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DOI: 10.3415/VCOT-12-04-0055
The effects of a novel lateral extracapsular suture system on the kinematics of the cranial cruciate deficient canine stifle
Publication History
Received
17 April 2012
Accepted
07 January 2013
Publication Date:
19 December 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00035023/201304/lookinside/thumbnails/10-3415-vcot-12-04-0055-1.jpg)
Summary
Objective To evaluate the relative position of the femur and tibia in cranial cruciate ligament- intact stifles, cranial cruciate ligamentdeficient stifles, and cruciate-deficient stifles following lateral extracapsular suture system (LESS) stabilization under load at specific joint angles.
Study design In vitro biomechanical study.
Methods Twenty pelvic limbs from 11 dogs were used to evaluate the relative position of the femur and tibia between three stifle conditions (cranial cruciate ligament-intact, cranial cruciate ligament-deficient, and LESSstabilized) at a load of 30% of body weight and stifle angles of 125°, 135°, and 145° using electromagnetic tracking sensors.
Results Cranial cruciate ligament-deficient stifles had significantly greater (p <0.0001) cranial displacement and internal rotation of the tibia relative to the femur than cranial cruciate ligament-intact or LESS stifles at all stifle angles. Cranial displacement of the tibia relative to the femur for cranial cruciate ligament-intact and LESS stifles were not significantly different from one another at a stifle angle of 125°, but were significantly different at stifle angles of 135° (p = 0.0182) and 145° (p = 0.0012). There was no significant difference in internal rotation of the tibia relative to the femur between the cranial cruciate ligament-intact and LESS stifles at any of the stifle angles.
Clinical significance The LESS procedure effectively decreased cranial tibial displacement and eliminated internal rotation of the tibia relative to the femur in the cranial cruciate ligament-deficient stifles at stifle angles of 125°, 135°, and 145° in vitro.
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References
- 1 Arnoczky SP, Marshall JL. The cruciate ligaments of the canine stifle: an anatomical and functional analysis. Am J Vet Res 1977; 38: 1807-1814.
- 2 Vasseur PB. Clinical-results following nonoperative management for rupture of the cranial cruciate ligament in dogs. Vet Surg 1984; 13: 243-246.
- 3 Shires PK, Hulse DA, Liu W. The under-and-over fascial replacement technique for anterior cruciate ligament rupture in dogs - a retrospective study. J Am Anim Hosp Assoc 1984; 20: 69-77.
- 4 Arnoczky SP, Tarvin GB, Marshall JL. et al. Over-the-top procedure - technique for anterior cruciate ligament substitution in the dog. J Am Vet Med Assoc 1979; 15: 283-290.
- 5 Paatsama S. Ligament injuries in the canine stifle joint: A clinical and experimental study. [DVM Dissertation]. Helsinki (Finland): University of Helsinki Faculty of Veterinary Medicine; 1952
- 6 Smith GK, Torg JS. Fibular head transposition for repair of cruciate-deficient stifle in the dog. J Am Vet Med Assoc 1985; 187: 375-383.
- 7 DeAngelis M, Lau RE. A lateral retinacular imbrication technique for the surgical correction of anterior cruciate ligament rupture in the dog. J Am Vet Med Assoc 1970; 157: 79-84.
- 8 Flo GL. Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-576.
- 9 Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin N Am Small 1993; 23: 777-795.
- 10 Montavon PM, Damur DM, Tepic S. Advancement of the tibial tuberosity for the treatment of cranial cruciate deficent canine stifle. Proceedings of the 1st World Orthopaedic Veterinary Congress. 2002. September 5-8 Munich, Germany: p. 152.
- 11 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.
- 12 Kim SE, Pozzi A, Banks SA. et al. Effect of tibial tuberosity advancement on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; 38: 33-39.
- 13 Sanchez-Bustinduy M, De Medeiros MA, Radke H. et al. Comparison of kinematic variables in defining lameness caused by naturally occurring rupture of the cranial cruciate ligament in dogs. Vet Surg 2010; 39: 523-530.
- 14 Tashman S, Anderst W, Kolowich P. et al. Kinematics of the ACL-deficient canine knee during gait: serial changes over two years. J Orthop Res 2004; 22: 931-941.
- 15 Geels JJ, Roush JK, Hoskinson JJ. et al. Evaluation of an intracapsular technique for the treatment of cranial cruciate ligament rupture - Clinical, radiographic, scintigraphic and force plate analysis findings in 20 dogs. Vet Comp Orthop Traumatol 2000; 13: 197-203.
- 16 Elkins AD, Pechman R, Kearney MT. et al. A retrospective study evaluating the degree of degenerative joint disease in the stifle joint of dogs following surgical repair of anterior cruciate ligament rupture. J Am Anim Hosp Assoc 1991; 27: 533-540.
- 17 Morgan JP, Voss K, Damur DM. 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.
- 18 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.
