Templated tibial plateau leveling osteotomy and implant guidance system improves accuracy in novice surgeons: an ex vivo study.

ProCut TPLO templated guidance system improves accuracy and reduces operative time in novice surgeons.

This ex vivo study evaluated the ProCut TPLO templated guidance system compared to traditional TPLO technique in novice surgeons performing tibial plateau leveling osteotomy on canine cadaveric limbs. Ten participants without prior osteotomy experience completed ten procedures with each technique. The ProCut TPLO system demonstrated significantly superior accuracy across all measured parameters: tibial plateau angle deviated only 0.36° from target versus 5.6° with traditional TPLO, distance of eccentricity was 0.8mm versus 7.8mm, osteotomy trajectory was more parallel to the joint surface and perpendicular to the sagittal plane, and procedure time was reduced to 23.1 minutes versus 40.9 minutes. Trajectory deviation from the guidance pin was minimal (0.3° proximodistal, 0.4° craniocaudal), and no technical errors occurred with the templated system. These findings suggest that templated guidance systems may substantially improve surgical accuracy and efficiency for surgeons new to TPLO procedures, potentially reducing complications and improving patient outcomes.

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