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Bovine    Equine    Small Animal Practice    Swine Practice    Articles    Vetjournal    
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Reverse TPLO in a young dog
TPLO is a popular technique to treat rupture of the cranial cruciate Ligament in Dogs. But what is the indication for a reverse TPLO and how is this performed? A very interesting recently online published articlle describes a 4‚ÄȬ∑‚ÄČ5-month-old, 13‚ÄȬ∑‚ÄČ8‚ÄČkg, female neutered mixed breed dog that was presented for evaluation of acute non-weight bearing right pelvic limb lameness and was treated with this technique.

Radiographs revealed a tibial tuberosity avulsion fracture for which open reduction/internal fixation was performed.

Asymmetrical premature closure of the cranial aspect of the proximal tibial physis ensued with a tibial plateau angle of ‚ąí12¬į.

Abnormal stifle biomechanics resulted in lameness and caudal cruciate ligament fraying.

Tibial plateau -levelling osteotomy was performed in standard fashion with the exception that the proximal tibial -fragment was‚ÄČrotated cranioproximally to increase the tibial plateau angle from ‚ąí12¬į to +5¬į (reverse tibial -plateau levelling osteotomy).

Normal healing and resolution of lameness followed and the dog remained -clinically healthy 2‚ÄČyears postoperatively.

This case report demonstrates that any change in proximal tibial anatomy, whether traumatic, iatrogenic or with therapeutic intent, can cause altered stifle biomechanics and should not be underestimated. Surgical management through corrective -osteotomy can be used to restore adequate function.

Source: Demianiuk, R. M. and Guiot, L. P. (2014), Reverse TPLO for asymmetrical -premature closure of the proximal tibial physis in a dog. Journal of Small Animal Practice. doi: 10.1111/jsap.12245



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SMALL ANIMAL PRACTICE

Microbiota of traumatic, open fracture wounds and the mechanism of injury
Open fractures are characterized by disruption of the skin and soft tissue, which allows for microbial contamination and colonization. Preventing infection‚Äźrelated complications of open fractures and other acute wounds remains an evolving challenge due to an incomplete understanding of how microbial colonization and contamination influence healing and outcomes. Culture‚Äźindependent molecular methods are now widely used to study human‚Äźassociated microbial communities without introducing culture biases. This recently online published study describes the fascinating association between the mechanism of injury and the microbiota of the wounds.

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