RSS-Feed abonnieren
DOI: 10.1055/s-0038-1653960
Effect of Tibial Plateau Levelling Osteotomy on Cranial Tibial Subluxation in the Feline Cranial Cruciate Deficient Stifle Joint: An Ex Vivo Experimental Study
Funding None.Publikationsverlauf
06. Juli 2017
16. März 2018
Publikationsdatum:
11. Juni 2018 (online)
Abstract
Objectives This study evaluated the effects of tibial plateau levelling osteotomy on cranial tibial subluxation and tibial rotation angle in a model of feline cranial cruciate ligament deficient stifle joint.
Methods Quadriceps and gastrocnemius muscles were simulated with cables, turnbuckles and a spring in an ex vivo limb model. Cranial tibial subluxation and tibial rotation angle were measured radiographically before and after cranial cruciate ligament section, and after tibial plateau levelling osteotomy, at postoperative tibial plateau angles of +5°, 0° and –5°.
Results Cranial tibial subluxation and tibial rotation angle were not significantly altered after tibial plateau levelling osteotomy with a tibial plateau angle of +5°. Additional rotation of the tibial plateau to a tibial plateau angle of 0° and –5° had no significant effect on cranial tibial subluxation and tibial rotation angle, although 2 out of 10 specimens were stabilized by a postoperative tibial plateau angle of –5°. No stabilization of the cranial cruciate ligament deficient stifle was observed in this model of the feline stifle, after tibial plateau levelling osteotomy.
Clinical Significance Given that stabilization of the cranial cruciate ligament deficient stifle was not obtained in this model, simple transposition of the tibial plateau levelling osteotomy technique from the dog to the cat may not be appropriate.
Authors Contributions
A. Bilmont and M. Retournard contributed to conception of study, study design, acquisition of data and data analysis and interpretation. E. Asimus, S. Palierne and A. Autefage contributed to conception of study, study design, and data analysis and interpretation. All authors drafted and revised and approved the submitted manuscript.
-
References
- 1 Harasen GL. Feline cranial cruciate rupture: 17 cases and a review of the literature. Vet Comp Orthop Traumatol 2005; 18 (04) 254-257
- 2 Umphlet RC. Feline stifle disease. Vet Clin North Am Small Anim Pract 1993; 23 (04) 897-913
- 3 De Sousa RJ, Knudsen CS, Holmes MA, Langley-Hobbs SJ. Quasi-isometric points for the technique of lateral suture placement in the feline stifle joint. Vet Surg 2014; 43 (02) 120-126
- 4 De Sousa R, Sutcliffe M, Rousset N, Holmes M, Langley-Hobbs SJ. Treatment of cranial cruciate ligament rupture in the feline stifle. Biomechanical comparison of a standard fabella-tibial suture and lateral sutures placed between quasi-isometric points. Vet Comp Orthop Traumatol 2015; 28 (06) 401-408
- 5 Allan RM. A modified Maquet technique for management of cranial cruciate avulsion in a cat. J Small Anim Pract 2014; 55 (01) 52-56
- 6 Perry K, Fitzpatrick N. Tibial tuberosity advancement in two cats with cranial cruciate ligament deficiency. Vet Comp Orthop Traumatol 2010; 23 (03) 196-202
- 7 Hoots EA, Petersen SW. Tibial plateau leveling osteotomy and cranial closing wedge ostectomy in a cat with cranial cruciate ligament rupture. J Am Anim Hosp Assoc 2005; 41 (06) 395-399
- 8 Mindner JK, Bielecki MJ, Scharvogel S, Meiler D. Tibial plateau levelling osteotomy in eleven cats with cranial cruciate ligament rupture. Vet Comp Orthop Traumatol 2016; 29 (06) 528-535
- 9 Retournard M, Bilmont A, Asimus E, Palierne S, Autefage A. Effect of tibial tuberosity advancement on cranial tibial subluxation in the feline cranial cruciate deficient stifle joint: an ex vivo experimental study. Res Vet Sci 2016; 107: 240-245
- 10 Christopher SA, Beetem J, Cook JL. Comparison of long-term outcomes associated with three surgical techniques for treatment of cranial cruciate ligament disease in dogs. Vet Surg 2013; 42 (03) 329-334
