Comparison of Stifle Biomechanics after Two Different Techniques of Cranial Cruciate Ligament Repair

Jacqueline R. Davidson; M.S. Bauer; S.W. Aiken; J.P. Toombs; J.M. Prostredny

doi:10.1055/s-0038-1633118

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 1993; 06(03): 172-174
DOI: 10.1055/s-0038-1633118

Original Research

Schattauer GmbH

Comparison of Stifle Biomechanics after Two Different Techniques of Cranial Cruciate Ligament Repair

Jacqueline R. Davidson

¹Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA

,

M.S. Bauer

¹Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA

,

S.W. Aiken

¹Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA

,

J.P. Toombs

¹Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA

,

J.M. Prostredny

¹Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana, USA

› Author Affiliations

Abstract

Summary

Stifle joint biomechanics were evaluated by analysis of instant centre of motion, after cranial cruciate ligament transection and after stifle joint stabilization, using either the fibular head transposition or the under-and-over fascial strip technique. The instant centres of motion and resulting velocity vectors were determined by radiographic evaluation of the stifle of twelve fresh cadavers before and after cranial cruciate ligament transection, and after stabilization of the stifle joint by either the fibular head transposition or the under-and-over fascial strip technique. All 12 stifles had normal instant centres of motion before transection of the cranial cruciate ligament, and 10 of 12 were normal after transection. All six stifles repaired by fibular head transposition retained normal instant centre of motion. Abnormal instant centres of motion were present in three of six stifles repaired by the under-and-over technique. These differences were not statistically significant.

Stifle joint biomechanics were evaluated by analysis of instant centre of motion after cranial cruciate ligament transection and after stifle joint stabilization using either the fibular head transposition or the underand-over fascial strip technique. Neither surgical technique consistently resulted in abnormal instant centres of motion.

Keywords

Cruciate ligament - instant centre of motion - fibular head transposition - under-and-over fascial strip

Full Text

References

REFERENCES
1 Arnoczky SP, Tarvin GB, Marshall JL, Saltzman B. The over-the-top procedure: A technique for anterior cruciate ligament substitution in the dog. J Am Anim Hosp Assoc 1979; 15: 283-90.
2 Denny HR, Goodship AE. Replacement of the anterior cruciate ligament with carbon fibre in the dog. J Small Anim Pract 1980; 21: 279-86.
3 Dueland R. A recent technique for reconstruction of the anterior cruciate ligament. J Am Anim Hosp Assoc 1966; 2: 1-5.
4 Hinko PJ. The use of a prosthetic ligament in repair of the torn anterior cruciate ligament in the dog. J Am Anim Hosp Assoc 1981; 17: 563-7.
5 Pichler ME, Bacon JP, Evans JA. The fascia lata as a replacement for the cranial cruciate ligament: Two new surgical techniques. J Am Anim Hosp Assoc 1982; 18: 779-84.
6 Shires PK, Hulse DA, Liu W. The under-and-over fascial replacement technique for anterior cruciate ligament rupture in dogs: A retrospective study. J Am Anim Hosp Assoc 1984; 20: 69-77.
7 Steyn DG. The use of carbon fibre to replace the torn cranial cruciate ligament in the dog - A clinical procedure. JS Afr Vet Assoc 1984; 55: 29-32.
8 Trace CGN. A simple repair of the ruptured anterior cruciate ligament in the dog. JS Afr Vet Assoc 1982; 53: 271-3.
9 DeAngelis M, Lau RE. A lateral retinacular imbrication technique for the surgical correction of anterior cruciate ligament rupture in the dog. J Am Vet Med Assoc 1970; 157: 79-84.
10 Dieterich HF. Repair of anterior cruciate ligament rupture using a modified lateral and medial retinacular imbrication technique. VM SAC 1974; 69: 1519-26.
11 Flo GL. Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-6.
12 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: 33-8.
13 Hohn RB, Miller JM. Surgical correction of rupture of the anterior cruciate ligament in the dog. J Am Vet Med Assoc 1967; 150: 1133-41.
14 Pearson PT, McCurnin DM, Carter JD, Hoskins JD. Lembert suture technique to surgically correct ruptured cruciate ligaments. J Am Anim Hosp Assoc 1971; 7: 1-13.
15 Smith GK, Torg JS. Fibular head transposition for repair of cruciate-deficient stifle in the dog. J Am Vet Med Assoc 1985; 187: 375-83.
16 Arnoczky SP, Torzilli PA, Marshall JL. Biomechanical evaluation of anterior cruciate ligament repair in the dog: An analysis of the instant centre of motion. J Am Anim Hosp Assoc 1977; 13: 553-8.
17 Frankel VH, Burstein AH, Brooks DB. Biomechanics of internal derangement of the knee. J Bone Joint Surg 1971; 53: 945-77.
18 Gerber C, Matter P. Biomechanical analysis of the knee after rupture of the anterior cruciate ligament and its primary repair. J Bone Joint Surg (Br) 1983; 65-B: 391-9.
19 Ireland WP, Rogers J, Myers RK. Location of the instantaneous centre of joint rotation in the normal canine stifle. Am J Vet Res 1986; 47: 837-40.
20 Piermattei DL, Greeley RG. An Atlas of Surgical Approaches to the Bones of the Dog and Cat. 2nd ed. Philadelphia: Saunders; 1979: 164-5.
21 Prostredny JM, Bauer MS, Blevins WE. et al. Effect of suture type of stifle joint biomechanics after extra-articular repair of cranial cruciate ligament transection in the dog. V.C. O.T. 1991; 4: 144-9.
22 Mullen HS, Matthiesen DT. Complications of transposition of the fibular head for stabilization of the cranial cruciate-deficient stifle in dogs: 80 cases (1982-1986). J Am Vet Med Assoc 1989; 195: 1267-71.