Vet Comp Orthop Traumatol 2011; 24(03): 167-177
DOI: 10.3415/VCOT-10-06-0084
Review Article
Schattauer GmbH

A review of extra-articular prosthetic stabilization of the cranial cruciate ligament-deficient stifle

C. A. Tonks
1   University of Florida, Comparative Orthopaedics Biomechanics Laboratory, Department of Small Animal Clinical Sciences, Gainesville, Florida, USA
,
D. D. Lewis
1   University of Florida, Comparative Orthopaedics Biomechanics Laboratory, Department of Small Animal Clinical Sciences, Gainesville, Florida, USA
,
A. Pozzi
1   University of Florida, Comparative Orthopaedics Biomechanics Laboratory, Department of Small Animal Clinical Sciences, Gainesville, Florida, USA
› Author Affiliations
Further Information

Publication History

Received:03 June 2010

Accepted:22 March 2010

Publication Date:
19 December 2017 (online)

Summary

Extra-articular prosthetic stabilization techniques have been used as a method of stabilization of the cranial cruciate ligament (CrCL)-deficient stifle for decades. During extra-articular prosthetic stabilization, the prosthesis is anchored to the femur and tibia, and tensioned in the attempt to resolve femorotibial instability. The position of the anchor points of the prosthesis is crucial for restoring a normal range of joint motion and mitigating alterations in prosthesis tension during motion. Recently developed techniques offer several innovations with potential advantages such as bone-to-bone fixation, prosthetic materials with better mechanical properties, and improved isometry of the anchor points. Whether these innovations provide clinically superior results to the traditional techniques such as lateral circumfabellar-tibial suture techniques has yet to be determined.

 
  • References

  • 1 Johnson JA, Austin C, Breur GJ. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 to 1989. Vet Comp Orthop Traumatol 1994; 7: 56-69.
  • 2 Elkins AD, Pechman R, Kearney MT. et al. A retrospective study evaluating the degree of degenerative joint disease in the stifle joint of dogs following surgical repair of anterior cruciate ligament rupture. J Am Anim Hosp Assoc 1991; 27: 533-540.
  • 3 Bennett D, Tennant B, Lewis DG. et al. A reappraisal of anterior cruciate ligament disease in the dog. J Small Anim Pract 1988; 29: 275-297.
  • 4 Duval JM, Budsberg SC, Flo GL. et al. Breed, sex, and body weight as risk factors for rupture of the cranial cruciate ligament in young dogs. J Am Vet Med Assoc. 1999; 215: 811-814.
  • 5 Whitehair JG, Vasseur PB, Willits NH. Epidemiology of cranial cruciate ligament rupture in dogs. J Am Vet Med Assoc 1993; 203: 1016-1019.
  • 6 Hayashi K, Manley PA, Muir P. Cranial cruciate ligament pathophysiology in dogs with cruciate disease: a review. J Am Anim Hosp Assoc 2004; 40: 385-390.
  • 7 Wilke VL, Conzemius MG, Kinghorn BP. et al. Inheritance of rupture of the cranial cruciate ligament in Newfoundlands. J Am Vet Med Assoc 2006; 228: 61-64.
  • 8 de Bruin T, de Rooster H, van Bree H. et al. Evaluation of anticollagen type I antibiody titers in synovial fluid of both stifle joints and the left cranial cruciate disease. Am J Vet Res 2007; 68: 283-289.
  • 9 Muir P, Hayashi K, Manley PA. et al. Evaluation of tartrate-resistant acid phosphatase and cathepsin K in ruptured cranial cruciate ligaments in dogs. Am J Vet Res 2002; 63: 1279-1284.
  • 10 Muir P, Schamberger GM, Manley PA. et al. Localization of cathepsin K and tartrate-resistant acid phosphatase in synovium and cranial cruciate ligament in dogs with cruciate disease. Vet Surg 2005; 34: 239-246.