- 19 Leighton RL. Preferred method of repair of cranial cruciate ligament rupture in dogs: a survey of ACVS diplomates specializing in canine orthopedics. American College of Veterinary Surgery. Vet Surg. 1999 28. 194.
- 20 Wallace A, Cutting T, Sutcliffe M. et al. A biomechanical comparison of six double loop configurations for use in the lateral fabella suture technique. Vet Comp Orthop Traumatol 2008; 21: 391-399.
- 21 Burgess R, Elder S, McLaughlin RON. et al. In vitro biomechanical evaluation and comparison of FiberWire, FiberTape, OrthoFiber, and nylon leader line for potential use during extraarticular stabilization of canine cruciate deficient stifles. Vet Surg 2010; 39: 208-215.
- 22 Vianna ML, Roe SC. Mechanical comparison of two knots and two crimp systems for securing nylon line used for extra-articular stabilization of the canine stifle. Vet Surg 2006; 35: 567-572.
- 23 Tonks CA, Pozzi A, Ling H-Y. et al. The effects of extra-articular suture tension on contact mechanics of the lateral compartment of cadaveric stifles treated with the TightRope CCL® or lateral suture technique. Vet Surg 2010; 39: 343-349.
- 24 Chailleux N, Lussier B, De Guise J. et al. In vitro 3-dimensional kinematic evaluation of 2 corrective operations for cranial cruciate ligament-deficient stifle. Can J Vet Res 2007; 71: 175-180.
- 25 Guenego L, Zahra A, Madelenat A. et al. Cranial cruciate ligament rupture in large and giant dogs. A retrospective evaluation of a modified lateral extracapsular stabilization. Vet Comp Orthop Traumatol 2007; 20: 43-50.
- 26 Cook JL, Luther JK, Beetem J. et al. Clinical comparison of a novel extracapsular stabilization procedure and tibial plateau leveling osteotomy for treatment of cranial cruciate ligament deficiency in dogs. Vet Surg 2010; 39: 315-323.
- 27 Sicard GK, Hayashi K, Manley PA. Evaluation of 5 types of fishing material, 2 sterilization methods, and a crimp-clamp system for extra-articular stabilization of the canine stifle joint. Vet Surg 2002; 31: 78-84.
- 28 Rose ND, Goerke D, Evans RB. et al. Mechanical testing of orthopedic suture material used for extra-articular stabilization of canine cruciate ligament-deficient stifles. Vet Surg 2012; 41: 266-272.
- 29 Hulse D, Hyman W, Beale B. et al. Determination of isometric points for placement of a lateral suture in treatment of the cranial cruciate ligament deficient stifle. Vet Comp Orthop Traumatol 2010; 23: 163-167.
- 30 Roe SC, Kue J, Gemma J. Isometry of potential suture attachment sites for the cranial cruciate ligament deficient canine stifle. Vet Comp Orthop Traumatol 2008; 21: 215-220.
- 31 Fischer C, Cherres M, Grevel V. et al. Effects of attachment sites and joint angle at the time of lateral suture fixation on tension in the suture for stabilization of the cranial cruciate ligament deficient stifle in dogs. Vet Surg 2010; 39: 334-342.
- 32 Meyer DC, Nyffeler RW, Fucentese SF. et al. Failure of suture material at suture anchor eyelets. Arthroscopy 2002; 18: 1013-1019.
- 33 Butler JR, Syrcle JA, McLaughlin RM. et al. The effect of tibial tuberosity advancement and meniscal release on kinematics of the cranial cruciate ligament-deficient stifle during early, middle, and late stance. Vet Comp Orthop Traumatol 2011; 24: 342-349.
- 34 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.
- 35 Snow LA, White R, Gustafson S. et al. Ex vivo comparison of three surgical techniques to stabilize canine cranial cruciate ligament deficient stifles. Vet Surg 2010; 39: 195-207.
- 36 Huber DJ, Egger EL, James SP. The effect of knotting method on the structural properties of large diameter nonabsorbable monofilament sutures. Vet Surg 1999; 28: 260-267.
- 37 Caporn TM, Roe SC. Biomechanical evaluation of the suitability of monofilament nylon fishing line and leader line for extra-articular stabilization of the cranial cruciate deficient stifle. Vet Comp Orthop Traumatol 1996; 9: 126-133.
- 38 Hill CM, Conzemius MG, Smith GK. Bacterial culture of the canine stifle joint following surgical repair of ruptured cranial cruciate ligament. Vet Comp Orthop Traumatol 1999; 12: 1-5.
- 39 Korvick DL, Pijanowski GJ, Schaeffer DJ. Three-dimensional kinematics of the intact and cranial cruciate ligament-deficient stifle of dogs. J Biomech 1994; 27: 77-87.
- 40 Jaegger G, Marcellin-Little DJ, Levine D. Reliability of goniometry in Labrador Retrievers. Am J Vet Res 2002; 63: 979-986.
- 41 Monahan JJ, Grigg P, Pappas AM. et al. In vivo strain patterns in the four major canine knee ligaments. J Orthop Res 1984; 2: 408-418.