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Vet Comp Orthop Traumatol 2014; 27(04): 277-284
DOI: 10.3415/VCOT-13-06-0080
Original Research
Schattauer GmbH

Tibial displacement with stifle joint flexion and cranial cruciate ligament transection in the dog

An ex vivo study using a robotic simulato
N. Kanno
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
,
Y. Hara
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
,
S. Fukano
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
,
H. Fujie
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
,
H. Ochi
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
,
Y. Fujita
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
,
H. Yasuji
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
,
Y. Nezu
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
,
T. Yogo
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
,
M. Tagawa
1   Division of Veterinary Surgery, Department of Veterinary Science, Faculty of Veterinary Medicine, Nippon Veterinary and Life Science University, Tokyo Japan
› Author Affiliations
Further Information

Publication History

Received: 23 June 2013

Accepted: 08 May 2014

Publication Date:
20 December 2017 (online)

Also available at
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Summary

Objective: The aim of this study was to investigate the biomechanical effects of cranial cruciate ligament (CrCL) transection on stifle stability at three different stifle joint flexion angles using a robotic system.

Methods: This was an ex vivo biomechanical study. Stifles (n = 6) were collected from the cadavers of Beagles weighing 10.5–12.0 kg. Six stifle joints were dissected, potted, and secured to the manipulator arms of a robotic simulator. With the stifle joint angle maintained at either hyperextension (151°), 135° or 90°, stability was assessed by application of a 50 N load in either the cranial-caudal (CrCd test) or proximal-distal (PD test) directions. The stifle was given a cranial-caudal load of 50 N (CrCd test). A proximal-distal compression load of 50 N was then administered by the manipulator (proximal-distal test: PD test). The change in three-dimensional kinematics of the intact and the CrCL-transected stifles was compared between hyperextension, and 135° and 90° flexion for the CrCd and PD load conditions. A value of p <0.05 was considered statistically significant.

Results: The cranial tibial displacements in the PD tests of the CrCL-transected stifles at 135° (8.4 ± 1.2 mm) and at 90° (8.1 ± 1.9 mm) were significantly greater than the displacement at 151.5° (5.1 ± 1.6 mm) (p = 0.004 and p = 0.012 respectively).

Clinical significance: The canine stifle exhibited the most instability when the stifle flexion angle was 135°.

Keywords

Stifle - six degrees of freedom - biomechanics - cranial cruciate ligament - robotic simulator
 

