Double-cut center of rotation of angulation-based leveling osteotomy for treatment of CCLD and excessive tibial plateau angle secondary to growth anomaly in two dogs

Authors: 
Caroline Dumartinet, Antoine Bernardé, Fabrice Bernard
J Am Vet Med Assoc. 2021 Oct 15;259(8):885-891. doi: 10.2460/javma.259.8.885.

Case description: A 4-year-old female Staffordshire Bull Terrier (dog 1) and a 6-year-old male Yorkshire Terrier (dog 2) were evaluated because of left pelvic limb lameness.

Clinical findings: Both dogs had a partial rupture of the left cranial cruciate ligament associated with a unilateral excessive tibial plateau angle (51° in dog 1 and 41° in dog 2) secondary to a growth anomaly.

Treatment and outcome: Both dogs underwent a double-cut center of rotation of angulation-based leveling osteotomy combining rotation of the proximal fragment with a cranial closing wedge ostectomy. The procedure allowed leveling of the tibial plateau to a final angle of 11° in one dog and 10° in the other without perioperative complications. Both dogs had excellent functional outcomes ≤ 4 months after the surgery. No postoperative complications were reported during follow-up (12 months and 9 months for dogs 1 and 2, respectively).

Clinical relevance: Results for these dogs suggested that double-cut center of rotation of angulation-based leveling osteotomy can be considered as a viable treatment option for cranial cruciate ligament deficiency associated with excessive tibial plateau angle.

Small animal: