The effect of tibial tuberosity advancement and meniscal release on kinematics of the cranial cruciate ligament-deficient stifle during early, middle, and late stance

J. R. Butler; J. A. Syrcle; R. M. McLaughlin; S. H. Elder

doi:10.3415/VCOT-10-08-0122

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 2011; 24(05): 342-349
DOI: 10.3415/VCOT-10-08-0122

Original Research

Schattauer GmbH

The effect of tibial tuberosity advancement and meniscal release on kinematics of the cranial cruciate ligament-deficient stifle during early, middle, and late stance

J. R. Butler

¹College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA

,

J. A. Syrcle

¹College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA

,

R. M. McLaughlin

¹College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA

,

S. H. Elder

²Department of Agricultural and Biological Engineering, Mississippi State University; Mississippi State, Mississippi, USA

› Author Affiliations

Abstract

Summary

Objectives: To evaluate the effect of tibial tuberosity advancement (TTA) and meniscal release on cranial-caudal and axial rotational displacement during early, middle and late stance phases in the canine cranial cruciate ligament- (CCL) deficient stifle.

Study design: In vitro biomechanical study.

Methods: Eighteen pelvic limbs were evaluated for the effects of TTA on cranial-caudal displacement and axial rotation under a load equivalent to 30% bodyweight, and under the following treatment conditions: normal (intact CCL), CCL deficient, TTA-treated (CCL deficient + TTA), and meniscal release (TTA treated + meniscal release). The limbs were evaluated in the early, middle, and late stance phases using electromagnetic tracking sensors to determine cranial tibial displacement and tibial rotation relative to the femur.

Results: Transection of the CCL resulted in significant cranial tibial displacement during early, middle, and late stance (p < 0.0001) and significant internal rotation during early (p = 0.049) and middle stance (p = 0.0006). Performance of TTA successfully eliminated cranial tibial displacement in early, middle, and late stance (p <0.0001) however, the TTA was unsuccessful in normalizing axial rotation in middle stance (p = 0.030). Meniscal release had no effect on cranial-caudal or rotational displacement when performed in conjunction with the TTA.

Clinical significance: Tibial tuberosity advancement effectively eliminates cranial tibial displacement during early, middle and late stance however, TTA failed to provide rotational stability in mid-stance.

Keywords

Stifle - tibial tuberosity advancement - cranial cruciate ligament - stance - kinematics

Full Text

References

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