 
Nicoll Catherine, Singh Ameet, Weese J. Scott (2014): Economic Impact of Tibial Plateau Leveling Osteotomy Surgical Site Infection in Dogs. Veterinary Surgery, 43, 899-902  https://doi.org/10.1111/j.1532-950X.2014.12175.x
 
Ocal MK, Sabanci SS (2013): Effect of anatomic variation in caudal tibial plateau on the tibial plateau angle in dogs: a cadaveric study. Journal of Small Animal Practice 54, 537–540.
 
Reif Ullrich, Dejardin Loic M., Probst Curtis W., DeCamp Charlie E., Flo Gretchen L., Johnson Allen L. (2004): Influence of Limb Positioning and Measurement Method on the Magnitude of the Tibial Plateau Angle. Veterinary Surgery, 33, 368-375  https://doi.org/10.1111/j.1532-950X.2004.04053.x
 
Ritter Matthew John, Perry Ruby L., Olivier N. Bari, Kim Sun Young, Dejardin Loic M. (2007): Tibial Plateau Symmetry and the Effect of Osteophytosis on Tibial Plateau Angle Measurements. Journal of the American Animal Hospital Association, 43, 93-98  https://doi.org/10.5326/0430093
 
Schnabl E., Reese S., Lorinson K., Lorinson D. (): Measurement of the tibial plateau angle in cats with and without cranial cruciate ligament rupture. Veterinary and Comparative Orthopaedics and Traumatology, , -  https://doi.org/10.3415/VCOT-07-12-0112
 
Slocum Barclay, Slocum Theresa Devine (1993): Tibial Plateau Leveling Osteotomy for Repair of Cranial Cruciate Ligament Rupture in the Canine. Veterinary Clinics of North America: Small Animal Practice, 23, 777-795  https://doi.org/10.1016/S0195-5616(93)50082-7
 
download PDF

© 2021 Czech Academy of Agricultural Sciences | Prohlášení o přístupnosti