Radiographic evaluation and comparison of the patellar ligament following tibial plateau leveling osteotomy and tibial tuberosity advancement in dogs: 106 cases (2009-2012)

OBJECTIVE To radiographically evaluate and compare changes in the patellar ligament of dogs following tibial plateau leveling osteotomy (TPLO) and tibial tuberosity advancement (TTA). DESIGN Retrospective case series. ANIMALS 106 dogs that underwent TPLO (n = 59) or TTA (n = 47) for unilateral rupture of the cranial cruciate ligament at a private veterinary hospital from August 2009 through September 2012. PROCEDURES Medical records were reviewed to collect information on dog signalment, surgical procedure, whether arthrotomy had been performed, pre-and postoperative measurements of patellar ligament angle (PLA) and tibial plateau angle (TPA), and preoperative and follow-up measurements of patellar ligament thickness. RESULTS For dogs that underwent TTA, thickening of the distal portion of the patellar ligament was identified radiographically in 43 (92%) dogs at the first follow- up examination and 36 (77%) at the second follow-up examination. For dogs that underwent TPLO, these numbers were 57 (97%) and 54 (92%), respectively. A significant decrease in patellar ligament thickness was identified between the first and second follow-up examinations for TTA but not TPLO. Mean +/- SD PLA following TTA was 89.46 +/- 5.54 degrees, representing a mean difference from the preoperative PLA of 11.86 +/- 5.3 degrees; following TPLO, mean TPA was 12.61 (+/-) 4.03 degrees, representing a mean difference from the preoperative TPA of 16.74 +/- 7.13 degrees. CONCLUSIONS AND CLINICAL RELEVANCE Patellar ligament thickening occurred following TPLO and TTA in dogs. The clinical relevance of this thickening remains unknown. (J Am Vet Med Assoc 2017; 250: 68-74)