Download PDF
Vet Comp Orthop Traumatol 2002; 15(02): 92-96
DOI: 10.1055/s-0038-1632720
Clinical Communication
Schattauer GmbH

A technique for the surgical repair of caudal peripheral detachment and longitudinal peripheral tears of the medial meniscus in dogs

P. A. Moses
1   Small Animal Surgery Unit, Faculty of Veterinary Science, University of Sydney, NSW, Australia
› Author AffiliationsThe author gratefully acknowledges Dr. Mary Anne Hiscutt for help in preparation of the manuscript and Mandy Jeznic, Medical Artist, for the illustrations.
Further Information

Publication History

Received 04 June 2001

Accepted 07 September 2001

Publication Date:
07 February 2018 (online)

Also available at
    Permissions and Reprints

Summary

Medial meniscal injuries are frequently encountered in dogs secondary to cranial cruciate ligament rupture. Treatment has been limited to partial or total meniscectomy, however removal of meniscal tissue inevitably results in degenerative change. This paper describes a modification of the “inside-out” technique used in human medicine for the repair of caudal peripheral detachment and longitudinal meniscal tears in the vascular zone. Horizontal mattress sutures are used to attach the meniscus to the caudal joint capsule. Six hundred and fifty-four meniscal injuries were found in 1126 stifle arthrotomies and 92 (14.4%) were considered suitable for surgical repair.

