An in silico comparison of a novel CORA-based cranial closing wedge ostectomy methodology with three other techniques.

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary Surgery Pub Date : 2025-06-10 DOI:10.1111/vsu.14277

William H R Petchell, Anna R Bostock, Alexander J German, Andrew W Tomlinson

{"title":"An in silico comparison of a novel CORA-based cranial closing wedge ostectomy methodology with three other techniques.","authors":"William H R Petchell, Anna R Bostock, Alexander J German, Andrew W Tomlinson","doi":"10.1111/vsu.14277","DOIUrl":null,"url":null,"abstract":"Objective: To describe a CORA-based cranial closing wedge ostectomy methodology (CCWOCORA) and to determine whether the CCWOCORA achieves a more accurate and precise postoperative tibial plateau angle (TPAPOST) than three previously described methods.Study design: In silico study.Sample population: Thirteen client-owned dogs.Methods: Computed tomography (CT) scans of six Labrador retriever, six German shepherd, six Rottweiler, and six small-breed dog (<10 kg) tibiae, originally acquired for unrelated purposes, were used for in silico planning and execution of the CCWOCORA and previously described procedures. The TPAPOST, tibial long axis shift, change in tibial length and wedge angle were recorded and a linear mixed-effects model was used to compare differences amongst techniques.Results: The median TPAPOST for the CCWOCORA method was 5.00° (range: 5.00-5.00°) across a variety of tibial morphologies, whereas all other methods showed greater variability. Differences in TPAPOST were evident amongst methods (p < .001) and breeds (p < .001).Conclusions: In silico, CCWOCORA methodology always achieved the target TPAPOST due to its intrinsic geometric principles. As such, CCWOCORA surgeries achieved a more accurate TPAPOST than previously described CCWO techniques.Clinical significance: The CCWOCORA provides clinicians with a cranial closing-wedge ostectomy methodology with entirely predictable TPAPOST.","PeriodicalId":23667,"journal":{"name":"Veterinary Surgery","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Veterinary Surgery","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.1111/vsu.14277","RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: To describe a CORA-based cranial closing wedge ostectomy methodology (CCWO_CORA) and to determine whether the CCWO_CORA achieves a more accurate and precise postoperative tibial plateau angle (TPA_POST) than three previously described methods.

Study design: In silico study.

Sample population: Thirteen client-owned dogs.

Methods: Computed tomography (CT) scans of six Labrador retriever, six German shepherd, six Rottweiler, and six small-breed dog (<10 kg) tibiae, originally acquired for unrelated purposes, were used for in silico planning and execution of the CCWO_CORA and previously described procedures. The TPA_POST, tibial long axis shift, change in tibial length and wedge angle were recorded and a linear mixed-effects model was used to compare differences amongst techniques.

Results: The median TPA_POST for the CCWO_CORA method was 5.00° (range: 5.00-5.00°) across a variety of tibial morphologies, whereas all other methods showed greater variability. Differences in TPA_POST were evident amongst methods (p < .001) and breeds (p < .001).

Conclusions: In silico, CCWO_CORA methodology always achieved the target TPA_POST due to its intrinsic geometric principles. As such, CCWO_CORA surgeries achieved a more accurate TPA_POST than previously described CCWO techniques.

Clinical significance: The CCWO_CORA provides clinicians with a cranial closing-wedge ostectomy methodology with entirely predictable TPA_POST.

查看原文本刊更多论文

一种新的基于cora的颅骨闭合楔形骨切除术方法与其他三种技术的计算机比较。

目的：描述一种基于颅骨闭合楔骨切除术（CCWOCORA）的方法，并确定CCWOCORA是否比之前描述的三种方法获得更准确和精确的术后胫骨平台角（TPAPOST）。研究设计：计算机研究。样本人群：13只客户养的狗。方法：对6只拉布拉多寻回犬、6只德国牧羊犬、6只罗威纳犬和6只小型犬（CORA）进行计算机断层扫描（CT）。记录TPAPOST、胫骨长轴位移、胫骨长度和楔角的变化，并采用线性混合效应模型比较不同技术的差异。结果：CCWOCORA方法的中位TPAPOST在各种胫骨形态上为5.00°（范围：5.00-5.00°），而所有其他方法表现出更大的可变性。结论：CCWOCORA方法由于其固有的几何原理，总能达到目标TPAPOST。因此，CCWOCORA手术比以前描述的CCWO技术实现了更准确的TPAPOST。临床意义：CCWOCORA为临床医生提供了一种完全可预测TPAPOST的颅骨闭合楔骨切除术方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Veterinary Surgery 农林科学-兽医学

CiteScore

3.40

自引率

22.20%

发文量

162

审稿时长

8-16 weeks

期刊介绍： Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.