  • 11 Hayashi K, Frank JD, Dubinsky C. et al. Histologic changes in ruptured canine cranial cruciate ligament. Vet Surg 2003; 32: 269-277.
  • 12 Wilke VL, Conzemius MG, Rothschild MF. SNP detection and association analysis of candidate genes for rupture of the cranial cruciate ligament in the dog. Anim Genet 2005; 36: 511-542.
  • 13 Hayashi K, Frank JD, Hao Z. et al. Evaluation of ligament fibroblast viability in ruptured cranial cruciate ligament of dogs. Am J Vet Res 2003; 64: 1010-1016.
  • 14 Doverspike M, Vasseur PB, Harb MF. et al. Contra-lateral cranial cruciate ligament rupture: incidence in 114 dogs. J Am Anim Hosp Assoc 1993; 29: 167-170.
  • 15 Aron D. Traumatic dislocation of the stifle joint: treatment in 12 dogs and one cat. J Am Anim Hosp Assoc 1988; 24: 333-340.
  • 16 Arnoczky SP, Marshall JL. The cruciate ligaments of the canine stifle: an anatomical and functional analysis. Am J Vet Res 1977; 38: 1807-1814.
  • 17 de Rooster H, de Bruin T, van Bree H. Morphologic and functional features of the canine cranial cruciate ligaments. Vet Surg 2006; 35: 769-780.
  • 18 Arnoczky SP, Torzilli PA, Marshall JL. Biomechanical evaluation of anterior cruciate ligament repair in the dog: an analysis of the instant center of motion. J Am Anim Hosp Assoc 1977; 13: 553-558.
  • 19 Williams A, Logan M. Understanding tibio-femoral motion. Knee 2004; 11: 81-88.
  • 20 Arnoczky SP, Marshall JL. Pathomechanics of cruciate and meniscal injuries. In Bojrab MJ. editor Pathophysiology in Small Animal Surgery. Philadelphia: Lea & Febiger; 1981: pg. 590.
  • 21 Anderst WJ, Tashman S. The association between velocity of the center of closest proximity on subcondral bones and osteoarthritis progression. J Orthop Res 2009; 27: 71-77.
  • 22 Korvick DL, Pijanowski JG, Schaeffer DJ. Three-dimensional kinematics of the intact and cranial cruciate ligament-deficient stifle of dogs. J Biomech 1994; 27: 77-87.
  • 23 Tashman S, Anderst W, Kolowich P. et al. Kinematics of the ACL-deficient canine knee during gait: serial changes over two years. J Orthop Res 2004; 22: 931-941.
  • 24 Andriacchi TP, Dyrby CO. Interactions between kinematics and loading during walking for the normal and ACL deficient knee. J Biomech 2005; 38: 293-298.
  • 25 Tashman S, Collon D, Anderson K. et al. Abnormal rotational knee motion during running after anterior cruciate ligament reconstruction. Am J Sport Med 2004; 32: 975-983.
  • 26 Andriacchi TP, Mundermann A, Smith RL. et al. A framework for the in vivo pathomechanics of osteoarthritis at the knee. Ann Biomed Eng 2004; 23: 447-457.
  • 27 Pozzi A, Kim SE, Banks SA. et al. In Vitro Pathomechanics of the Pond-Nuki Model. Proceedings of the 35th Annual Conference of the Veterinary Orthopedic Society. 2008. March 8–15 Big Sky; MT, USA: pg. 31.
  • 28 Kim SE, Pozzi A, Banks SA. et al. Effect of tibial tuberosity advancement on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; 38: 33-39.
  • 29 Kim SE, Pozzi A, Banks SA. et al. Effect of tibial plateau leveling osteotomy on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; 38: 23-32.
  • 30 Aragon CL, Budsberg SC. Applications of evidence-based medicine: cranial cruciate ligament injury repair in the dog. Vet Surg 2005; 34: 93-98.
