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Vet Comp Orthop Traumatol 2023; 36(02): 063-067
DOI: 10.1055/s-0042-1757590
Original Research

Patellar Proximo-Distal Displacement following Modified Maquet Technique Is Not Predictive of Patellar Luxation

Thomas Elie Giansetto 
1   Department of Surgery, Université de Liège Clinique Vétérinaire des Animaux de Compagnie, Liege, Belgium
,
Emilie Pierrot
2   Department of Diagnostic Imaging, Université de Liège Clinique Vétérinaire des Animaux de Compagnie, Liege, Belgium
,
Pierre P. Picavet 
3   Department of Veterinary Management of Animal Ressources, Biostatistics, Université de Liège Clinique Vétérinaire des Anomaix de Compagnie, Liege, Belgium
,
Michael Lefebvre
1   Department of Surgery, Université de Liège Clinique Vétérinaire des Animaux de Compagnie, Liege, Belgium
,
Albane Rives
3   Department of Veterinary Management of Animal Ressources, Biostatistics, Université de Liège Clinique Vétérinaire des Anomaix de Compagnie, Liege, Belgium
,
Frédéric Farnir
3   Department of Veterinary Management of Animal Ressources, Biostatistics, Université de Liège Clinique Vétérinaire des Anomaix de Compagnie, Liege, Belgium
,
Stéphanie Claeys
1   Department of Surgery, Université de Liège Clinique Vétérinaire des Animaux de Compagnie, Liege, Belgium
,
Marc Balligand
1   Department of Surgery, Université de Liège Clinique Vétérinaire des Animaux de Compagnie, Liege, Belgium
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Abstract

Objective The aim of this study was to test the low sensitivity of the Allberg and Miles index to the stifle opening angle, evaluate the displacement of the patella after a Modified Maquet Technique using this index and assess the incidence of patellar luxation post-Modified Maquet Technique in dogs.

Study Design Medical records were reviewed from 2012 to 2017. Allberg Miles index were determined for each stifle pre- and postoperatively, as well as the stifle joint opening of each case. Occurrence of patellar luxation was recorded.

Results 137 stifles on 116 dogs were reviewed. The stifle opening angle did not influence the Allberg Miles index. Pre- and postoperative index showed a distal displacement of the patella after a Modified Maquet Procedure, especially at 135° of stifle opening angle. Only 1/137 cases demonstrated patellar luxation after the surgery.

Conclusion Based on our statistical analysis, we were able to conclude that within the maximum stifle opening angle range recorded in our series of cases; the Allberg Miles index variation was not significant. While patellar baja is clearly induced by the Modified Maquet Technique, the latter did not seem to predispose patients to post-operative patellar luxation in our study population.

Keywords

Modified Maquet Technique - Cranial Cruciate Ligament Disease - dogs - patellar luxation - patellar baja

Authors' Contributions

T.G., P.P., M.L., A.R., F.F., S.C. and M.B. contributed to gather the data, analyse the measurements, draft the article and make final revisions. E.P. collected the data and made the measurements.




