Vet Comp Orthop Traumatol 2023; 36(06): 324-330
DOI: 10.1055/s-0043-1771191
Brief Communication

Determination of Isometric Points in the Stifle of a Dog Using a 3D Model

Nadav Yair
1   Koret School of Veterinary Medicine, Robert H Smith Faculty of Agriculture Food & Environment, Hebrew University of Jerusalem, Jerusalem, Israel
,
Christos Yiapanis
2   CYVETS Veterinary Center, Paphos, Cyprus
,
Ron Ben-Amotz
1   Koret School of Veterinary Medicine, Robert H Smith Faculty of Agriculture Food & Environment, Hebrew University of Jerusalem, Jerusalem, Israel
,
Yaron Meiner
3   Department of Mechanical Engineering, Ben Gurion University of the Negev, Beersheba, Israel
,
Amir Shapiro
3   Department of Mechanical Engineering, Ben Gurion University of the Negev, Beersheba, Israel
,
Joshua Milgram
1   Koret School of Veterinary Medicine, Robert H Smith Faculty of Agriculture Food & Environment, Hebrew University of Jerusalem, Jerusalem, Israel
› Author Affiliations

Abstract

Objective The aim of this study was to develop a three-dimensional (3D) model to identify the isometric component of the cranial cruciate ligament (CCL) in dogs.

Methods A static 3D model of the specimen was generated from a computed tomography scan of the stifle of a dog and a kinematic model was generated from data collected, every 5 degrees from full extension (131 degrees) through 80 degrees of stifle flexion, from four sensors attached to the tibia. Kinematic data were superimposed on the static model by aligning the points of interest, which were defined for both models. This allowed the tibia to rotate and translate relative to the femur based on the kinematic data. The contours of the distal femur and proximal tibia were converted into point clouds and the distance between each point in the femoral point cloud and all the points in the tibial point cloud were measured at each of the 15 positions. The difference between the maximum and minimum distances for each pair of points was calculated, and when it was less than 0.2 mm, points were illustrated as two red dots connected by a line at their locations on the femur and tibia.

Results A total of 3,681 pairs of isometric points were identified and were located at the origin and insertion of the CCL and on the lateral aspect of the stifle.

Conclusion Isometric areas are present at the origin and insertion of the CCL and lateral aspect of the stifle. Better understanding of these locations may lead to refinements in techniques to replace the ruptured CCL.

Authors' Contribution

All the authors contributed to the conception of the study, study design, and interpretation. Y.M., N.Y., and C.Y. were involved in acquisition of data and data analysis. N.Y. and C.Y. drafted the manuscript. R.B.A., A.S., and J.M. revised and approved the submitted manuscript.