  • References

  • 1 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.
    CrossrefPubMedSearch in Google Scholar
  • 2 Kowaleski MP, Boudrieau RJ, Pozzi A. Stifle Joint. In: Tobias KM, Johnston SA, editors. Veterinary Surgery Small Animal. St. Louis, Missouri: Elsevier Saunders; 2012; pg. 906-998.
    PubMedSearch in Google Scholar
  • 3 Cabrera SY, Owen TJ, Mueller MG. et al. Comparison of tibial plateau angles in dogs with unilateral versus bilateral cranial cruciate ligament rupture: 150 cases (2000-2006). J Am Vet Med Assoc 2008; 232: 889-892.
    CrossrefPubMedSearch in Google Scholar
  • 4 Buote N, Fusco J, Radasch R. Age, tibial plateau angle, sex, and weight as risk factors for contralateral rupture of the cranial cruciate ligament in Labradors. Vet Surg 2009; 38: 481-489.
    CrossrefPubMedSearch in Google Scholar
  • 5 Liebich HG, Konig HE, Maierl J. Hindlimbs or pelvic limbs. In: Konig HE, Liebich HG. editors. Veterinary Anatomy of Domestic Mammals Textbook and Colour Atlas. Stuttgart: Schattauer; 2009. pg. 215-276.
    Search in Google Scholar
  • 6 Kapandji IA. The knee. In: Ogishima H, Shimada T. editors. The Physiology of the Joints. Lower Limb. Vol 2. Bunkyo, Tokyo: Ishiyaku Publishers; 1988. pg. 66-159.
    Search in Google Scholar
  • 7 de Rooster H, de Bruin T, van Bree H. Morphologic and functional features of the canine cruciate ligaments. Vet Surg 2006; 35: 769-780.
    CrossrefPubMedSearch in Google Scholar
  • 8 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.
    CrossrefPubMedSearch in Google Scholar
  • 9 Wingfield C, Amis AA, Stead AC. et al. Cranial cruciate stability in the rottweiler and racing greyhound: an in vitro study. J Small Anim Pract 2000; 41: 193-197.
    CrossrefPubMedSearch in Google Scholar
  • 10 Heffron LE, Campbell JR. Morphology, histology and functional anatomy of the canine cranial cruciate ligament. Vet Rec 1978; 102: 280-283.
    CrossrefPubMedSearch in Google Scholar
  • 11 Arnoczky SP, Marshall JL. The cruciate ligaments of the canine stifle: an anatomical and functional analysis. Am J Vet Res 1977; 38: 1807-1814.
    PubMedSearch in Google Scholar
  • 12 Slocum B, Devine T. Cranial tibial thrust: a primary force in the canine stifle. J Am Vet Med Assoc 1983; 183: 456-459.
    PubMedSearch in Google Scholar
  • 13 Wingfield C, Amis AA, Stead AC. et al. Comparison of the biomechanical properties of rottweiler and racing greyhound cranial cruciate ligaments. J small Anim Pract 2000; 41: 303-307.
    CrossrefPubMedSearch in Google Scholar
  • 14 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.
    CrossrefPubMedSearch in Google Scholar
  • 15 Fujie H, Sekito T, Orita A. A novel robotic system for joint biomechanical tests: application to the human knee joint. J Biomech Eng 2004; 126: 54-61.
    CrossrefPubMedSearch in Google Scholar
  • 16 Mae T, Shino K, Nakata K. et al. Optimization of graft fixation at the time of anterior cruciate ligament reconstruction. Part II: effect of knee flexion angle. Am J Sports Med 2008; 36: 1094-1100.
    PubMedSearch in Google Scholar
  • 17 Mae T, Shino K, Nakata K. et al. Optimization of graft fixation at the time of anterior cruciate ligament reconstruction. Part I: effect of initial tension. Am J Sports Med 2008; 36: 1087-1093.
    PubMedSearch in Google Scholar
  • 18 D'Amico LL, Lanz OI, Aulakh KS. et al. The effects of a novel lateral extracapsular suture system on the kinematics of the cranial cruciate deficient canine stifle. Vet Comp Orthop Traumatol 2013; 26: 271-279.
    Thieme ConnectPubMedSearch in Google Scholar
  • 19 Kim SE, Pozzi A, Lewis DD. 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.
    CrossrefPubMedSearch in Google Scholar
  • 20 Grood ES, Suntay WJ. A joint coordinate system for the clinical description of three-dimensional motions: application to the knee. J Biomech Eng 1983; 105: 136-144.
    CrossrefPubMedSearch in Google Scholar
  • 21 Fujie H, Livesay GA, Fujita M. et al. Forces and moments in six-DOF at the human knee joint: mathematical description for control. J Biomech 1996; 29: 1577-1585.
    CrossrefPubMedSearch in Google Scholar
  • 22 Mutsuzaki H, Sakane M, Fujie H. et al. Effect of calcium phosphate-hybridized tendon graft on biomechanical behavior in anterior cruciate ligament reconstruction in a goat model: novel technique for improving tendon-bone healing. Am J Sports Med 2011; 39: 1059-1066.
    CrossrefPubMedSearch in Google Scholar
  • 23 Fujie H, Kokubo K, Nakata K. et al. Analysis and assessment of the 3-bundle anterior cruciate ligament reconstruction. In: Annual Report 2008. Research Institute for Science and Technology, Kogakuin University 2008; 31: 25-35.
    PubMedSearch in Google Scholar
  • 24 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.
    PubMedSearch in Google Scholar
  • 25 Vasseur PB, Arnoczky SP. Collateral ligaments of the canine stifle joint: anatomic and functional analysis. Am J Vet Res 1981; 42: 1133-1137.
    PubMedSearch in Google Scholar
  • 26 Henderson RA, Milton JL. The tibial compression mechanism: a diagnostic aid in stifle injuries. J Am Anim Hosp Assoc 1978; 14: 474-479.
    PubMedSearch in Google Scholar
  • 27 Grood ES, Noyes F, Suntay WJ. Ligamentous and capsular restraints preventing straight medial and lateral laxity in intact human cadaver knees. J Bone Joint Surg Am 1981; 63: 1257-1269.
    CrossrefPubMedSearch in Google Scholar
  • 28 Hagemeister N, Lussier B, Petit Y. Validation of an experimental testing apparatus simulating the stance phase of a canine pelvic limb at trot in the normal and the cranial cruciate-deficient stifle: an in vitro kinematic study. Vet Surg 2010; 39: 390-397.
    CrossrefPubMedSearch in Google Scholar
  • 29 Fujie H, Otsubo H, Fukano S. et al. Mechanical functions of the three bundles consisting of the human anterior cruciate ligament. Knee Surg Sports Traumatol Arthrosc 2011; 19: 47-53.
    CrossrefPubMedSearch in Google Scholar
  • 30 Lopez MJ, Hagquist W, Markel MD. Instrumented measurement of in vivo anterior-posterior translation in the canine knee to assess anterior cruciate integrity. J Orthop Res 2004; 22: 949-954.
    CrossrefPubMedSearch in Google Scholar
  • 31 Ocal MK, Sabanci SS, Onar V. Variation of tibial plateau geometry and cruciate ligament coordinates in six breeds of dogs. Vet Comp Orthop Traumatol 2013; 26: 110-116.
    Thieme ConnectPubMedSearch in Google Scholar