  • 31 Vasseur PB. Clinical results following nonoperative management for rupture of the cranial cruciate ligament in dogs. Vet Surg 1984; 13: 243-246.
  • 32 Paatsama S. Ligament injuries in the canine stifle joint. [Thesis]. Kauppakirjapaino: O Y, Helsinki, Finland; 1952
  • 33 Arnoczky SP, Tarvin GB, Marshall JL. et al. The over-the-top procedure: A technique for anterior cruciate ligament substitution in the dog. J Am Anim Hosp Assoc 1979; 15: 283-287.
  • 34 Vasseur PB, Stevenson S, Gregory CR. et al. Anterior cruciate ligament allograft transplantation in dogs. Clin Orthop 1991; 269: 295-304.
  • 35 Aiken SW, Badylak SF, Toombs JP. et al. Small intestinal submucosa as an intra-articular ligamentous graft material: a pilot study in dogs. Vet Comp Orthop Traumatol 1994; 7: 124-128.
  • 36 Stead AC, Amis AA, Campbell JR. Use of a polyester fibre as a prosthetic cranial cruciate ligament in small animals. J Small Anim Pract 1991; 32: 448-453.
  • 37 Leighton RL, Brightman AH. Experimental and clinical evaluation of a new prosthetic anterior cruciate ligament in the dog. J Am Anim Hosp Assoc 1976; 12: 735-740.
  • 38 Childers HE. New methods for cruciate ligament repair: II. Repair by suture technique. Mod Vet Pract 1966; 47: 59-60.
  • 39 Pearson PT. The canine stifle joint. Proceedings of the 36th Annual Meeting of the American Animal Hospital Association.. 1969. April 21–25 Washington, D.C.; USA: pg. 397-404.
  • 40 DeAngelis M, Lau RE. A lateral retinacular imbrication technique for surgical correction of anterior cruciate ligament rupture in the dog. J Am Vet Med Assoc 1970; 157: 79-84.
  • 41 Hohn RB, Newton CD. Surgical repair of ligamentous structures of the stifle joint. In Bojrab MJ. editor Current Techniques in Small Animal Surgery. Philadelphia: Lea and Febiger; 1975: pg. 470-479.
  • 42 Flo GL. Modification of the lateral retinacular imbrication technique for stabilizating cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-573.
  • 43 Gambardella PC, Wallace LJ, Cassidy F. Lateral suture technique for management of anterior cruciate ligament rupture in dogs: A retrospective study. J Am Anim Hosp Assoc 1981; 17: 33-36.
  • 44 Brinker WO, Piermattei DL, Flo GL. Diagnosis and treatment of orthopedic conditions of the hind-limb. In: Handbook of Small Animal Orthopedics and Fracture Treatment. Philadelphia: WB Saunders; 1990: pg. 341-470.
  • 45 Edwards M, Taylor RA, Franceschi RA. Clinical case applications of Mitek tissue anchors in veterinary orthopedics. Vet Comp Orthop Traumatol 1993; 6: 208-212.
  • 46 Harper TA, Martin RA, Ward DL. et al. An in vitro study to determine the effectiveness of a patellar ligament/fascia lata graft and new tibial suture anchor points for extracapsular stabilization of the cranial cruciate ligament-deficient stifle in the dog. Vet Surg 2004; 33: 531-541.
  • 47 Cook JL, Luther JK, Beetem J. et al. Clinical comparison of a novel extracapsular stabilization procedure and tibial plateau leveling osteotomy for treatment of cranial cruciate ligament deficiency in dogs. Vet Surg 2010; 39: 315-323.
  • 48 Smith GK, Torg JS. Fibular head transposition for repair of cruciate-deficient stifle in the dog. J Am Vet Med Assoc 1985; 187: 375-381.
  • 49 Monnet E, Schwarz PD, Powers B. Popliteal tendon transposition for stabilization of the cranial crucicate ligament deficient stifle joint in dogs: an experimental study. Vet Surg 1995; 24: 465-475.
  • 50 Hohn RB, Miller JM. Surgical correction of rupture of the anterior cruciate ligament in the dog. J Am Vet Med Assoc 1967; 150: 1133-1141.
  • 51 Aiken SW, Bauer MS, Toombs JP. Extra-articular fascial strip repair of the cranial cruciate deficient stifle: technique and results in 7 dogs. Vet Comp Orthop Traumatol 1992; 5: 145-150.
  • 52 Kunkel KA, Basinger RR, Suber JT. et al. Evaluation of a transcondylar toggle system for stabilization of the cranial cruciate deficient stifle in small dogs and cats. Vet Surg 2009; 38: 975-982.
  • 53 Slocum B, Devine T. Cranial tibial wedge osteotomy: a technique for eliminating cranial tibial thrust in cranial cruciate ligament repair. J Am Vet Med Assoc 1984; 184: 564-569.
  • 54 Slocum B, Devine TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin North Am Small Anim Pract 1993; 23: 777-795.
  • 55 Talaat MB, Kowalski MP, Boudrieau RJ. Combination tibial plateau leveling osteotomy and cranial closing wedge osteotomy of the tibia for treatment of cranial cruciate ligament-deficient stifles with excessive tibial plateau angle. Vet Surg 2006; 35: 729-739.
  • 56 Damur DM, Tepic S, Montavon PM. Proximal tibial osteotomy for the repair of cranial cruciate- deficient stifle joints in dogs. Vet Comp Orthop Traumatol 2003; 16: 211-216.
  • 57 Bruce WJ, Rose A, Tuke J. et al. Evaluation of the triple tibial osteotomy (TTO): a new technique for the management of the canine cruciate-deficient stilfe. Vet Comp Orthop Traumatol 2007; 20: 159-168.
  • 58 Hildreth BE, Marcellin-Little DJ, Roe SC. et al. In vitro evaluation of five canine tibial plateau leveling methods. Am J Vet Res 2006; 67: 693-700.
  • 59 Montavon PM, Damur DM, Tepic S. Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. Proceedings of the 1st World Orthopedic Veterinary Congress. 2002. September 5–8 Munich; Germany: pg. 152.
  • 60 Vaughan LC. The history of canine cruciate ligament surgery from 1952–2005. Veterinary History 2006; 14: 119-136.
  • 61 Korvick DL, Johnson AL, Schaeffer DJ. Surgeons’ preferences in treating cranial cruciate ligament ruptures in dogs. J Am Vet Med Assoc 1994; 205: 1318-1324.
  • 62 McCurnin DM, Pearson PT, Wass WM. Clinical and pathologic evaluation of ruptured cranial cruciate ligament repair in the dog. Am J Vet Res 1971; 32: 1517-1524.
  • 63 Vasseur PB. Stifle joint. In Slatter D. editor Textbook of Small Animal Surgery. 3rd edition. Philadelphia: Saunders; 2003: pg. 2090-2133.
  • 64 Schulz KS. Cranial cruciate ligament rupture. In Fossum TW. editor Small Animal Surgery. 3rd edition. St. Louis; Mosby: 2007: pg. 1254-1276.
  • 65 Hulse DA. The stifle joint. In Olmstead ML. editor Small Animal Orthopaedics. St Louis; Mosby: 1995: pg. 395-416.
  • 66 Taylor RA. Clinical utilization of the Mitek tissue anchor. Proceedings of the 19th Annual Coneference of the Veterinary Orthopedic Society. 1992. February 29–March 7 Keystone, CO; USA:
  • 67 Robb JL, Cook JL, Carson W. In vitro evaluation of screws and suture anchors in metaphyseal bone of the canine tibia. Vet Surg 2005; 34: 499-508.
