Postoperative tibial plateau angle changes and their influence on ground reaction forces 6 months after TPLO: a prospective study.

Abstract

OBJECTIVES: The objectives of the study were to investigate the association between change in postoperative (post-op) tibial plateau angle (TPA) in dogs and cranial cruciate ligament disease (CCLD) after tibial plateau leveling osteotomy (TPLO) during 6&#x202f;months on the post-op outcome. METHODS: The inclusion criteria included 60 dogs with CCLD treated with TPLO fulfilled. TPA measurements were taken immediately post-op and 6&#x202f;months post-op by three observers, and change in TPA was calculated. The outcome was evaluated using lameness score, owner questionnaire, and gait analysis performed preoperatively and 6&#x202f;months post-op. RESULTS: The mean change in TPA was 0.22&#x202f;&#xb1;&#x202f;0.75&#xb0;. The interobserver reliability for TPA measurements was excellent. No differences in TPA measurements between observers were found (&#x202f;=&#x202f;0.07-0.105). No association between the change in TPA and outcome was found. The multivariate linear regression model for the symmetry index of peak vertical force (SIPVF) 6&#x202f;months post-op was significant (&#x202f;=&#x202f;0.210;&#x202f;=&#x202f;0.031), and the TPA at 6&#x202f;months post-op was the only significant factor (&#x202f;=&#x202f;0.459; 95% CI: 0.41-1.44;&#x202f;<&#x202f;0.001), indicating that a lower TPA 6&#x202f;months post-op results in lower SIPVF values. CONCLUSION: The study indicated that lower TPAs 6&#x202f;months post-op lead to a more symmetrical gait in hindlimbs 6&#x202f;months post-op. No other significant factor between post-op changes in TPA and outcome after TPLO was found. Our results showed little post-op TPA change up to 6&#x202f;months. This indicates that change in TPA is not present as reported.