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• W1557800804 abstract "SUMMARY Cranial cruciate ligament rupture is one of the most common cause of hindlimb lameness in dogs. In 1993 Slocum and Devine invented the tibial plateau livelling osteothomy (TPLO) that face the problem in a new biomechanical point of vue in comparison with other surgical tecniques. Osteoarthritic (OA) degeneration after cranial cruciate ligament rupture is progressing and it has been observed in post surgery examination after different kind of surgical procedures as well. 30 cases of cranial cruciate ligament rupture traited by TPLO technique have been examinated in our retrospective study. Dogs that has been included in the present work have been evaluated subjectively by owners with a questionnaire, and clinically by clinicians with an orthopaedic examination, both under sedation and not. We evaluated osteoarthritic changes on standard radiographs, performed during preoperative examination and during long term follow-up. Follow-up periode has been included from 6 months to 3 years post surgery. For quali-quantitative examination of osteoarthritic evolution observed between the preoperative and follow-up examination we used and compared two different kind of grading system. Our results show that osteoarthritic degeneration doesn’t stop completely with TPLO surgery, but it continues in a limited way, both in a temporal and quantitative way. Comparing the two grading methods, the modified method by Citi in our Department seems to be more exact than the classic one. RIASSUNTO La rottura del legamento crociato craniale e una delle maggiori cause di zoppia all’arto posteriore del cane. Nel 1993 Slocum e Devine hanno ideato l’intervento di osteotomia livellante del plateau tibiale (TPLO), che approccia il problema da un’ottica biomeccanica differente da quelle esistenti fino ad allora. L’evoluzione osteoartrosica (OA) in seguito a lesione del legamento crociato craniale e in continua progressione, ed e stata documentata anche in seguito all’esecuzione delle altre tecniche chirurgiche. Nel nostro studio retrospettivo abbiamo analizzato le eventuali variazioni artrosiche presenti in 30 articolazioni trattate con intervento di TPLO. I soggetti che sono stati inseriti nello studio sono stati valutati soggettivamente dai proprietari tramite la compilazione di un questionario, e clinicamente attraverso un esame ortopedico sia da svegli che in sedazione. Per quel che riguarda la valutazione radiografica del grado di degenerazione osteoartrosica sono state eseguite proiezioni radiografiche nei due posizionamenti standard durante la visita pre-operatoria e durante l’ultima visita di controllo. Il periodo di follow-up varia da 6 mesi a 3 anni post-intervento. Per l’analisi quali-quantitativa dell’evoluzione osteoartrosica che si e avuta tra prima dell’intervento e al momento del controllo, sono stati utilizzati e messi a confronto due sistemi di valutazione radiografica a punteggio. Dai nostri dati risulta che l’evoluzione osteoartrosica non si arresta totalmente con l’intervento, ma si sviluppa in maniera limitata da un punto di vista quantitativo e temporale. Tra i due metodi di valutazione utilizzati, quello modificato nel 2004 da Citi et al. nel nostro Dipartimento sembra essere piu particolareggiato e quindi piu preciso." @default.
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• W1557800804 date "2005-01-01" @default.
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• W1557800804 title "Medium and long term retrospective evaluation in 30 dogs affected by cranial cruciate ligament rupture treated by Tibial Plateau Levelling Osteotomy (TPLO)" @default.
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