Radiographic and functional evaluation of dogs at least 1 year after tibial plateau leveling osteotomy.

Abstract

The progression of osteoarthritis and clinical function in 29 dogs at least 1 year after tibial plateau leveling osteotomy was evaluated. A previously reported radiographic scoring system was used by 3 investigators to evaluate preoperative and postoperative radiographs for evidence of stifle osteoarthritis. The combined scores were then used to evaluate the progression of osteoarthritis. The difference between the preoperative scores, derived from radiographs taken at the time of surgery, and the postoperative scores based on radiographs taken at least 1 year later was modest but statistically significant. Despite this finding, client satisfaction was very good. Clinical function was assessed by using a previously reported client questionnaire. According to owner assessment at least 1 year after surgery, there was a significant improvement in function after tibial plateau leveling osteotomy when compared with the preoperative status. Improvement in function as measured by the client questionnaire did not significantly predict the radiographic osteoarthritis score.