- 11 Schnabl E, Reese S, Lorinson K, Lorinson D. Measurement of the tibial plateau angle in cats with and without cranial cruciate ligament rupture. Vet Comp Orthop Traumatol 2009; 22 (02) 83-86
- 12 Warzee CC, Dejardin LM, Arnoczky SP, Perry RL. Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciate-deficient stifles: an in vitro experimental study. Vet Surg 2001; 30 (03) 278-286
- 13 Apelt D, Kowaleski MP, Boudrieau RJ. Effect of tibial tuberosity advancement on cranial tibial subluxation in canine cranial cruciate-deficient stifle joints: an in vitro experimental study. Vet Surg 2007; 36 (02) 170-177
- 14 Kipfer NM, Tepic S, Damur DM, Guerrero T, Hässig M, Montavon PM. Effect of tibial tuberosity advancement on femorotibial shear in cranial cruciate-deficient stifles. An in vitro study. Vet Comp Orthop Traumatol 2008; 21 (05) 385-390
- 15 Carlson-Kuhta P, Trank TV, Smith JL. Forms of forward quadrupedal locomotion. II. A comparison of posture, hindlimb kinematics, and motor patterns for upslope and level walking. J Neurophysiol 1998; 79 (04) 1687-1701
- 16 Corbee RJ, Maas H, Doornenbal A, Hazewinkel HA. Forelimb and hindlimb ground reaction forces of walking cats: assessment and comparison with walking dogs. Vet J 2014; 202 (01) 116-127
- 17 Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin North Am Small Anim Pract 1993; 23 (04) 777-795
- 18 Kim SE, Pozzi A, Banks SA, Conrad BP, Lewis DD. Effect of tibial tuberosity advancement on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; a 38 (01) 33-39
- 19 Kim SE, Pozzi A, Banks SA, Conrad BP, Lewis DD. Effect of tibial plateau leveling osteotomy on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; b 38 (01) 23-32
- 20 Pozzi A, Kowaleski MP, Apelt D, Meadows C, Andrews CM, Johnson KA. Effect of medial meniscal release on tibial translation after tibial plateau leveling osteotomy. Vet Surg 2006; 35 (05) 486-494
- 21 Pozzi A, Litsky AS, Field J, Apelt D, Meadows C, Johnson KA. Pressure distributions on the medial tibial plateau after medial meniscal surgery and tibial plateau levelling osteotomy in dogs. Vet Comp Orthop Traumatol 2008; 21 (01) 8-14
- 22 Kowaleski MP, Apelt D, Mattoon JS, Litsky AS. The effect of tibial plateau leveling osteotomy position on cranial tibial subluxation: an in vitro study. Vet Surg 2005; 34 (04) 332-336
- 23 Hoffmann DE, Kowaleski MP, Johnson KA, Evans RB, Boudrieau RJ. Ex vivo biomechanical evaluation of the canine cranial cruciate ligament-deficient stifle with varying angles of stifle joint flexion and axial loads after tibial tuberosity advancement. Vet Surg 2011; 40 (03) 311-320
- 24 Adrian CP, Haussler KK, Kawcak C. , et al. The role of muscle activation in cruciate disease. Vet Surg 2013; 42 (07) 765-773
- 25 Shelburne KB, Torry MR, Pandy MG. Contributions of muscles, ligaments, and the ground-reaction force to tibiofemoral joint loading during normal gait. J Orthop Res 2006; 24 (10) 1983-1990
- 26 Miller JM, Shires PK, Lanz OI, Martin RA, Grant JW. Effect of 9 mm tibial tuberosity advancement on cranial tibial translation in the canine cranial cruciate ligament-deficient stifle. Vet Surg 2007; 36 (04) 335-340
- 27 Reif U, Hulse DA, Hauptman JG. Effect of tibial plateau leveling on stability of the canine cranial cruciate-deficient stifle joint: an in vitro study. Vet Surg 2002; 31 (02) 147-154
- 28 D'Amico LL, Lanz OI, Aulakh KS. , et al. The effects of a novel lateral extracapsular suture system on the kinematics of the cranial cruciate deficient canine stifle. Vet Comp Orthop Traumatol 2013; 26 (04) 271-279
- 29 de Rooster H, de Bruin T, van Bree H. Morphologic and functional features of the canine cruciate ligaments. Vet Surg 2006; 35 (08) 769-780
- 30 Nisell R, Németh G, Ohlsén H. Joint forces in extension of the knee. Analysis of a mechanical model. Acta Orthop Scand 1986; 57 (01) 41-46