PDF herunterladen
Vet Comp Orthop Traumatol 2013; 26(04): 271-279
DOI: 10.3415/VCOT-12-04-0055
Original Research
Schattauer GmbH

The effects of a novel lateral extracapsular suture system on the kinematics of the cranial cruciate deficient canine stifle

L. L. D´Amico
1   Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, Virginia, USA
,
O. I. Lanz
1   Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, Virginia, USA
,
K. S. Aulakh
1   Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, Virginia, USA
,
J. R. Butler
2   Department of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA
,
R. M. McLaughlin
2   Department of Clinical Sciences, College of Veterinary Medicine, Mississippi State University, Mississippi State, Mississippi, USA
,
T. A. Harper
1   Department of Small Animal Clinical Sciences, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, Virginia, USA
,
S. R. Werre
3   Department of Biomedical Sciences and Pathobiology, Virginia-Maryland Regional College of Veterinary Medicine, Blacksburg, Virginia, USA
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Received 17. April 2012

Accepted 07. Januar 2013

Publikationsdatum:
19. Dezember 2017 (online)

Auch verfügbar auf
    Lizenzen und Reprints

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.

Keywords

Lateral extracapsular suture system - cranial - cruciate ligament - kinematics - cranial tibial - displacement - internal rotation
 

  • 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.
    PubMedSuche in Google Scholar
  • 2 Vasseur PB. Clinical-results following nonoperative management for rupture of the cranial cruciate ligament in dogs. Vet Surg 1984; 13: 243-246.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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
    Suche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 8 Flo GL. Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-576.
    PubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    Suche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    Thieme ConnectPubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    Thieme ConnectPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    Thieme ConnectPubMedSuche in Google Scholar
  • 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.
    Thieme ConnectPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 32 Meyer DC, Nyffeler RW, Fucentese SF. et al. Failure of suture material at suture anchor eyelets. Arthroscopy 2002; 18: 1013-1019.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    Thieme ConnectPubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 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.
    Thieme ConnectPubMedSuche in Google Scholar
  • 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.
    PubMedSuche in Google Scholar
  • 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.
    CrossrefPubMedSuche in Google Scholar
  • 40 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
  • 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.
    CrossrefPubMedSuche in Google Scholar