PDF herunterladen
Vet Comp Orthop Traumatol 2018; 31(04): 273-278
DOI: 10.1055/s-0038-1653960
Original Research
Georg Thieme Verlag KG Stuttgart · New York

Effect of Tibial Plateau Levelling Osteotomy on Cranial Tibial Subluxation in the Feline Cranial Cruciate Deficient Stifle Joint: An Ex Vivo Experimental Study

A. Bilmont
1   Université de Toulouse, Ecole Nationale Vétérinaire de Toulouse, Unité de Recherche Clinique, Laboratoire de Biomécanique, Toulouse, France
,
M. Retournard
1   Université de Toulouse, Ecole Nationale Vétérinaire de Toulouse, Unité de Recherche Clinique, Laboratoire de Biomécanique, Toulouse, France
,
E. Asimus
1   Université de Toulouse, Ecole Nationale Vétérinaire de Toulouse, Unité de Recherche Clinique, Laboratoire de Biomécanique, Toulouse, France
,
S. Palierne
1   Université de Toulouse, Ecole Nationale Vétérinaire de Toulouse, Unité de Recherche Clinique, Laboratoire de Biomécanique, Toulouse, France
,
A. Autefage
1   Université de Toulouse, Ecole Nationale Vétérinaire de Toulouse, Unité de Recherche Clinique, Laboratoire de Biomécanique, Toulouse, France
› Institutsangaben Funding None.
Weitere Informationen

Publikationsverlauf

06. Juli 2017

16. März 2018

Publikationsdatum:
11. Juni 2018 (online)

Auch verfügbar auf
    Lizenzen und Reprints

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.

Keywords

tibial plateau levelling osteotomy - cranial cruciate ligament - cat - feline

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
    Thieme ConnectPubMedSuche in Google Scholar
  • 2 Umphlet RC. Feline stifle disease. Vet Clin North Am Small Anim Pract 1993; 23 (04) 897-913
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    Thieme ConnectPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    Thieme ConnectPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    Thieme ConnectPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    Thieme ConnectPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    Thieme ConnectPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    Thieme ConnectPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 24 Adrian CP, Haussler KK, Kawcak C. , et al. The role of muscle activation in cruciate disease. Vet Surg 2013; 42 (07) 765-773
    PubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    Thieme ConnectPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar
  • 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
    CrossrefPubMedSuche in Google Scholar