PDF herunterladen
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
1   College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA
,
J. A. Syrcle
1   College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA
,
R. M. McLaughlin
1   College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA
,
S. H. Elder
2   Department of Agricultural and Biological Engineering, Mississippi State University; Mississippi State, Mississippi, USA
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Received: 18. August 2010

Accepted: 07. Juni 2011

Publikationsdatum:
17. Dezember 2017 (online)

Auch verfügbar auf
    Lizenzen und Reprints

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
 

  • References

  • 1 Justine JA. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Traumatol 1994; 7: 56-69.
    Thieme ConnectPubMedSuche in Google Scholar
  • 2 Arnoczky SP, Marshal JL. The cruciate ligaments of the canine stifle: an anatomical and functional analysis. Am J Vet Res 1977; 38: 1807-1814.
    PubMedSuche in Google Scholar
  • 3 Moore KW, Read RA. Rupture of the cranial cruciate ligament in dogs. Comp Contin Educ Pract Vet 1996; 18: 223-234.
    PubMedSuche in Google Scholar
  • 4 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.
    CrossrefPubMedSuche in Google Scholar
  • 5 Montavon PM, Damur DM, Tepic S. Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. In: Proceedings of 1st World Orthopedic Veterinary Congress. 2002. September 5-8. Munich; Germany; pg. 152.
    Suche in Google Scholar
  • 6 Hurley CR, Hammer DL, Shott S. Progression of radiographic evidence of osteoarthritis following tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture: 295 cases (2001–2005). J Am Vet Med Assoc 2007; 230: 1674-1679.
    CrossrefPubMedSuche in Google Scholar
  • 7 Lazar TP, Berry CR, deHaan JJ. et al Long-term radiographic comparison of tibial plateau leveling osteotomy versus extracapsular stabilization for cranial cruciate ligament rupture in the dog. Vet Surg 2005; 34: 133-141.
    CrossrefPubMedSuche in Google Scholar
  • 8 Lineberger JA, Allen DA, Wilson ER. et al Comparison of radiographic arthritic changes associated with two variations of tibial plateau leveling osteotomy. Vet Comp Orthop Traumatol 2005; 18: 13-17.
    Thieme ConnectPubMedSuche in Google Scholar
  • 9 Rayward RM, 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.
    CrossrefPubMedSuche in Google Scholar
  • 10 Morgan JP, Damur DM, Guerrero T. et al Correlation of radiographic changes after tibial tuberosity advancement in dogs with cranial cruciate-deficient stifles with functional outcome. Vet Surg 2010; 39: 425-432.
    CrossrefPubMedSuche in Google Scholar
  • 11 Cook JL. Cranial cruciate ligament disease in dogs: Biology versus biomechanics. Vet Surg 2010; 39: 270-277.
    CrossrefPubMedSuche in Google Scholar
  • 12 Vasseur PB. Stifle Joint. In Textbook of Small Animal Surgery. 3rd ed Vol 2. Slatter D. editor.. Philadelphia; Elsevier Science; 2003. pg 2090-2133.
    Suche in Google Scholar
  • 13 Tepic S, Damur D, Montavon PM. Biomechanics of the stifle joint. In Proceedings of the 1st World Orthopedic Veterinary Congress. 2002. September 5-8. Munich; Germany.: pg. 189-190.
    Suche in Google Scholar
  • 14 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.
    CrossrefPubMedSuche in Google Scholar
  • 15 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.
    PubMedSuche in Google Scholar
  • 16 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.
    CrossrefPubMedSuche in Google Scholar
  • 17 Hoffmann DE, Miller JM, Ober CP. et al Tibial tuberosity advancement in 65 canine stifles. Vet Comp Orthop Traumatol 2006; 19: 219-227.
    Thieme ConnectPubMedSuche in Google Scholar
  • 18 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.
    CrossrefPubMedSuche in Google Scholar
  • 19 Voss K, Damur DM, Guerrero T. et al Force plate gait analysis to assess limb function after tibial tuberosity advancement in dogs with cranial cruciate ligament disease. Vet Comp Orthop Traumatol 2008; 21: 243-249.
    Thieme ConnectPubMedSuche in Google Scholar
  • 20 Kim SE, Pozzi A, Banks SA. et al Effect of tibial tuberosity advancement on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; 38: 33-38.
    CrossrefPubMedSuche in Google Scholar
  • 21 Miller JM, Shires PK, Lanz OI. et al Effect of 9 mm tibial tuberosity advancement on cranial tibial translation in the canine cranial cruciate ligament-deficient stifle. Vet Surg 2007; 36: 335-340.
    CrossrefPubMedSuche in Google Scholar
  • 22 Kipfer NM, Tepic S, Damur DM. et al Effect of tibial tuberosity advancement on femorotibial shear in cranial cruciate-deficient stifles: An in vitro study. Vet Comp Orthop Traumatol 2008; 21: 385-390.
    Thieme ConnectPubMedSuche in Google Scholar
  • 23 Hoffman DE, Kowaleski MP, Johnson KA. et al 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: 311-320.
    CrossrefPubMedSuche in Google Scholar
  • 24 Pozzi A, Litsky AS, Apelt D. et al Pressure distributions on the medial tibial plateau after medial meniscal surgery and tibial plateau leveling osteotomy in dogs. Vet Comp Orthop Traumatol 2008; 21: 8-14.
    Thieme ConnectPubMedSuche in Google Scholar
  • 25 Abel SB, Hammer DL, Shott S.. Use of the proximal portion of the tibia for measurement of the tibial plateau angle in dogs. Am J Vet Res 2003; 64: 1117-1123.
    CrossrefPubMedSuche in Google Scholar
  • 26 Warzee CC, Dejardin LM, Arnoczky SP. et al 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: 278-286.
    CrossrefPubMedSuche in Google Scholar
  • 27 Kim SE, Pozzi A, Banks SA. et al Effect of tibial plateau leveling osteotomy on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; 38: 23-32.
    CrossrefPubMedSuche in Google Scholar
  • 28 Jordan K, Dziedzic K, Jones PW. et al The reliability of the three-dimensional FASTRAK measurement system in measuring cervical spine and shoulder range of motion in healthy subjects. Rheumatology 2000; 39: 382-388.
    CrossrefPubMedSuche in Google Scholar
  • 29 Milne AD, Chess DG, Johnson JA. et al Accuracy of an electromagnetic tracking device: A study of the optimal operating range and metal interference. J Biomech 1996; 29 (06) 791-793.
    CrossrefPubMedSuche in Google Scholar
  • 30 Schwandt CS, Bohorquez-Vanelli A, Tepic S. et al Angle between the patellar ligament and tibial plateau in dogs with partial rupture of the cranial cruciate ligament. Am J Vet Res 2006; 67: 1855-1860.
    CrossrefPubMedSuche in Google Scholar
  • 31 Kim SE, Pozzi A, Banks SA. et al Effect of cranial cruciate ligament deficiency, tibial plateau leveling osteotomy, and tibial tuberosity advancement on contact mechanics and alignment of the stifle in flexion. Vet Surg 2010; 39: 363-370.
    CrossrefPubMedSuche in Google Scholar
  • 32 Boudrieau RJ. Tibial plateau leveling osteotomy or tibial tuberosity advancement?. Vet Surg 2009; 38: 1-22.
    CrossrefPubMedSuche in Google Scholar
  • 33 Tashman S, Anderst W, Kolowich P. et al Kinematics of the ACL-deficient canine knee during gait: serial change over two years. J Orthop Res 2004; 931-941.
    PubMedSuche in Google Scholar
  • 34 Levy IM, Torzilli PA, Warren RF. The effect of medial meniscectomy on anterior-posterior motion of the knee. J Bone Joint Surg Am 1982; 64: 883-888.
    CrossrefPubMedSuche in Google Scholar
  • 35 Pozzi A, Kowaleski MP, Apelt D. et al Effect of medial meniscal release on tibial translation after tibial plateau leveling osteotomy. Vet Surg 2006; 35: 486-494.
    CrossrefPubMedSuche in Google Scholar
  • 36 Harner CD, Mauro CS, Lesniak BP. et al Biomechanical consequences of a tear of the posterior root of the medial meniscus. J Bone Joint Surg Am 2009; 91: 257-270.
    PubMedSuche in Google Scholar
  • 37 Pozzi A, Kim SE, Lewis DD. Effect of transection of the caudal menisco-tibial ligament on medial femorotibial contact mechanics. Vet Surg 2010; 39: 489-495.
    CrossrefPubMedSuche in Google Scholar
  • 38 Markolf KL, Bargar WL, Shoemaker SC. et al The role of joint load in knee stability. J Bone Joint Surg Am 1981; 63: 570-585.
    CrossrefPubMedSuche in Google Scholar
  • 39 Ragetly CA, Dominique JG, Mostafa AA. et al Inverse dynamics analysis of the pelvic limbs in Labrador retrievers with and without cranial cruciate ligament disease. Vet Surg 2010; 39: 513-522.
    CrossrefPubMedSuche in Google Scholar
  • 40 Vezzoni A. Non-traumatic cranial cruciate ligament injuries. In: Proceedings of the 1st world orthopaedic veterinary congress; Munich, Germany 2002; September 5-8. Pg. 199-203.
    PubMedSuche in Google Scholar
  • 41 Magit DP, McGarry M, Tibone JE. et al Comparison of cutaneous and transosseus electromagnetic position sensors in the assessment of tibial rotation in a cadaveric model. Am J Sports Med 2008; 36: 971-977.
    CrossrefPubMedSuche in Google Scholar
  • 42 Bertollo N, Bell DJ, Walsh WR. Intraoperative patellar kinematics following resection of the central one-third of the patellar tendon in the ovine stifle joint. Vet Comp Orthop Traumatol 2011; 24: 197-204.
    Thieme ConnectPubMedSuche in Google Scholar
  • 43 Jaegger G, Marcellin-Little DJ, Levine D. Reliability of goniometry in Labrador retrievers. Am J Vet Res 2002; 63: 979-986.
    CrossrefPubMedSuche in Google Scholar