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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 · 5-month-old, 13 · 8 kg, 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 −12°.

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 rotated cranioproximally to increase the tibial plateau angle from −12° to +5° (reverse tibial -plateau levelling osteotomy).

Normal healing and resolution of lameness followed and the dog remained -clinically healthy 2 years 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

Computed tomographic findings in dogs infected with Crenosoma vulpis
Crenosoma vulpis is a nematode lungworm found in wild and domestic canids in some parts of North America and Europe. Reported radiographic findings are nonspecific and consist of a combination of bronchial and interstitial changes of variable severity. This retrospective, case series study aimed to describe thoracic computed tomographic (CT) findings for a group of dogs with confirmed crenosomosis. Selection criteria were presentation with a chronic cough during the period of January 2016 to February 2017, evaluation by thoracic CT, and final diagnosis of C. vulpis infection based on bronchoscopic findings, bronchoalveolar lavage fluid analysis, and quantitative polymerase chain reaction.

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