  • 68 Singer MJ, Pijanowski G, Wiley R. et al. Biomechanical evaluation of a veterinary suture anchor in the canine cadaver pelvis and femur. Vet Comp Orthop Traumatol 2005; 18: 31-36.
  • 69 Giles III JT, Coker D, Rochat MC. Biomechanical analysis of suture anchors and suture materials in the canine femur. Vet Surg 2008; 37: 12-21.
  • 70 Dulisch M. Suture reaction following extra-articular stifle stabilization in the dog. Part I: a retrospective study of 161 stifles. J Am Anim Hosp Assoc 1981; 17: 569-571.
  • 71 Lewis DD, Milthorpe BK, Bellenger CR. Mechanical comparison of materials used for extra-capsular stabilization of the stifle joint in dogs. Aust Vet J 1997; 75: 890-896.
  • 72 Sicard GK, Hayashi K, Manley PA. Evaluation of 5 types of fishing material, 2 sterilization methods, and a crimp-clamp system for extra-articular stabilization of the canine stifle joint. Vet Surg 2002; 31: 78-84.
  • 73 Olmstead ML. The use of orthopedic wire as a lateral suture for stifle stabilization. Vet Clin North Am Small Anim Pract 1993; 23: 735-753.
  • 74 Yamada E, Imayama Y, Katano S. et al. A new technique of extracapsular restoration with a tie made of ethylene tetrafluoroethylene (ETFE) for rupture of the cranial cruciate ligament in dogs. J Vet Med Sci 1996; 58: 571-575.
  • 75 Piermattei DL, Flo GL, DeCamp CE. The stifle joint. In: Brinker, Piermattei, and Flo’s Handbook of Small Animal Orthopaedics and Fracture Repair. 4th edition. St. Louis; Elsevier Inc: 2006: pg. 586-592.
  • 76 Stork CK, Gibson NR, Owen MR. et al. Radiographic features of a lateral extracapsular wire suture in the canine cranial cruciate deficient stifle. J Small Anim Pract 2001; 42: 487-490.
  • 77 Beckman SL, Wadsworth PL, Hunt CA. et al. Technique for stabilizing the stifle with nylon bands in cases of ruptured anterior cruciate ligaments in dogs. J Am Anim Hosp Assoc 1992; 28: 539-544.
  • 78 Banwell MN, Hosgood G, Kerwin SC. et al. In vitro evaluation of fluorocarbon leader line for use as a fabellatibial suture. Vet Comp Orthop Traumatol 2004; 17: 35-40.
  • 79 Beale BS. Practical tips for extracapsular suture repair of cranial cruciate ligament injuries. Proccedings of the North American Veterinary Conference. 2009. January 17–21 Orlando, FL; USA: pg. 1001-1003.
  • 80 Caporn TM, Roe SC. Biomechanical evaluation of the suitability of monofilament nylon fishing line and leader line for extra-articular stabilization of the cranial cruciate-deficient stifle. Vet Comp Orthop Traumatol 1996; 9: 126-133.
  • 81 Guenego L, Zahra A, Madelenat A. et al. Cranial cruciate ligament rupture in large and giant dogs. A retrospective evaluation of a modified lateral extra-capsular stabilization. Vet Comp Orthop Traumatol 2007; 20: 43-50.
  • 82 McKee WM, Miller A. A self-locking knot for lateral fabellotibial suture stabilization of the cranial cruicate ligament deficient stifle in the dog. Vet Comp Orthop Traumatol 1999; 12: 78-80.
  • 83 Huber DJ, Egger EL, James SP. The effect of knot tying method on the mechanical properties of large diameter nonabsorbable monofilament suture. Vet Surg 1999; 28: 260-267.
  • 84 Vianna ML, Roe SC. Mechanical comparison of two knots and two crimp systems for securing nylon line used for extra-articular stabilization of the canine stifle. Vet Surg 2006; 35: 567-572.