Publication History

Received: 24 May 2023

Accepted: 07 June 2023

Article published online:
24 July 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Amis AA, Zavras TD. Isometricity and graft placement during anterior cruciate ligament reconstruction. Knee 1995; 2: 5-17
  • 2 Odensten M, Gillquist J. Functional anatomy of the anterior cruciate ligament and a rationale for reconstruction. J Bone Joint Surg Am 1985; 67 (02) 257-262
  • 3 Zavras TD, Race A, Bull AMJ, Amis AA. A comparative study of ‘isometric’ points for anterior cruciate ligament graft attachment. Knee Surg Sports Traumatol Arthrosc 2001; 9 (01) 28-33
  • 4 Conzemius MG, Evans RB, Besancon MF. et al. Effect of surgical technique on limb function after surgery for rupture of the cranial cruciate ligament in dogs. J Am Vet Med Assoc 2005; 226 (02) 232-236
  • 5 Livet V, Baldinger A, Viguier É. et al. Comparison of outcomes associated with tibial plateau levelling osteotomy and a modified technique for tibial tuberosity advancement for the treatment of cranial cruciate ligament disease in dogs: a randomized clinical study. Vet Comp Orthop Traumatol 2019; 32 (04) 314-323
  • 6 Boudrieau RJ. Tibial plateau leveling osteotomy or tibial tuberosity advancement?. Vet Surg 2009; 38 (01) 1-22
  • 7 Böddeker J, Drüen S, Meyer-Lindenberg A, Fehr M, Nolte I, Wefstaedt P. Computer-assisted gait analysis of the dog: comparison of two surgical techniques for the ruptured cranial cruciate ligament. Vet Comp Orthop Traumatol 2012; 25 (01) 11-21
  • 8 Vasseur PB, Stevenson S, Gregory CR. et al. Anterior cruciate ligament allograft transplantation in dogs. Clin Orthop Relat Res 1991; (269) 295-304
  • 9 Johnson SG, Hulse DA, Hogan HA, Nelson JK, Boothe HW. System behavior of commonly used cranial cruciate ligament reconstruction autografts. Vet Surg 1989; 18 (06) 459-465
  • 10 Vasseur PB, Berry CR. Progression of stifle osteoarthrosis following reconstruction of the cranial cruciate ligament in 21 dogs. J Am Anim Hosp Assoc 1992; 28: 129-136
  • 11 Butler DL, Hulse DA, Kay MD. et al. Biomechanics of cranial cruciate ligament reconstruction in the dog. 2. Mechanical-properties. Vet Surg 1983; 12: 113-118
  • 12 Biskup JJ, Conzemius MG. Intra-articular repair for cranial cruciate ligament rupture in the dog. In: Muir P. ed. Advances in the Canine Cranial Cruciate Ligament. 2nd ed. Ames, IA: Wiley-Blackwell; 2017: 201-216
  • 13 Tinga S, Kim SE. Extracapsular stabilization. In: Muir P. ed. Advances in the Canine Cranial Cruciate Ligament. 2nd ed. Ames, IA: Wiley-Blackwell; 2017: 189-199
  • 14 Gordon-Evans WJ, Griffon DJ, Bubb C, Knap KM, Sullivan M, Evans RB. Comparison of lateral fabellar suture and tibial plateau leveling osteotomy techniques for treatment of dogs with cranial cruciate ligament disease. J Am Vet Med Assoc 2013; 243 (05) 675-680
  • 15 Nelson SA, Krotscheck U, Rawlinson J, Todhunter RJ, Zhang Z, Mohammed H. Long-term functional outcome of tibial plateau leveling osteotomy versus extracapsular repair in a heterogeneous population of dogs. Vet Surg 2013; 42 (01) 38-50
  • 16 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 (03) 215-220
  • 17 Hulse D, Hyman W, Beale B, Saunders B, Peycke L, Hosgood G. 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 (03) 163-167
  • 18 Fischer C, Cherres M, Grevel V, Oechtering G, Böttcher P. 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 (03) 334-342
  • 19 Cinti F, Signorelli C, Lopomo N. et al. Two different approaches for novel extracapsular cranial cruciate ligament reconstruction: an in vitro kinematics study. J Small Anim Pract 2015; 56 (06) 398-406
  • 20 Arnoczky SP, Marshall JL. The cruciate ligaments of the canine stifle: an anatomical and functional analysis. Am J Vet Res 1977; 38 (11) 1807-1814
  • 21 Laugier M, Tremblay J, Petit Y, Grignon-Lemieux A, Levasseur A, Lussier B. Three-dimensional kinematic evaluation of tightrope CCL in a canine in vitro cranial cruciate deficient stifle model. Can J Vet Res 2019; 83 (04) 317-321
  • 22 Du K, Stöck M, Kneitz S. et al. The sterlet sturgeon genome sequence and the mechanisms of segmental rediploidization. Nat Ecol Evol 2020; 4 (06) 841-852
  • 23 Skinner OT, Kim SE, Lewis DD, Pozzi A. In vivo femorotibial subluxation during weight-bearing and clinical outcome following tibial tuberosity advancement for cranial cruciate ligament insufficiency in dogs. Vet J 2013; 196 (01) 86-91
  • 24 Kim SE, Lewis DD, Pozzi A. Effect of tibial plateau leveling osteotomy on femorotibial subluxation: in vivo analysis during standing. Vet Surg 2012; 41 (04) 465-470
  • 25 Kalff S, Meachem S, Preston C. Incidence of medial meniscal tears after arthroscopic assisted tibial plateau leveling osteotomy. Vet Surg 2011; 40 (08) 952-956
  • 26 Christopher SA, Beetem J, Cook JL. Comparison of long-term outcomes associated with three surgical techniques for treatment of cranial cruciate ligament disease in dogs. Vet Surg 2013; 42 (03) 329-334
  • 27 Kim SE, Pozzi A, Banks SA, Conrad BP, Lewis DD. Effect of tibial plateau leveling osteotomy on femorotibial contact mechanics and stifle kinematics. Vet Surg 2009; 38 (01) 23-32
  • 28 Knebel J, Eberle D, Steigmeier-Raith S, Reese S, Meyer-Lindenberg A. Outcome after tibial plateau levelling osteotomy and modified Maquet procedure in dogs with cranial cruciate ligament rupture. Vet Comp Orthop Traumatol 2020; 33 (03) 189-197
  • 29 Lazar TP, Berry CR, deHaan JJ, Peck JN, Correa M. Long-term radiographic comparison of tibial plateau leveling osteotomy versus extracapsular stabilization for cranial cruciate ligament rupture in the dog. Vet Surg 2005; 34 (02) 133-141
  • 30 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 (11) 1674-1679
  • 31 Tantisricharoenkul G, Linde-Rosen M, Araujo P, Zhou J, Smolinski P, Fu FH. Anterior cruciate ligament: an anatomical exploration in humans and in a selection of animal species. Knee Surg Sports Traumatol Arthrosc 2014; 22 (05) 961-971
  • 32 Binversie EE, Walczak BE, Cone SG, Baker LA, Scerpella TA, Muir P. Canine ACL rupture: a spontaneous large animal model of human ACL rupture. BMC Musculoskelet Disord 2022; 23 (01) 116
  • 33 Palmisano MP, Andrish JT, Olmstead ML. et al. A comparative study of the length patterns of anterior cruciate ligament reconstructions in the dog and man. Vet Comp Orthop Traumatol 2000; 13: 73-77
  • 34 Bolia A, Winkels P, Böttcher P. Radiographic location of the femoral footprint of the cranial cruciate ligament in dogs. Tierarztl Prax Ausg K Klientiere Heimtiere 2015; 43 (01) 23-30
  • 35 Reichert EE, Kunkel KAR, Suber JT, Basinger RR, Gerard PD. Radiographic localization and isometry of the origin and insertion of the canine cranial cruciate ligament. Vet Surg 2013; 42 (07) 860-866