Workshop Event

CCWO Course

Course Details
Description CORA-Based Cranial Closing Wedge Osteotomy (CCWO)
Course Fee 425 EUR excl. VAT (Discount available when bundled with Various Applications for Headless Compression Screws Workshop on 2.July in Antwerp → 2 half-day courses for only 775 EUR excl. VAT)
CE Credits to be advised
Course Language in English
Faculty Ditte Skytte, DVM, Dipl. ECVS
Registration Register here →
Venue The workshop venue is only about 900m (10-minute walk) from the ECVS Congress 2025 venue
More Info  Download flyer here →
 
Course Description / Beschreibung
The Cranial Closing Wedge Osteotomy (CCWO) is a surgical technique used to treat cranial cruciate ligament (CCL) ruptures in dogs and cats. Similar to TPLO (Tibial Plateau Leveling Osteotomy) and CBLO (Cranial Biased Closing Wedge Osteotomy), CCWO involves altering the position of the tibial plateau to stabilize the stifle joint. However, CCWO offers distinct advantages by addressing several specific challenges, including secondary (late) meniscal injuries, stress on the caudal cruciate ligament, reduction of axis shift, secondary translation, and mismatches in articulating surfaces. A key feature of CCWO is its CORA-based (Center of Rotation of Angulation) approach, which allows for detailed, individualized preoperative planning based on the patient’s unique anatomy and load distribution. This precision ensures that the surgical correction aligns closely with the dog’s or cat’s specific biomechanical needs. Benefits of CCWO:
  • Ideal for Juvenile Patients: The osteotomy avoids interference with growth plates, making it a safe option for younger animals still undergoing skeletal development.
  • Effective for Steep Tibial Plateaus: CCWO is particularly beneficial for cases with steep tibial plateau angles, which can be challenging to correct with other techniques.
  • Straightforward Execution: The technique involves straightforward linear cuts and requires only a standard oscillating saw, simplifying the procedure.
The RITA LEIBINGER LeiLOX CCWO System incorporates anatomically shaped titanium implants, ensuring optimal biocompatibility and reducing the risk of adverse reactions. These plates are fully compatible with the broader RITA LEIBINGER Titanium LeiLOX Systems range, such as TPLO Swing and CBLO, using the same screws and instrumentation. This compatibility enhances surgical efficiency by standardizing tools and hardware across multiple procedures. Course Outline: During the course, participants will first engage in a comprehensive theoretical session covering the pathophysiology of cranial cruciate ligament ruptures and the specific indications for CCWO. This will be followed by a hands-on practical session, allowing attendees to practice the CCWO technique and experience the new implants firsthand.   Die Cranial Closing Wedge Osteotomie (CCWO) ist eine Technik zur Behandlung von Kreuzbandrissen bei Hunden und Katzen. Diese Korrekturosteotomie ist ähnlich zur TPLO und CBLO, da sie die Position des Tibiaplateaus verändert. Die CCWO adressiert jedoch die Problematiken wie sekundäre (späte) Meniskusschäden, Überbelastung des Kaudalen Kreuzbandes, Reduktion der Achs- und Sekundärverschiebungen, sowie die Fehlstellung der Gelenksflächen. Darüber hinaus ermöglicht der CORA-basierte Ansatz eine genauere und individuelle präoperative Planung, die auf der spezifischen Anatomie und Gewichtsverteilung des Patienten basiert. Zudem ist die Technik ideal für junge Patienten, da die Osteotomie außerhalb der Wachstumsfugen liegt. Ein weiterer Vorteil ist, dass auch extreme Fälle mit steilen Tibiaplateaus korrigiert werden können. Zudem müssen bei dieser Methode lediglich gerade Osteotomien durchgeführt werden. Eine oszillierende Säge ist ausreichend. Das RITA LEIBINGER LeiLOX CCWO System verwendet anatomisch geformte Implantate aus Titan, um die bestmögliche Biokompatibilität zu gewährleisten. Die Platten sind mit dem RITA LEIBINGER Titan LeiLOX Systems-Reihe kompatibel und nutzen dieselben Schrauben und Instrumente. Während des Kurses wird zunächst die klinische Aufarbeitung eines vorderen Kreuzbandrisses sowie der Indikation für eine CCWO besprochen. Anschließend erfolgt die Einführung in die Technik. Dabei wird es ausreichend Zeit für eine praktische Übung geben, um das theoretisch Gelernte direkt umzusetzen und die neuen Implantate kennenzulernen.
 
Instructor
Dr. Ditte Skytte DVM,  Dipl. ECVS)

Dr. Ditte Skytte graduated as a veterinarian in 2004 in Denmark and obtained her Certificate in Small Animal Surgery (CertSAS) in 2011. Since 2019, she has been recognized as a Diplomate of the European College of Veterinary Surgeons (ECVS), specializing in small animal surgery.

Dr. Skytte has extensive experience in referral practice in Denmark and has worked in the surgical department at Copenhagen University, where she was involved in both clinical work and teaching veterinary students. She spent nine years at the referral hospital Strömsholm in Sweden, focusing primarily on orthopaedic cases and serving as a supervisor for ECVS residents.

Currently, Dr. Skytte works as an orthopaedic specialist at Södra Djursjukhuset, a renowned referral clinic in Sweden.

She is an active international lecturer, having delivered orthopaedic training courses in Denmark, Hungary, Italy, the USA, and Japan.

Dr. Skytte is also the author and co-author of several peer-reviewed publications in the field of veterinary orthopaedics.

TTA RAPID®

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Tplo

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CBLO

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Fracture

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