  • 85 Anderson III CC, Tomlinson JL, Daly WR. et al. Biomechanical evaluation of a crimp clamp system for loop fixation of monofilament nylon leader material used for stabilization of the canine stifle joint. Vet Surg 1998; 27: 533-539.
  • 86 Moores AP, Beck AL, Jespers KJ. et al. Mechanical evaluation of two loop tensioning methods for crimp clamp extracapsular stabilization of the cranial cruciate ligament-deficient canine stifle. Vet Surg 2006; 35: 476-479.
  • 87 McCartney WT, O’Connor JV, McCann WM. Incidence of infection and premature crimp failure after repair of cranial cruciate ligament-deficient stifles in 110 dogs. Vet Rec 2007; 161: 232-233.
  • 88 Case JB, Hulse D, Kerwin SC. et al. Meniscal injury following initial cranial cruciate ligament stabilization surgery in 26 dogs (29 stifles). Vet Comp Orthop Traumatol 2008; 21: 365-367.
  • 89 Leighton RL. Preferred method of repair of cranial cruciate ligament rupture in dogs: a survey of ACVS diplomats specializing in canine orthopedics (abstr). Vet Surg 1999; 28: 194A.
  • 90 Butterworth SJ. Extracapsular stabilization of the stifle – tricks to help, traps to avoid. Proccedings of the North American Veterinary Conference.. 2008. January 19–23 Orlando, FL; USA: pg. 969-971.
  • 91 Novo RE, Goring RL, DeHaan JJ. Transfabellar stabilization of the cranial cruciate ligament deficient stifles in medium to large breed dogs. Proceedings of the 23rd Annual Conference of the Veterinary Orthopedic Society. 1996. March 2–9 Telluride, CO; USA: pg. 9.
  • 92 Lewis DD, van Ee RT. Reduction forceps to maintain alignment during surgical stabilization of the cranial cruciate ligament deficient stifle. Canine Practice 1994; 19: 14-16.
  • 93 Roe SC. Methods whereby lone surgeons might tension nylon loops before crimping. Vet Surg 2006; 35: 792-793.
  • 94 Tonks CA, Pozzi A, Ling HY. et al. The effects of extra-articular suture tension on contact mechanics of the lateral compartment of cadaveric stifles treated with the TightRope CCL® or Lateral Suture Technique. Vet Surg 2010; 39: 343-349.
  • 95 Fischer C, Cherres M, Grevel V. et al. Effects of attachment sites and joint angle at the time of lateral suture fixation on tension in the suture for stabilization of the cranial cruciate ligament deficient stifle in dogs. Vet Surg 2010; 39: 334-342.
  • 96 Hill CM, Conzemius MG, Smith GK. et al. Bacterial culture of the canine stifle joint following surgical repair of ruptured cranial cruciate ligament. Vet Comp Orthop Traumatol 1999; 12: 1-5.
  • 97 Snow LA, White R, Gustafson S. et al. Ex vivo comparison of three surgical techniques to stabilize canine cranial cruciate ligament deficient stifles. Vet Surg 2010; 39: 195-207.
  • 98 Moore KW, Read RA. Cranial cruciate ligament rupture in the dog – a retrospective study comparing surgical techniques. Aust Vet J 1995; 72: 281-285.
  • 99 Budsberg SC, Verstraete MC, Soutas-Little RW. et al. Force plate analyses before and after stabilization of canine stifles for cruciate injury. Am J Vet Res 1988; 49: 1522-1524.
  • 100 Jevens DJ, DeCamp CE, Hauptman J. et al. Use of forceplate analysis of gait to compare two surgical techniques for treatment of cranial cruciate ligament rupture in dogs. Am J Vet Res 1996; 57: 389-393.
  • 101 Conzemius MG, Evans RB, Besancon MF. et al. Effect of surgical technique on limb function after surgery for rupture of the cranial cruciate ligament in dogs. J Am Vet Med Assoc 2005; 226: 232-236.
