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DOI: 10.3415/VCOT-10-01-0012
Preliminary experience of a modified Maquet technique for repair of cranial cruciate ligament rupture in dogs
Publikationsverlauf
Received:29. Januar 2010
Accepted:22. Februar 2010
Publikationsdatum:
19. Dezember 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00035023/201103/lookinside/thumbnails/10-3415-vcot-10-01-0012-1.jpg)
Summary
The modified Maquet technique (MMT) uses the same principle as the tibial tuberosity advancement (TTA) for stabilization of the cranial cruciate ligament-deficient stifle in the dog. In the MMT, the tibial tuberosity is advanced in a similar manner to that used in the TTA, however the means by which the tibial crest is stabilized differs. The plate and fork originally described by Montavon et al. are not used (7). The MMT was first described by Maquet for use on humans it leaves intact a distal bony attachment to the tibial shaft, and the tuberosity is either reinforced or not by a figure-of-eight wire. In this paper, we describe the MMT, and we report the results of our first 20 canine patients with cranial cruciate ligament rupture that were treated by the MMT. Mean clinical bone healing time was 6.8 weeks (range 4 to 12 weeks).
The evidence provided by this Clinical Communication suggests that it is technically possible to achieve an advancement of the tibial tuberosity without the need for a plate. The MMT deserves consideration as a primary treatment option for cranial cruciate ligament rupture in dogs, and further evaluation in large clinical studies. Long-term follow-up and force plate analysis would be necessary to compare the MMT to both the TTA and the tibial plateau levelling osteotomy.
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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; 7: 56-69.
- 2 Innes JF, Barr AR. Clinical natural history of the postsurgical cruciate deficient canine stifle joint: year 1. J Small Anim Pract 1998; 39: 325-332.
- 3 Jackson J, Vasseur PB, Griffey S. et al. Pathologic changes in grossly normal menisci in dogs with rupture of the cranial cruciate ligament. J Am Vet Med Assoc 2001; 218: 1281-1284.
- 4 Aragon CL, Budsberg SC. Applications of evidence-based medicine: cranial cruciate ligament injury repair in the dog. Vet Surg 2005; 34: 93-98.
- 5 Slocum B, Devine T. Cranial tibial wedge osteotomy: a technique for eliminating cranial tibial thrust in cranial cruciate ligament repair. J Am Vet Med Assoc 1984; 184: 564-569.
- 6 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: 777-795.
- 7 Montavon PM, Damur DM, Tepic S. editors Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. Proceedings of the 1st World Orthopedic Veterinary Congress. 2002. Sept. 5–8 Munich; Germany: pg. 152
- 8 Tepic S, Damur DM, Montavon PM. editors Bio-mechanics of the stifle joint. Proceedings of the 1st World Orthopaedic Veterinary Congress. 2002. Sept. 5–8 Munich; Germany: pg. 189-190.
- 9 Voss K, Damur DM, Guerrero T. et al. Force plate gait analysis to assess limb function after tibial tube-rosity advancement in dogs with cranial cruciate ligament disease. Vet Comp Orthop Traumatol 2008; 21: 243-249.
- 10 Lafaver S, Miller NA, Stubbs WP. et al. Tibial tuberosity advancement for stabilization of the canine cranial cruciate ligament-deficient stifle joint: surgical technique, early results, and complications in 101 dogs. Vet Surg 2007; 36: 573-586.
- 11 Maquet P. Advancement of the tibial tuberosity. Clin Orthop Relat Res 1976; 115: 225-230.
- 12 Mendes DG, Soudry M, Iusim M. Clinical assessment of Maquet tibial tuberosity advancement. Clin Orthop Relat Res 1987; 222: 228-238.
- 13 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.
- 14 Palmer RH. Biological osteosynthesis. Vet Clin North Am Small Anim Pract 1999; 29: 1171-1185.
- 15 Rayward TM, Thomson DG, Davies JV. et al. Progression of osteoarthritis following TPLO surgery: a prospective radiographic study of 40 dogs. J Small Anim Pract 2004; 45: 92-97.
- 16 Hoffmann DE, Miller JM, Ober CP. et al. Tibial tuberosity advancement in 65 canine stifles. Vet Comp Orthop Traumatol 2006; 19: 219-227.
- 17 Burns J, Boudrieau RJ. Modified tibial tuberosity advancement procedure with tuberosity advancement in excess of 12 mm in four large breed dogs with cranial cruciate ligament-deficient joints. Vet Comp Orthop Traumatol 2008; 21: 250-255.
- 18 Stein S, Schmoekel H. Short-term and eight to 12 months results of a tibial tuberosity advancement as treatment of canine cranial cruciate ligament damage. J Small Anim Pract 2008; 49: 398-404.
- 19 Wilson JW, Belloli DM, Robbins T. Resistance of cerclage to knot failure. J Am Vet Med Assoc 1985; 187: 389-391.
- 20 Etchepareborde S, Barthelemy N, Mills J. et al. Mechanical testing of a modified stabilization method for tibial tuberosity advancement. Vet Comp Orthop Traumatol 2010; 23: 400-405.
- 21 Nakamura N, Ellis M, Seedhom BB. Advancement of the tibial tuberosity: a biomechanical study. J Bone Joint Surg 1985; 67: 255-260.
- 22 Mostafa AA, Griffon DJ, Thomas MW. et al. Proximodistal alignment of the canine patella: radio-graphic evaluation and association with medial and lateral patellar luxation. Vet Surg 2008; 37: 201-211.
- 23 Piermattei D, Flo GL. The stifle joint. In Piermattei DL, Flo GL. editors Handbook of Small Animal Orthopedics and Fracture Repair. 3rd edition. Philadelphia (PA, USA): Saunders; 1997: pg. 516-534.
- 24 Piermattei D, Flo GL. The Stifle Joint. In Piermattei DL, Flo GL. editors Handbook of Small Animal Orthopedics and Fracture Repair. 3rd edition. Philadelphia (PA, USA): Saunders; 1997: pg. 36.
- 25 Pozzi A, Kim SE, Lewis DD. Effect of transaction of the caudal menisco-tibial ligament on medial femorotibial contact mechanics. Vet Surg 2010; 39: 489-495.
- 26 Luther JK, Cook CR, Cook JL. Meniscal release in cruciate ligament intact stifles causes lameness and medial compartment cartilage pathology in dogs 12 weeks postoperatively. Vet Surg 2009; 38: 520-529.