Publication History

Received: 06 December 2021

Accepted: 19 August 2022

Article published online:
31 December 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Johnson JA, Austin C, Breur GJ. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Traumatol 1994; 07 (02) 56-69
    Thieme ConnectPubMedSearch in Google Scholar
  • 2 Boge GS, Engdahl K, Bergström A. et al. Disease-related and overall survival in dogs with cranial cruciate ligament disease, a historical cohort study. Prev Vet Med 2020; 181: 105057
    CrossrefPubMedSearch in Google Scholar
  • 3 Innes JF, Bacon D, Lynch C, Pollard A. Long-term outcome of surgery for dogs with cranial cruciate ligament deficiency. Vet Rec 2000; 147 (12) 325-328
    CrossrefPubMedSearch in Google Scholar
  • 4 Brioschi V, Arthurs GI. Cranial cruciate ligament rupture in small dogs (<15 kg): a narrative literature review. J Small Anim Pract 2021; 62 (12) 1037-1050
    CrossrefPubMedSearch in Google Scholar
  • 5 von Pfeil DJF, Kowaleski MP, Glassman M, Dejardin LM. Results of a survey of Veterinary Orthopedic Society members on the preferred method for treating cranial cruciate ligament rupture in dogs weighing more than 15 kilograms (33 pounds). J Am Vet Med Assoc 2018; 253 (05) 586-597
    CrossrefPubMedSearch in Google Scholar
  • 6 Montavon P, Damur D, Tepic S. Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. 1st World Orth Vet Congr 2002
    PubMedSearch in Google Scholar
  • 7 Etchepareborde S, Brunel L, Bollen G, Balligand M. Preliminary experience of a modified Maquet technique for repair of cranial cruciate ligament rupture in dogs. Vet Comp Orthop Traumatol 2011; 24 (03) 223-227
    Thieme ConnectPubMedSearch in Google Scholar
  • 8 Neville-Towle JD, Makara M, Johnson KA, Voss K. Effect of proximal translation of the osteotomized tibial tuberosity during tibial tuberosity advancement on patellar position and patellar ligament angle. BMC Vet Res 2017; 13 (01) 18
    CrossrefPubMedSearch in Google Scholar
  • 9 Mostafa AA, Griffon DJ, Thomas MW, Constable PD. Proximodistal alignment of the canine patella: radiographic evaluation and association with medial and lateral patellar luxation. Vet Surg 2008; 37 (03) 201-211
    Search in Google Scholar
  • 10 Insall J, Salvati E. Patella position in the normal knee joint. Radiology 1971; 101 (01) 101-104
    Search in Google Scholar
  • 11 Blackburne JS, Peel TE. A new method of measuring patellar height. J Bone Joint Surg Br 1977; 59 (02) 241-242
    CrossrefPubMedSearch in Google Scholar
  • 12 Johnson AL, Probst CW, DeCamp CE, Rosenstein DS, Hauptman JG, Kern TL. Vertical position of the patella in the stifle joint of clinically normal large-breed dogs. Am J Vet Res 2002; 63 (01) 42-46
    Search in Google Scholar
  • 13 Miles JE, Nielsen DH, Jensen BR, Kirpensteijn J, Svalastoga EL, Eriksen T. Comparison of reliability of five patellar position indices at various stifle joint angles in pelvic limbs obtained from cadavers of red foxes (Vulpes vulpes). Am J Vet Res 2012; 73 (02) 263-271
    CrossrefPubMedSearch in Google Scholar
  • 14 Wangdee C, Theyse LFH, Hazewinkel HA. Proximo-distal patellar position in three small dog breeds with medial patellar luxation. Vet Comp Orthop Traumatol 2015; 28 (04) 270-273
    Search in Google Scholar
  • 15 Allberg CM, Miles J. Measurement of patellar proximodistal positioning with limited joint-angle sensitivity. Vet Comp Orthop Traumatol 2020; 33 (02) 96-101
    Thieme ConnectPubMedSearch in Google Scholar
  • 16 Osteotomy Procedures | Veterinary Surgery: Small Animal | Stifle Joint. [quoted May 16, 2022]
    PubMed
  • 17 Kalff S, Butterworth SJ, Miller A, Keeley B, Baines S, McKee WM. Lateral patellar luxation in dogs: a retrospective study of 65 dogs. Vet Comp Orthop Traumatol 2014; 27 (02) 130-134
    Search in Google Scholar
  • 18 Moore EJ, Kim SE, Banks SA, Pozzi A, Coggeshall JD, Jones SC. Normal patellofemoral kinematic patterns during daily activities in dogs. BMC Vet Res 2016; 12 (01) 262
    CrossrefPubMedSearch in Google Scholar
  • 19 Bullek DD, Kelly MA. Management of Patellofemoral Arthritis. In: Scuderi GR, ed. The Patella [Internet]. New York, NY: Springer; 1995: 291-308
    Search in Google Scholar
  • 20 Silvello L, Scarponi R, Guazzetti R, Bianchetti M, Fiore AM. Tibial tubercle advancement by the Maquet technique for patellofemoral arthritis or chondromalacia. Ital J Orthop Traumatol 1987; 13 (01) 37-44
    PubMedSearch in Google Scholar