Evaluation of Cut Accuracy and Cis Cortical Damage for Tibial Plateau Leveling Osteotomy Performed with and without Aid of a Novel Saw Guide: An In Vitro Study

Objectives To compare osteotomy orientation relative to the sagittal and transverse planes of the tibia, and cis cortical damage for tibial plateau leveling osteotomy ( TPLO ) performed with the following aids: (1) Synthes TPLO jig and saw guide, (2) Slocum TPLO jig with ancillary K irschner wires ( S locum K ), and (3) S locum jig alone. Study Design In vitro study on S ynbone ® bone models and canine cadavers. Animals Cadaveric pelvic limbs pairs ( n = 30). Methods TPLO was performed on 30 S ynbone tibias with either the S locum jig ( n = 10), S locum K (10), or S ynthes jig (10). Synbones were analyzed to quantify osteotomy inclination, torsion, craniocaudal positioning, and medial cortical bone damage. Osteotomies were performed on cadaveric tibias and CT reconstruction used to assess the same osteotomy parameters. Results Significant differences in S ynbone tibial osteotomy inclination ( P < .001), medial cortical bone damage ( P < .001) and craniocaudal osteotomy position ( P < .05) were observed between the S ynthes and S locum jigs. CT analysis revealed significant differences in osteotomy inclination ( P < .001) and torsion ( P < .001). The use of the S locum K resulted in osteotomies with minimal torsional malalignment however with high levels of metal debris and accelerated blunting of the TPLO blade. Conclusion TPLO osteotomy inclination, torsion, and craniocaudal positioning are improved and the degree of iatrogenic medial cortical bone damage is minimal with the S ynthes TPLO jig compared to the S locum TPLO jig.