Vet Med - Czech, 2017, 62(11):583-588 | DOI: 10.17221/21/2017-VETMED

A modified technique for radiographic measurement of the tibial plateau angle in dogsOriginal Paper

L. Stehlik*,1, M. Vignoli2, P. Proks1,3, S. Trnkova1, A. Necas1
1 Faculty of Veterinary Medicine, University of Veterinary and Pharmaceutical Sciences Brno, Brno, Czech Republic
2 Faculty of Veterinary Medicine, University of Teramo, Teramo, Italy
3 CEITEC - Central European Institute of Technology, Brno, Czech Republic

This prospective study was aimed at testing a modified method for the measurement of the tibial plateau angle on radiographs of the stifle joint and the proximal part of the tibia. Forty-four stifle joints of 32 client-owned dogs were included in this study. Dogs were presented for hindlimb lameness and suspected cranial cruciate ligament rupture. The diagnostic procedures included radiographic examination. The mediolateral projection of the stifle joint including the tibia and the tarsal joint was used in this study. We tested the most widely used gold standard method as well as three additional methods for tibial plateau angle measurement on each joint. The tibial plateau angle, the positioning of the stifle joint and the presence of osteoarthrosis were recorded. Only 29 (66%) joints had correct position on the radiograph and were used for further study. Repeated-measures ANOVA identified significant differences in mean tibial plateau angle between the different measuring methods. Dunnett's post-hoc test identified a significant difference between the TA-2 and TA-2i methods and TA-0. No significant differences in tibial plateau angle were identified between joints with and without osteoarthrosis. The positioning of the limb significantly influenced the tibial plateau angle. One of the modified methods was found to not differ significantly from the gold standard method; thus, it can be recommended for further testing.

Keywords: proximal tibial axis; stifle joint; cruciate ligament disease; musculoskeletal imaging; radiology

Published: November 30, 2017  Show citation

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Stehlik L, Vignoli M, Proks P, Trnkova S, Necas A. A modified technique for radiographic measurement of the tibial plateau angle in dogs. Vet Med-Czech. 2017;62(11):583-588. doi: 10.17221/21/2017-VETMED.
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    References

    1. Abel SB, Hammer DL, Shott S (2003): Use of the proximal portion of the tibia for measurement of the tibial plateau angle in dogs. American Journal of Veterinary Research 64, 1117-1123. Go to original source... Go to PubMed...
    2. Aragon CL, Budsberg SC (2005): Applications of evidencebased medicine: Cranial cruciate ligament injury repair in the dog. Veterinary Surgery 34, 93-98. Go to original source... Go to PubMed...
    3. Arnoczky SP, Marshall JL (1977): The cruciate ligaments of the canine stifle: an anatomical and functional analysis. American Journal of Veterinary Research 38, 1807-1814.
    4. Baroni E, Matthias RR, Marcellin-Little DJ, Vezzoni A, Stebbins ME (2003): Comparison of radiographic assessments of the tibial plateau slope in dogs. American Journal of Veterinary Research 64, 586-589. Go to original source... Go to PubMed...
    5. Boudrieau RJ (2009): Tibial plateau leveling osteotomy or tibial tuberosity advancement? Veterinary Surgery 38, 1-22. Go to original source... Go to PubMed...
    6. Caylor KB, Zumpano CA, Evans LM, Moore RW (2001): Intra- and interobserver measurement variability of tibial plateau slope from lateral radiographs in dogs. Journal of the American Animal Hospital Association 37, 263-268. Go to original source... Go to PubMed...
    7. De Rooster H, Van Bree H (1999): Radiographic measurement of craniocaudal instability in stifle joints of clinically normal dogs and dogs with injury of a cranial cruciate ligament. American Journal of Veterinary Research 60, 1567-1570. Go to original source...
    8. Fettig AA, Rand WM, Sato AF, Solano M, Mccarthy RJ, Boudrieau RJ (2003): Observer variability of tibial plateau slope measurement in 40 dogs with cranial cruciate ligament-deficient stifle joints. Veterinary Surgery 32, 471-478. Go to original source... Go to PubMed...
    9. Fitzpatrick N, Solano MA (2010): Predictive variables for complications after TPLO with stifle inspection by arthrotomy in 1000 consecutive dogs. Veterinary Surgery 39, 460-474. Go to original source... Go to PubMed...
    10. Fujita Y, Hara Y, Ochi H, Nezu Y, Harada Y, Yogo T, Orima H, Tagawa M (2006): The possible role of the tibial plateau angle for the severity of osteoarthritis in dogs with cranial cruciate ligament rupture. Journal of Veterinary Medical Science 68, 675-679. Go to original source... Go to PubMed...
    11. Kim SE, Pozzi A, Kowaleski MP, Lewis DD (2008): Tibial osteotomies for cranial cruciate ligament insufficiency in dogs. Veterinary Surgery 37, 111-125. Go to original source... Go to PubMed...
    12. Kowaleski MP, Apelt D, Mattoon JS, Litsky AS (2005): The effect of tibial plateau leveling osteotomy position on cranial tibial subluxation: an in vitro study. Veterinary Surgery 34, 332-336. Go to original source... Go to PubMed...
    13. Montavon PM, Damur DM, Tepic S (2002): Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. 1st World Orthopaedic Veterinary Congress, 152.
    14. Nicoll C, Singh A, Weese JS (2014): Economic impact of tibial plateau leveling osteotomy surgical site infection in dogs. Veterinary Surgery 43, 899-902. Go to original source... Go to PubMed...
    15. Ocal MK, Sabanci SS (2013): Effect of anatomic variation in caudal tibial plateau on the tibial plateau angle in dogs: a cadaveric study. Journal of Small Animal Practice 54, 537-540. Go to original source... Go to PubMed...
    16. Reif U, Dejardin LM, Probst CW, Decamp CE, Flo GL, Johnson AL (2004): Influence of limb positioning and measurement method on the magnitude of the tibial plateau angle. Veterinary Surgery 33, 368-375. Go to original source... Go to PubMed...
    17. Ritter MJ, Perry RL, Olivier NB, Kim SY, Dejardin LM (2007): Tibial plateau symmetry and the effect of osteophytosis on tibial plateau angle measurements. Journal of the American Animal Hospital Association 43, 93-98. Go to original source... Go to PubMed...
    18. Schnabl E, Reese S, Lorinson K, Lorinson D (2009): Measurement of the tibial plateau angle in cats with and without cranial cruciate ligament rupture. Veterinary and Comparative Orthopaedics and Traumatology 22, 83-86. Go to original source... Go to PubMed...
    19. Slocum B, Slocum TD (1993): Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Veterinary Clinics of North America: Small Animal Practice 23, 777-795. Go to original source... Go to PubMed...

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