Vet Comp Orthop Traumatol 2010; 23(03): 196-202
DOI: 10.3415/VCOT-09-02-0014
Case Report
Schattauer GmbH

Tibial tuberosity advancement in two cats with cranial cruciate ligament deficiency

K. Perry
1   Fitzpatrick Referrals, Eashing, Godalming, Surrey, UK
*   Author's current address: Small Animal Hospital, Royal Dick School of Veterinary Studies, University of Edinburgh, Easter Bush EH25 9GR, Scotland.
,
N. Fitzpatrick
1   Fitzpatrick Referrals, Eashing, Godalming, Surrey, UK
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Publikationsverlauf

Received:12. Februar 2009

Accepted:05. Februar 2010

Publikationsdatum:
18. Dezember 2017 (online)

Summary

Two Domestic Shorthaired cats were diagnosed with longstanding lameness attributed to cranial cruciate ligament deficiency without any history of trauma. One cat had a previous operation in which the lateral nylon suture technique was used, and the other cat was affected by a partial tear of the cranial cruciate ligament. Tibial tuberosity advancement was carried out in both patients, which resulted in long-term resolution of lameness for both. The results of these cases concur with previous studies performed on canine patients in terms of viability of technical application and satisfactory return to weight bearing postoperatively. Further investigation of tibial tuberosity advancement in feline patients is justified.

