MPL

Question 1

Birks
Combined TPLO & TTT
VCOT 2018

Answer 1

Mean load at failure
TPLO > TPLO-TTT
TTT> TPLO-TTT

TPLO failed by fx of tibial crest

TPLO-TTT
TTT
failed by cranial displacement of distal tibial crest

Question 2

Flesher
Modified Technique for treatment of concurrent MPL & CCLR
VCOT 2019

Answer 2

complications 18%
no translation 29%

Re-luxation 7%
No translation 9%

Question 3

Brower
Distal Femoral lateral closing wedge osteotomy
VCOT 2017

Answer 3

aLDFA
-Closing wedge DFO

Concurrent CCLR 43%

Question 4

Gallegos
Single-session bilateral MPL
VetSurg 2016

Answer 4

overall complications 22%
Implant failure
Grade I re-luxation 10%

Dogs 21kg

Question 5

Olimpo
Jig with distal femoral osteotomy for MPL
VCOT 2017

Answer 5

Slocum

• overcorrection in frontal plane
• undercorrection in transverse plane

Deformity reduce device

• target in frontal plane
• undercorrection in transverse plane

Question 6

Phetkaew
Comparison of Angular Values with MPL
VCOT 2018

Answer 6

Grade 4 mLDFA and TTA increased

aCdPFA decreased Grade 2, 3, 4

Caudocranial femur
Craniocaudal tibia

Question 7

Rossanese
Complications with Sx of MPL
VCOT 2019

Answer 7

37% complication

Increased risk of MPL relux
with medial release

Decrease risk of implant related complications
when preserving distal cortical attachment of TTT

Question 8

Brioschi
CT assessment of Block recession
VCOT 2020

Answer 8

Block recession trochleoplasty
~did not improve patellar recession
~decreased patellofemoral contact

Partial parasagittal patellectomy
~depth of patellar recession
~increased patellofemoral contact

Reduction in bone volume following PPP was 50%

Question 9

Sanders
Short-term complications between unilateral and single-session bilateral MPL
JSAP 2019

Answer 9

Major complications
Bilateral 23%
Unilateral 12%

Dogs 13.6 kg

Question 10

Dunlap
Outcomes grade IV MPL
JAVMA 2016

Answer 10

24% major complications
21% Revisions

Success rate 93%