Keywords

Meniscus - meniscal repair - ruptured cranial cruciate ligament - dog
 

  • References

  • 1 Newman AP, Anderson DR, Daniels AU, Dales MC. Mechanics of the healed meniscus in a canine model. Am J Sports Med 1989; 17: 164-75.
    CrossrefPubMedSearch in Google Scholar
  • 2 DeHaven KE. Decision making factors in the treatment of meniscal lesions. Clin Orth Rel Res 1990; 252: 49-54.
    PubMedSearch in Google Scholar
  • 3 Annandale T. An operation for displaced semilunar cartilage. Br Med J 1885; 01: 779-81.
    PubMedSearch in Google Scholar
  • 4 Cox JS, Nye CE, Schaefer WW, Woodsdtein IJ. The degenerative effect of partial and total resection of medial meniscus in dog’s knees. Clin Orth Rel Res 1975; 109: 178-83.
    CrossrefPubMedSearch in Google Scholar
  • 5 Simpson DS, Bellenger CR, Ghosh P, Numata Y, Little C. The effect of total meniscectomy versus caudal pole hemi-meniscectomy on the stifle joint of the sheep. Vet Comp Orthop Traumatol 1999; 12: 56-63.
    Thieme ConnectPubMedSearch in Google Scholar
  • 6 Cooper DE, Arnoczsky SP, Warren RE. Meniscal repair. Clin Sports Med 1991; 10: 529-48.
    PubMedSearch in Google Scholar
  • 7 O’Connor BL. The mechanoreceptor innervation of the posterior attachments of the lateral meniscus of the dog knee. J Anat 1984; 138: 15-26.
    PubMedSearch in Google Scholar
  • 8 Dowdy PA, Miniaci A, Aronczky SP, Fowler PJ, Boughner DR. The effect of cast immobilisation on meniscal healing. An experimental study in the dog. Am J Sports Med 1995; 23: 721-8.
    CrossrefPubMedSearch in Google Scholar
  • 9 Nelson DR, Huhn JC, Kneller SK. Surgical repair of peripheral detachment of the medial meniscus in 34 cattle. Vet Record 1990; 127: 571-3.
    PubMedSearch in Google Scholar
  • 10 Hulse DA, Shires P, Abdelbaki YZ, Hugh-Jones M, Keaney MT. Vascular access channelling to increase meniscal regeneration in the dog. Vet Surg 1986; 15: 414-9.
    CrossrefPubMedSearch in Google Scholar
  • 11 Arnoczky SP. Building a meniscus. Clin Orth Rel Res 1999; 367 Supplement: 224-53.
    CrossrefPubMedSearch in Google Scholar
  • 12 Bullough PG, Munuera L, Murphy J. The strength of the menisci of the knee as it relates to their fine structure. J Bone Joint Surg Br 1970; 52: 564-70.
    CrossrefPubMedSearch in Google Scholar
  • 13 Seedhom BB, Hargraves DJ. Transmission of the load in the knee joint with special reference to the role of the menisci. Part II: Experimental results, discussion and conclusions. New Eng J Med 1979; 08: 220-8.
    PubMedSearch in Google Scholar
  • 14 Arnoczky SP, Warren RE. The microvascular of the meniscus and its response to injury. An experimental study in the dog Am J Sports Med 1983; 11: 131-41.
    CrossrefPubMedSearch in Google Scholar
  • 15 Bennett D, May C. Meniscal damage associate with cruciate disease in the dog. J Small Anim Pract 1991; 01: 489-501.
    PubMedSearch in Google Scholar
  • 16 Flo G, DeYoung D. Meniscal injuries and medial meniscectomy in the canine stifle. J Am Anim Hosp Assoc 1978; 14: 683-9.
    PubMedSearch in Google Scholar
  • 17 Piermattei DL, Flo GL. Orthopaedic Examination and Diagnostic Tools. In: Handbook of Small Animal Orthopaedics and Fracture Repair. 3rd Edition. Piermattei DL, Flo GL. (eds). Saunders; 1997: 10-13.
    Search in Google Scholar
  • 18 Slocum B, Devine T. Cranial tibial thrust: A primary force in the canine stifle. J Am Vet Med Assoc 1983; 183: 456-9.
    PubMedSearch in Google Scholar
  • 19 Flo GL. Modification of the lateral retinacular imbrication technique for stabilising cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-6.
    PubMedSearch in Google Scholar
  • 20 Shires PK, Hulse DA, Liu W. The under-andover fascial replacement technique for anterior cruciate ligament rupture in dogs: a retrospective study. J Am Vet Med Assoc 1984; 20: 69-77.
    PubMedSearch in Google Scholar
  • 21 Williams J, Tomlinson J, Constantinescu GM. Diagnosing and treating meniscal injuries in the dog. Vet Med 1994; 01: 42-7.
    PubMedSearch in Google Scholar
  • 22 Ghadially FN, Wedge JH, Lalonde JM. Experimental methods of repairing injured menisci. J Bone Joint Surg (Br) 1986; 68: 106-10.
    PubMedSearch in Google Scholar
  • 23 Dupuis J, Harari J. Cruciate ligament injuries and meniscal injuries in dog. Compend Contin Educ Pract Vet 1993; 15: 215-32.
    PubMedSearch in Google Scholar
  • 24 Webber RJ, Harris MG, Hough AJ. Cell culture of rabbit meniscal fibrochondrocytes: Proliferative and synthetic response to growth factors and ascorbate. J Orthop Res 1985; 03: 36-42.
    CrossrefPubMedSearch in Google Scholar
  • 25 Aronczky SP, Warren RF, Spivak JM. Meniscal repair using an exogenous fibrous clot. An experimental study in dogs. J Bone Joint Surg (Am) 1988; 70: 1209-17.
    CrossrefPubMedSearch in Google Scholar
  • 26 De Haven KE, Arnoczky SP. Meniscus repair: Basic science, indications for repair and open repair. Instructional Course Lectures 1994; 43: 65-76.
    PubMedSearch in Google Scholar
  • 27 Metelman LM, Schwarz PD, Salman M, Alvis MR. An evaluation of three different cranial cruciate ligament surgical stabilisation procedures as they relate to postoperative meniscal injuries. Vet Comp Orthop Traumatol 1995; 08: 118-23.
    Thieme ConnectPubMedSearch in Google Scholar
  • 28 Stone EA, Betts CW, Rudy RL. Folding of the caudal horn of the medial meniscus secondary to severance of the cranial cruciate ligament. Vet Surg 1980; 09: 121-4.
    CrossrefPubMedSearch in Google Scholar
  • 29 DeHaven KE. Meniscus Repair - open vs arthroscopic. Arthroscopy 1985; 01: 173-4.
    CrossrefPubMedSearch in Google Scholar
  • 30 Cassidy RE, Shaffer AJ. Repair of peripheral meniscal tears: A preliminary report. Am J Sports Med 1981; 09: 209-14.
    CrossrefPubMedSearch in Google Scholar