 
  • References

  • 1 Harasen GLG. Feline cranial cruciate rupture. Vet Comp Orthop Traumatol 2005; 18: 254-257.
  • 2 Scavelli TD, Schrader C. Nonsurgical management of rupture of the cranial cruciate ligament in 18 cats. J Am Anim Hosp Assoc 1987; 23: 337-340.
  • 3 Denny HR. The hindlimb. In: Denny HR, editor. A guide to canine and feline orthopaedic surgery. London: Blackwell Scientific Publications 1993; 3: 327-356.
  • 4 Umphlet RC. Feline stifle disease. Vet Clin North Am Small Anim Pract 1993; 23: 897-913.
  • 5 Fitzpatrick N. Management of stifle disease – a practitioner’s perspective. Proceedings; North American Veterinary Conference, Orlando, FL, USA 2009; January17-21 1044-1049.
  • 6 McLaughlin RM. Surgical diseases of the feline stifle joint. Vet Clin Small Anim 2002; 32: 963-982.
  • 7 Marcellin-Little D. Hind limb orthopaedic problems in the feline patient. Proceedings; North American Veterinary Conference, Orlando, FL, USA 2009; January 17-21 1074-1076.
  • 8 Kim SE, Pozzi A, Kowaleski MP. et al. Tibial osteotomies for cranial cruciate ligament insufficiency in dogs. Vet Surg 2008; 37: 111-125.
  • 9 Beale B. Feline Stifle Injuries: How to diagnose and treat. Proceedings; North American Veterinary Conference, Orlando, FL, USA 2009; January 17-21 1024-1025.
  • 10 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: 170-177.
  • 11 Kowaleski M. Biomechanics of TPLO and TTA and their relevance to case selection. Proceedings; British Veterinary Orthopaedic Association, Liverpool, UK 2008; November 21-23 30-33.
  • 12 Slocum B, Devine T. Cranial tibial wedge osteotomy: a technique for eliminating cranial tibial thrust in cranial cruciate ligament repair. J Am Vet Assoc 1984; 1: 564-569.
  • 13 Slocum B, Slocum TD. Tibial plateau levelling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin Small Anim 1993; 23: 777-795.
  • 14 Montavon PM, Damur DM, Tepic S. Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. Proceedings; 1st World Orthopedic Veterinary Congress Munich; Germany: 2002. September 5-8 152.
  • 15 Bruce WJ, Rose A, Tuke J. et al. Evaluation of the triple tibial osteotomy: a new technique for the management of the canine cruciate-deficient stifle Vet Comp Orthop Traumatol. 2007; 20: 159-168.
  • 16 Hoots EA, Petersen SW. Tibial plateau levelling osteotomy and cranial closing wedge osteotomy in a cat with cranial cruciate ligament rupture. J Am Anim Hosp Assoc 2005; 41: 395-399.
  • 17 Nisell R, Ericson MO, Nemeth G. et al. Tibiofemoral joint forces during isokinetic knee extension. Am J Sports Med 1989; 17: 49-54.
  • 18 Dennler R, Kipfer NM, Tepic S. et al. Inclination of the patellar ligament in relation to flexion angle in stifle joints of dogs without degenerative joint disease. Am J Vet Res 2006; 67: 1849-1854.
  • 19 Lafaver S, Miller NA, Preston Stubbs W. et al. Tibial tuberosity advancement for stabilisation of the canine cranial cruciate ligament-deficient stifle joint: Surgical technique, early results and complications in 101 dogs. Vet Surg 2007; 36: 573-586.
  • 20 Miller JM, Shires PK, Lanz OI. et al. Effect of 9mm tibial tuberosity advancement on cranial tibial translation in the canine cranial cruciate ligament-deficient stifle. Vet Surg 2007; 36: 335-340.
  • 21 Voss K, Damur DM, Guerrero T. et al. Force plate analysis to assess limb function after tibial tuberosity advancement in dogs with cranial cruciate ligament disease. Vet Comp Orthop Traumatol 2008; 21: 243-249.
  • 22 Burns CG, Boudrieau RJ. Modified tibial tuberosity advancement procedure with tuberosity advancement in excess of 12mm in four large breed dogs with cranial cruciate ligament-deficient joints. Vet Comp Orthop Traumatol 2008; 21: 250-255.
  • 23 Kipfer NM, Tepic S, Damur DM. et al. Effect of tibial tuberosity advancement on femorotibial shear in cranial cruciate-deficient stifles. Vet Comp Orthop Traumatol 2008; 21: 1-6.
  • 24 Hoffmann DE, Miller JM, Ober CP. et al. Tibial tuberosity advancement in 65 canine stifles. Vet Comp Orthop Traumatol 2006; 19: 219-227.
  • 25 Welches CD, Scavelli TD. Transarticular pinning to repair luxation of the stifle joint in dogs and cats: A retrospective study of 10 cases. J Am Anim Hosp Assoc 1990; 26: 207-214.
  • 26 Herzog W, Adams ME, Matyas JR. et al. Hindlimb loading, morphology and biochemistry of articular cartilage in the ACL-deficient cat knee. Osteoarthritis Cartilage 1993; 1: 243-251.
  • 27 Pozzi A, Kowaleski MP, Apelt D. et al. Effect of medial meniscal release on tibial translation after tibial plateau levelling osteotomy. Vet Surg 2006; 35: 486-494.
  • 28 Vasseur PB. Clinical results following non-operative management of rupture of the cranial cruciate ligament in dogs. Vet Surg 1984; 13: 243-246.
  • 29 Clarke SP, Bennett DJ. Feline osteoarthritis: a prospective study of 28 cases. Small Anim Pract. 2006; 47: 439-445.
  • 30 Alexander JW, Shumway JD, Law RE. et al. Anterior cruciate ligament rupture. Feline Pract 1977; 7: 38-39.
  • 31 Pond MJ, Campbell JR. The canine stifle joint: I. Rupture of the cranial cruciate ligament – an assessment of conservative and surgical treatment. J Small Anim Pract 1972; 13: 1-10.
  • 32 Piermattei LD, Flo LG, DeCamp EC. The stifle joint. In: Piermattei LD, Flo LG, DeCamp EC. editors. Handbook of Small Animal Orthopedics and Fracture Repair. Missouri, USA: Saunders; 2006: 562-632.
  • 33 Petazzoni M. TPLO in the small dog: 18 cases. Proceedings of the 12th ESVOT Congress Munich; Germany: 2004. September 258.
  • 34 Aragon CL, Budsberg SC. Applications of evidence-based medicine: cranial cruciate ligament injury repair in the dog. Vet Surg 2005; 34: 93-98.
  • 35 Hottinger HA, DeCamp CE, Olivier NB. et al. Noninvasive kinematic analysis of the walk in healthy large-breed dogs. Am J Vet Res 1996; 57: 381-388.
  • 36 DeCamp CE, Soutas-Little RW, Hauptman J. et al. Kinematic gait analysis of the trot in healthy Greyhounds. Am J Vet Res 1993; 54: 627-634.
  • 37 Tepic S, Damur DM, Montavon PM. Biomechanics of the stifle joint. Proceedings, 1st World Orthopaedic Veterinary Congress Munich; Germany: 2002. September 5-8.
  • 38 Tepic S, Montavon PM. Is cranial tibial advancement relevant in the cruciate deficient stifle?. Proceedings of the 12th ESVOT Congress Munich; Germany: 2004. September 10-12 132-133.
  • 39 Goslow GE, Reinking RM, Stuart DG. The cat step cycle: hind limb joint angles and muscle lengths during unrestrained locomotion. J Morph 2005; 141: 1-42.
  • 40 Pacchiana PD, Morris E, Gillings SL. et al. Surgical and postoperative complications associated with tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture: 397 cases (1998–2001). J Am Vet Med Assoc 2003; 222: 184-193.
  • 41 Priddy NH, Tomlinson JL, Dodam JR. et al. Complications with and owner assessment of the outcome of tibial plateau leveling osteotomy for treatment of cranial cruciate ligament rupture in dogs: 193 cases (1997–2001). J Am Vet Med Assoc 2003; 222: 1726-1730.
  • 42 Thieman KM, Tomlinson JL, Fox DB. et al. Effect of meniscal release on rate of subsequent meniscal tears and owner-assessed outcome in dogs with cruciate disease treated with tibial plateau leveling osteotomy. Vet Surg 2006; 35: 705-710.
  • 43 Stauffer KD, Tuttle TA, Elkins AD. et al. Complications associated with 696 tibial plateau leveling osteotomies (2001–2003). J Am Anim Hosp Assoc 2006; 42: 44-50.