Tibial fracture associated with use of Arthrex self-tapping screws during tibial plateau leveling osteotomy in dogs and development of transcortical tibial fracture.

Development of TCTF after use of STS for TPLO has been recognized, in contrast to use of non-self-tapping screws, and was considered a benign complication. Our findings suggest TCTF associated with Arthrex 3.5 mm STS use in TPLO can contribute to major complications after surgery, including complete tibial fracture, particularly if screws are not placed perpendicular to the plate.