Simultaneous Modified Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Grade IV Medial Patellar Luxation and Cranial Cruciate Ligament Disease in Small-Breed Dogs

This study explored the complications and prognosis of modified tibial plateau leveling osteotomy with tibial tuberosity transposition (mTPLO-TTT) for simultaneously correcting high-grade medial patellar luxation (MPL) and cranial cruciate ligament disease (CCLD) in small-breed dogs. This retrospect...

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Main Authors: Changsu Jung, Byung-Jae Kang
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Animals
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Online Access:https://www.mdpi.com/2076-2615/15/7/1042
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author Changsu Jung
Byung-Jae Kang
author_facet Changsu Jung
Byung-Jae Kang
author_sort Changsu Jung
collection DOAJ
description This study explored the complications and prognosis of modified tibial plateau leveling osteotomy with tibial tuberosity transposition (mTPLO-TTT) for simultaneously correcting high-grade medial patellar luxation (MPL) and cranial cruciate ligament disease (CCLD) in small-breed dogs. This retrospective study evaluated patient data, lameness scores, radiographic outcomes, and complications over a median follow-up period of 10 weeks. Additionally, an owner interview was conducted 6 months postoperatively. Nine stifles from seven dogs were included in this study. All cases showed satisfactory patellar alignment and stability after surgery, with no major complications or reluxations. The lameness scores improved, and radiographic assessments confirmed implant stability and appropriate bone healing. Owner-reported outcomes at 6 months were also favorable. These findings suggest that simultaneous mTPLO-TTT is an effective surgical option for small-breed dogs with concurrent CCLD and Grade IV MPL.
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spelling doaj-art-6777f755df05443391acd2d86dffac272025-08-20T03:08:43ZengMDPI AGAnimals2076-26152025-04-01157104210.3390/ani15071042Simultaneous Modified Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Grade IV Medial Patellar Luxation and Cranial Cruciate Ligament Disease in Small-Breed DogsChangsu Jung0Byung-Jae Kang1JCS Animal Surgical Center, Goyang-si 10380, Republic of KoreaDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University, Seoul 08826, Republic of KoreaThis study explored the complications and prognosis of modified tibial plateau leveling osteotomy with tibial tuberosity transposition (mTPLO-TTT) for simultaneously correcting high-grade medial patellar luxation (MPL) and cranial cruciate ligament disease (CCLD) in small-breed dogs. This retrospective study evaluated patient data, lameness scores, radiographic outcomes, and complications over a median follow-up period of 10 weeks. Additionally, an owner interview was conducted 6 months postoperatively. Nine stifles from seven dogs were included in this study. All cases showed satisfactory patellar alignment and stability after surgery, with no major complications or reluxations. The lameness scores improved, and radiographic assessments confirmed implant stability and appropriate bone healing. Owner-reported outcomes at 6 months were also favorable. These findings suggest that simultaneous mTPLO-TTT is an effective surgical option for small-breed dogs with concurrent CCLD and Grade IV MPL.https://www.mdpi.com/2076-2615/15/7/1042medial patellar luxationcranial cruciate ligament diseasetibial plateau leveling osteotomytibial tuberosity transpositionsmall-breed dogs
spellingShingle Changsu Jung
Byung-Jae Kang
Simultaneous Modified Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Grade IV Medial Patellar Luxation and Cranial Cruciate Ligament Disease in Small-Breed Dogs
Animals
medial patellar luxation
cranial cruciate ligament disease
tibial plateau leveling osteotomy
tibial tuberosity transposition
small-breed dogs
title Simultaneous Modified Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Grade IV Medial Patellar Luxation and Cranial Cruciate Ligament Disease in Small-Breed Dogs
title_full Simultaneous Modified Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Grade IV Medial Patellar Luxation and Cranial Cruciate Ligament Disease in Small-Breed Dogs
title_fullStr Simultaneous Modified Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Grade IV Medial Patellar Luxation and Cranial Cruciate Ligament Disease in Small-Breed Dogs
title_full_unstemmed Simultaneous Modified Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Grade IV Medial Patellar Luxation and Cranial Cruciate Ligament Disease in Small-Breed Dogs
title_short Simultaneous Modified Tibial Plateau Leveling Osteotomy and Tibial Tuberosity Transposition for Grade IV Medial Patellar Luxation and Cranial Cruciate Ligament Disease in Small-Breed Dogs
title_sort simultaneous modified tibial plateau leveling osteotomy and tibial tuberosity transposition for grade iv medial patellar luxation and cranial cruciate ligament disease in small breed dogs
topic medial patellar luxation
cranial cruciate ligament disease
tibial plateau leveling osteotomy
tibial tuberosity transposition
small-breed dogs
url https://www.mdpi.com/2076-2615/15/7/1042
work_keys_str_mv AT changsujung simultaneousmodifiedtibialplateaulevelingosteotomyandtibialtuberositytranspositionforgradeivmedialpatellarluxationandcranialcruciateligamentdiseaseinsmallbreeddogs
AT byungjaekang simultaneousmodifiedtibialplateaulevelingosteotomyandtibialtuberositytranspositionforgradeivmedialpatellarluxationandcranialcruciateligamentdiseaseinsmallbreeddogs