Having been introduced more than 25 years ago by Barclay Slocum, the tibial plateau levelling osteotomy (TPLO) procedure was both revolutionary and controversial, yet it has stood the "test of time" while undergoing numerous modifications. The original Slocum TPLO plate was a cast stainless steel plate that had a triad of "compression" holes in the proximal part of the plate. This plate needed to be bent and twisted intra-operatively to match the contour of the proximal tibial metaphysis, and it was usually applied with cortical screws. However, it became apparent that both the material properties of this plate and its design features could be improved.
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Kenneth A. Johnson (2024) studied this question.
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