Concurrent bucket handle meniscal tear treated with arthroscopic partial meniscectomy does not influence midterm outcomes after tibial plateau leveling osteotomy.
TPLO
arthroscopy
gait analysis
meniscal tear
stifle
Journal
American journal of veterinary research
ISSN: 1943-5681
Titre abrégé: Am J Vet Res
Pays: United States
ID NLM: 0375011
Informations de publication
Date de publication:
01 Sep 2023
01 Sep 2023
Historique:
received:
15
05
2023
accepted:
24
07
2023
medline:
5
10
2023
pubmed:
5
8
2023
entrez:
4
8
2023
Statut:
epublish
Résumé
To assess the effect of arthroscopic partial meniscectomy in dogs with bucket handle meniscal tears and tibial plateau leveling osteotomy (TPLO), compared with dogs with cranial cruciate ligament rupture and no meniscal tear treated by TPLO alone. 30 client-owned dogs with cranial cruciate rupture treated by either TPLO and arthroscopy alone if the meniscus was normal (normal meniscus [NM] group, n = 14) or by TPLO and an arthroscopic partial meniscectomy if a bucket handle tear was diagnosed (meniscal tear [MT] group, n = 16). Medical records, lameness score, and symmetry gait analysis parameters were retrospectively collected from patient records preoperatively (PreO), then at 1, 3, and 6 months postoperatively (M1, M3, and M6, respectively). Osteoarthritic (OA) radiographic score was performed and compared at PreO and M6. PreO gait analysis parameters were lower in the MT group (P < 0.005). In the MT group, the lameness score significantly improved between PreO and M1, and there were no significant differences between groups at M6. OA score was significantly higher in the MT group at PreO and M6. However, postoperative progression of OA did not differ between the 2 groups (P = 0.16). Treatment for meniscal tear results in a significant improvement in lameness, with postoperative outcomes at 6 months comparable with dogs with intact menisci. Despite having significant osteoarthritic lesions at all time points, the progression of osteoarthritis is similar between dogs with meniscal tears and those with intact menisci.
Identifiants
pubmed: 37541672
doi: 10.2460/ajvr.23.05.0102
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM