Case Series

Outcome in 12 Dogs with Chronic Radiographic Cranial Tibial Subluxation after Tibial Plateau Leveling Osteotomy (2019-2021)

Table 1

Objective and subjective data for twelve dogs with chronic cranial tibial subluxation after TPLO.

DogSignalmentProceduresHistory (preoperative)Contralateral CrCL ruptureButtress/drawer/thrust/lameness grade (preoperative)OA grade (osteophytosis/effusion) preoperativePersistent lameness/complications (postoperative)Lameness grade and long-term examOA grade (osteophytosis/effusion) long term

13 yr. MC CoonhoundR TPLO and medial meniscectomyRPL  yr.Yes: L TPLO one year prior+/+/+ grade 3/5 RPL lame2/3MRSP implant infectionRPL and LPL lameness, mild drawer bilateral, grade 4/53/2
22 yr. MC Great PyreneesR TPLO and medial meniscectomyRPL  mo.No+/+/+ grade 2/5 RPL lame2/3NoneNo lameness, mild drawer bilateral2/1
32 yr. MC English BulldogR TPLO and medial meniscectomyRPL  mo.Yes: current medical management+/+/+ grade 2/5 RPL lame2/2NoneNo lameness, mild drawer bilateral2/1
46.5 yr. MC Pitbull TerrierL TPLO and medial meniscectomyLPL  mo. (2 mo. NWB)Yes: TPLO 2 years earlier+/+/+ grade 3/5 LPL lame2/3NoneNo lameness, mild drawer bilateral2/1
59 yr. MC Labrador RetrieverR TPLO and medial meniscectomyRPL  yr. (progressive past 1 yr.)No+/+/+ grade 3/5 RPL lame2/3NoneNot performedN/A
62 yr. MC Labrador Retriever XR TPLO and medial meniscectomyRPL  yr.Yes: L lateral years prior+/+/+ grade 3/5 RPL lame2/3MRSP surgical site infectionNot performedN/A
711 yr. MC Pitbull TerrierR TPLO and medial meniscectomyRPL  mo.Yes: L TPLO 6 months after R TPLO+/+/+ grade 3/5 RPL lame2/3Acute lameness 2 weeks after surgery, improved with antibioticsNot performedN/A
85.5 yr. MC Pitbull TerrierR TPLORPL  mo.Yes: L TPLO 6 months after R TPLO+/+/+ grade 2/5 RPL lame2/3NoneNot performedN/A
96 yr. MC Great Pyrenees XL TPLO and medial meniscectomyLPL  mo.Yes: R TPLO 2 years earlier+/+/+ grade 3/5 LPL lame2/3NoneNot performedN/A
105 yr. MC Labrador Retriever XL TPLOLPL  yr.Yes: current medical management+/+/+ grade 3/5 LPL lame2/3NoneNot performedN/A
119.5 yr. FS Australian Cattle DogL TPLO and medial meniscectomyLPL  mo.No+/+/+ grade 3/5 LPL lame2/3NoneNot performedN/A
1211 yr. MC Pitbull TerrierR TPLO and medial meniscectomyRPL  mo.Yes: L TPLO 1 year earlier+/+/+ grade 3/5 RPL lame2/3NoneNot performedN/A

Note: CrCL: cranial cruciate ligament; R: right; L: left; OA; osteoarthritis; yr.: year; MC: castrated male; TPLO: tibial plateau leveling osteotomy; RPL: right pelvic limb lameness; LPL: left pelvic limb lameness; MRSP: methicillin-resistant Staphylococcus pseudintermedius; mo.: month old; N/A: not applicable; NWB: non-weight-bearing. Lameness was graded on a five-point scale. OA and effusion were graded on a three-point scale. Data were collected from medical records from the preoperative and postoperative period as well as surgery reports.