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Does Use of a Jig Influence the Precision of Tibial Plateau Leveling Osteotomy Surgery?
JONATHAN C. BELL, BVM&S, CertSAS, MRCVS 1 and MALCOLM G. NESS BVetMed, CertSAO, Diplomate ECVS, FRCVS 1
  1 Croft Veterinary Hospital, Blyth, Northumberland, UK
 Address correspondence to Malcolm G. Ness, Croft Veterinary Hospital, 37–39 Croft Road, Blyth, Northumberland, NE24 2EL, UK. E-mail: mgnjaj@aol.com.

 Presented in part at the European College of Veterinary Surgeons Annual Meeting, Seville, June 2006.

Copyright © Copyright 2007 by The American College of Veterinary Surgeons

ABSTRACT

Objective—To compare the precision of tibial plateau leveling osteotomy (TPLO) surgery when performed with or without a jig.

Study Design—Cadaveric study.

Sample Population—Cadaveric, adult greyhound hindlimbs (n=9 pair).

Methods—TPLO (n=18) was performed on each limb pair; 1 with and 1 without use of a jig. Measurements taken from pre- and postsurgical radiographs were osteotomy position, tibial plateau angle (TPA), varus-valgus malalignment, and tibial torsion. The null hypothesis was that TPLO precision was not affected by use of a jig. Student's t-test was used to investigate differences in TPA, osteotomy location, and frequency and extent of iatrogenic limb malalignment; P<.05 was considered significant.

Results—There were no significant differences in postsurgical TPA, tibial crest thickness, varus-valgus malalignment, or tibial torsion between TPLOs performed with or without a jig. Osteotomy location was significantly more distal when a jig was used (P=.03).

Conclusions—Jig use did not improve the precision of TPLO surgery.

Clinical Relevance—Performing TPLO without a jig should reduce surgery time, eliminate complications related to placement of the distal jig pin and allow unhindered positioning of the osteotomy.


Submitted June 2006; Accepted January 2007

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1532-950X.2007.00254.x About DOI

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