RSS-Feed abonnieren
DOI: 10.3415/VCOT-09-05-0054
Determination of isometric points for placement of a lateral suture in treatment of the cranial cruciate ligament deficient stifle
Publikationsverlauf
Received:05. Mai 2009
Accepted:31. Januar 2009
Publikationsdatum:
18. Dezember 2017 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00035023/201003/lookinside/thumbnails/10-3415-vcot-09-05-0054-1.jpg)
Summary
Complete or partial rupture of the cranial cruciate ligament (CCL) is a common injury of the canine stifle. While numerous techniques have been developed for surgical treatment, extra-articular methods with placement of a lateral suture remain a popular treatment method. The purpose of this study was to determine the potential isometry of the six suture-paired sites two on the femur and three on the tibia. In six femoro-tibial specimens with intact passive joint restraints, femoral sites adjacent to the proximal (F1) and distal (F2) poles of the fabella, and tibial sites adjacent to the patella insertion (T1), immediately cranial to (T2) and caudal to (T3) the long digital extensor tendon, were identified. A suture from one femoral site to one tibial site was placed under 0 or 5 N of preload, and tension was measured at joint angles of 150°, 130°, 90° and 50°. The F2-T3 combination was found to be most isometric. Isometry was reassessed in the same specimens with the suture in the F2-T3 position, and under 5 N, 10 N and 15 N of preload, and after transection of the CCL. The suture pair retained its isometric pattern in the CCL transected specimens. There was no effect of preload on isometry patterns.
-
References
- 1 Arnoczky SP. Pathomechanics of ligament and meniscal injuries. In: Bojrab MJ. editor Disease Mechanisms in Small Animal Surgery 2nd ed. Philadelphia: Lea & Febiger; 1993: 764-770.
- 2 Vasseur PB. Stifle joint. In: Slatter D. editor Textbook of Small Animal Surgery 2nd ed Philadelphia: Saunders; 1993: 1817-1865.
- 3 Arnoczky SP, Marshall JL. The cruciate ligaments of the canine stifle: an anatomical and functional analysis. AM J Vet Res 1977; 38: 1807-1814.
- 4 Vasseur PB. Clinical results following conservative management for rupture of the crainial cruciate ligament in dogs. Vet Surg 1984; 13: 243-246.
- 5 Korvick DL, Pijanowski GJ, Schaeffer DJ. Three dimensional kinematics of the intact and cranial cruciate deficient stifle of dogs. J Biomech 1994; 27: 77-87.
- 6 Brinker WO, Piermattei DL, Flo GL. Diagnosis and treatment of Orthopedic Conditions of the Hind-limb. In: Brinker WO, Piermattei DL, Flo GL. editors Handbook of Small Animal Orthopedics and Fracture Management 2nd ed. Philadelphia: Saunders; 1990: 341-470.
- 7 Hulse DA. Cruciate ligament rupture. In: Fossum T. editor Small Animal Surgery, 2nd ed. St. Louis: Mosby; 2002: 1110-1143.
- 8 Gambardella PC, Wallace LJ, Cassidy F. Lateral suture technique for management of anterior cruciate ligament rupture in dogs a retrospective study. J Am Anim Hosp Assoc. 1981; 17: 33-38.
- 9 Slocum B, Devine T. Cranial tibial wedge osteotomy: a technique for eliminating tibial thrust in cranial cruciate ligament repair. J Am Vet Med Assoc 1984; 184: 564-568.
- 10 Elkins AD, Pechman K, Herron M. 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.
- 11 Roe SC. Limitations of cranial cruciate ligament repairs: prosthetic ligament substitutions. In: Proceedings of the American College of Veterinary Surgeons 1996
- 12 Roe SC, Kue J, Gemma J. Isometry of potential suture attachment sites for the cranial cruciate ligament deficient stifle. Vet Comp Orthop Traumatol 2008; 21: 215-220.