  • 102 Chailleux N, Lussier B, De Guise J. et al. In vitro 3–dimensional kinematic evaluation of 2 corrective operations for cranial cruciate ligament-deficient stifles. Canadian Journal of Veterinary Research 2007; 71: 175-180.
  • 103 Roe SC, Kue J, Gemma J. Isometry of potential suture attachment sites for the cranial cruciate ligament deficient canine stifle. Vet Comp Orthop Traumatol 2008; 21: 215-220.
  • 104 Hyman W, Hulse DS, Saunders B. et al. Strain analysis of femoral and tibial anchorage sites for extra-articular reconstruction of the cranial cruciate deficient stifle joint. Proceedings of the 28th Annual Conference of the Veterinary Orthopedic Society. 2001. February 24– March 2 Lake Louise; Canada: Pg. 32.
  • 105 Hulse D, Hyman W, Beale B. et al. Determination of isometric points for placement of a lateral suture in treatment of the cranial cruciate ligament deficient stifle. Vet Comp Orthop Traumatol 2010; 23: 163-167.
  • 106 Wallace AM, Cutting ED, Sutcliffe MPF. et al. A biomechanical comparison of six different double loop configurations for use in the lateral fabella suture technique. Vet Comp Orthop Traumatol 2008; 21: 391-399.
  • 107 Burgess R, Elder S, McLaughlin R. et al. In vitro biomechanical evaluation and comparison of FiberWire, FiberTape, OrthoFiber, and Nylon Leader Line for potential use during extraarticular stabilization of canine cruciate deficient stifles. Vet Surg 2010; 39: 208-215.
  • 108 Marsolais GS, Dvorak G, Conzemius MG. Effects of postoperative rehabilitation on limb function after cranial cruciate ligament repair in dogs. J Am Vet Med Assoc 2002; 220: 1325-1330.
  • 109 Jerre S. Rehabilitation after extra-articular stabilization of cranial cruciate ligament rupture in dogs. Vet Comp Orthop Traumatol 2009; 22: 148-152.
  • 110 Au KK, Gordon-Evans WJ, Dunning D. et al. Comparison of short- and long-term function and radiographic osteoarthrosis in dogs after postoperative physical rehabilitation and tibial plateau leveling osteotomy or lateral fabellar suture stabilization. Vet Surg 2010; 39: 173-180.
  • 111 Cook JL. Multicenter outcomes study for evaluation of Tightrope CCL for treatment of cranial cruciate deficiency in dogs: the first 1000 cases. Proceedings of the 37th Annual Conference of the Veterinary Orthopedic Society. 2010. February 20–27 Breckenridge, CO; USA: pg. 3.
  • 112 DeFrate LE, Papannagari R, Gill TJ. et al. The 6 degrees of freedom kinematics of the knee after anterior cruciate ligament deficiency. An in vivo imaging analysis. Am J Sports Med 2006; 34: 1240-1246.
  • 113 Waite JC, Beard DJ, Dodd CA. et al. In vivo kinematics of the ACL-deficient limb during running and cutting. Knee Surg Sports Traumatol Arthrosc 2005; 13: 377-384.
  • 114 Logan M, Dunstan E, Robinson J. et al. Tibiofemoral kinematics of the anterior cruciate ligament (ACL) – deficient weightbearing, living knee employing vertical access open “interventional” multiple resonance imaging. Am J Sports Med 2004; 32: 720-726.
  • 115 Papannagari R, Gill TJ, DeFrate LE. et al. In vivo kinematics of the knee after anterior cruciate ligament reconstruction. A clinical and functional evaluation. Am J Sports Med 2006; 34: 2006-2012.
  • 116 Yasuda K, Ichiyama H, Kondo E. et al. An in vivo biomechanical study on the tension-versus-knee flexion angle curves of 2 graphs in anatomic double-bundle anterior cruciate ligament reconstruction: effects of initial tension and internal tibial rotation. Arthroscopy 2008; 24: 276-284.