Use of Preoperative 3D Virtual Planning and 3D-Printed Patient-Specific Guides to Facilitate a Single-Stage Cranial Closing Wedge Ostectomy and Tibial Plateau Leveling Osteotomy Procedure to Address Proximal Tibial Deformity, an Excessive Tibial Plateau Angle, and Cranial Cruciate Ligament Insufficiency in a Dog

<div>Intraoperative use of the 3D-printed osteotomy guide. (a) The cranial closing wedge ostectomy guide was secured to the medial surface of the tibia using 3.2 mm threaded pins. (b) The cutting shelves were used to precisely incise the tibia with a sagittal saw. (c) After completing the osteotomies, the free central tibial segment was removed. The guide was removed, but the pins securing the guide were left in place. The TPLO/reduction guide subsequently was placed over these pins to align and reduce the tibia.</div>

Case Reports in Veterinary Medicine

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Figure 6

Figure 6: Use of Preoperative 3D Virtual Planning and 3D-Printed Patient-Specific Guides to Facilitate a Single-Stage Cranial Closing Wedge Ostectomy and Tibial Plateau Leveling Osteotomy Procedure to Address Proximal Tibial Deformity, an Excessive Tibial Plateau Angle, and Cranial Cruciate Ligament Insufficiency in a Dog 

Figure 6 | Use of Preoperative 3D Virtual Planning and 3D-Printed Patient-Specific Guides to Facilitate a Single-Stage Cranial Closing Wedge Ostectomy and Tibial Plateau Leveling Osteotomy Procedure to Address Proximal Tibial Deformity, an Excessive Tibial Plateau Angle, and Cranial Cruciate Ligament Insufficiency in a Dog 