title: The effect of cancellous autograft and novel plate design on radiographic healing and postoperative complications in tibial tuberosity advancement for cranial cruciate-deficient canine stifles.
abstract: OBJECTIVE
  To assess the effect of autogenous cancellous bone graft (autograft) and novel plate use on radiographic healing and complications in tibial tuberosity advancement (TTA) for treatment of cranial cruciate ligament (CrCL)-deficient stifles in dogs.
  
  
  METHODS
  Prospective clinical study.
  
  
  METHODS
  Consecutive dogs (n=125) with unilateral CrCL-deficient stifles.
  
  
  METHODS
  Four treatment groups: CPG, conventional plate with autograft; CPNG, conventional plate without autograft; NPG, novel plate with autograft; NPNG, novel plate without autograft were studied. Radiographs from 60 dogs were scored for healing at 6 and 10 weeks postoperatively; all 125 dogs were assessed for radiographic complications. Variables evaluated for relationship with healing scores and radiographic complications were age, weight, sex, cage and plate size, implant type, and graft use.
  
  
  RESULTS
  Dogs with autograft had overall higher healing scores at 6 and 10 weeks. Radiographic complications occurred in 13 dogs (12 minor, 1 major), and were not influenced by graft or novel plate use.
  
  
  CONCLUSIONS
  Autograft increases healing scores, but was not found to have a significant impact on the rate of complications in TTA. The novel plate was not found to have healing scores or radiographic complication rates significantly different from the conventional plate design.
authors.affiliation: MedVet Medical and Cancer Center, Worthington, OH 43085, USA.
authors.forename: Sarah K
authors.initials: SK
authors.lastname: Bisgard
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Barnhart
authors.forename: Jonathon T
authors.initials: JT
authors.lastname: Shiroma
authors.forename: Shawn C
authors.initials: SC
authors.lastname: Kennedy
authors.forename: Eric R
authors.initials: ER
authors.lastname: Schertel
mesh_terms: D000818:Animals; D016118:Anterior Cruciate Ligament / Q000473:pathology / Q000601:surgery*; D001860:Bone Plates / Q000009:adverse effects / Q000662:veterinary*; D016025:Bone Transplantation / Q000009:adverse effects / Q000379:methods / Q000662:veterinary*; D004283:Dog Diseases / Q000209:etiology* / Q000601:surgery; D004285:Dogs; D011183:Postoperative Complications / Q000662:veterinary*; D012421:Rupture / Q000601:surgery / Q000662:veterinary; D013264:Stifle / Q000601:surgery*; D013977:Tibia / Q000473:pathology / Q000601:surgery