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Vet Comp Orthop Traumatol 1996; 09(04): 165-171
DOI: 10.1055/s-0038-1632524
Original Research
Schattauer GmbH

Determination of Graft Forces for Cranial Cruciate Ligament Reconstruction in the Dog

B. A. Shelley
1   From the Departments of Veterinary Small Animal Medicine and Surgery, College Station, Texas, USA
,
D. A. Hulse
1   From the Departments of Veterinary Small Animal Medicine and Surgery, College Station, Texas, USA
,
M. R. Slater
2   Veterinary Anatomy/Public Health, College Station, Texas, USA
,
J. F. Hunter
3   Veterinary Physiology and Pharmacology, College of Veterinary Medicine
,
W. A. Hyman
4   Department of Industrial Engineering, College of Engineering, Texas A&M University, College Station, Texas, USA
› Author Affiliations
Further Information

Publication History

Received for publication 06 February 1996

Publication Date:
23 February 2018 (online)

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Summary

A test apparatus that allowed the stifle to move in five degrees of freedom was used to determine the effect of graft location, graft preload, and flexion angle at the time of graft fixation on the tensile graft forces experienced by a replacement graft material used to simulate reconstruction of the cranial cruciate ligament deficient stifle. Two graft locations (tibial insertion site of the patellar ligament and tibial insertion site of the cranial cruciate ligament), two graft preloads (5 N and 20 N), and three flexion angles at the time of graft fixation (15°, 30° and 90°) were examined. The tibial insertion site and preload did not have as great an effect on graft force as did the flexion angle of the limb at time of graft fixation. Graft forces were highest when reconstructions were performed with the limb in 90° of flexion (ρ <0.0001). This study supports the notion that intracapsular grafts should be fixed with the limb in a normal standing angle.

A five degree of freedom test apparatus was used to evaluate the effect of graft location, graft preload, and limb flexion angle at time of graft fixation on reconstructions of the cranial cruciate ligament deficient stifle. Our results suggest that intracapsular grafts should not be fixed with the limb in 90° of flexion, but in a normal standing angle.

Keywords

Cranial cruciate ligament - graft forces - graft preload - cranial cruciate ligament reconstruction - biomechanical properties - dog
 

  • REFERENCES

  • 1 Aiken SW, Bauer MS, Toombs JP. Extra-articular fascial strip repair of the cranial cruciate deficient stifle: technique and results in seven dogs. V. C. O. T 1992; 5: 145-50.
    PubMedSearch in Google Scholar
  • 2 Arnoczky SP. Pathomechanics of cruciate ligament and meniscal injuries. In: Disease Mechanisms in Small Animal Surgery. 2nd ed. Bojarb MJ. ed Philadelphia: Lea & Febiger; 1993: 764-76.
    Search in Google Scholar
  • 3 Arnoczky SP, Marshall JL. The cruciate ligaments of the canine stifle: an anatomical and functional analysis. Am J Vet Res 1977; 38: 1807-14.
    PubMedSearch in Google Scholar
  • 4 Arnoczky SP, Tarvin GB, Marshall JL. et al The over-the-top procedure: a technique for anterior cruciate ligament substitution in the dog. J Am Anim Hosp Assoc 1979; 15: 283-90.
    PubMedSearch in Google Scholar
  • 5 Arnoczky SP, Torzilli PA, Marshall JL. Biomechanical evaluation of anterior cruciate ligament repair in the dog: an analysis of the instant center of motion. J Am Anim Hosp Assoc 1977; 13: 553-8.
    PubMedSearch in Google Scholar
  • 6 Bennett D, Tennant D, Lewis DG. et al A reappraisal of anterior cruciate ligament disease in the dog. J Small Anim Pract 1988; 29: 275-97.
    CrossrefPubMedSearch in Google Scholar
  • 7 Bern GS Howell. The effect of tibial hole placement on impingement of anterior cruciate ligament reconstructions, (abstr). Proc 38th Annual Meeting Orthop Res Soc, February. 1992. Washington, DC: 17-20.
    Search in Google Scholar
  • 8 Budsberg SC, Verstraete MC, Soutas-Little RW. Force plate analysis of the walking gait in healthy dogs. Am J Vet Res 1987; 48: 915-8.
    PubMedSearch in Google Scholar
  • 9 Budsberg SC, Vertraete MC, Soutas-Little RW. et al Force plate analysis before and after stabilization of canine stifles for cruciate injury. Am J Vet Res 1988; 49: 1522-4.
    PubMedSearch in Google Scholar
  • 10 Butler DL, Hulse DA, Kay MD. et al Biomechanics of cranial cruciate ligament reconstruction in the dog: II. mechanical properties. Vet Surg 1983; 12: 113-8.
    CrossrefPubMedSearch in Google Scholar
  • 11 Bylski-Austrow DI, Grood ES, Hefzy MS. et al Anterior cruciate ligament replacements: a mechanical study of femoral attachment location, flexion angle at tensioning, and initial tension. J Orthop Res 1990; 8: 522-31.
    CrossrefPubMedSearch in Google Scholar
  • 12 Coetzee GL. An in vitrocomparison of two replacement techniques utilizing fascia lata after cranial cruciate ligament transection in the dog. V. C. O. T 1993; 6: 85-92.
    PubMedSearch in Google Scholar
  • 13 Cummings JF, Grood ES, O’Brien PL. Tracking of anterior translation after ACL reconstructions: Measurements in a goat model. Proc Orthop Res Soc, February 15–18. 1993. San Francisco, CA:
    Search in Google Scholar
  • 14 Davidson JR, Bauer MS, Aiken SW. et al Comparison of stifle biomechanics after two different techniques of cranial cruciate ligament repair. V. C. O. T 1993; 6: 172-4.
    PubMedSearch in Google Scholar
  • 15 Elkins AD, Pechman R, 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: 533-40.
    PubMedSearch in Google Scholar
  • 16 Fitch RB, Montgomery RD, Milton JL. et al The intercondylar fossa of the normal canine stifle: an anatomic and radiographic study. Vet Surg 1995; 24: 148-55.
    CrossrefPubMedSearch in Google Scholar
  • 17 Fleming B, Beynnon BD, Howe J. et al Effect of tension and placement of a prosthetic anterior cruciate ligament on the anteroposterior laxity of the knee. J Orthop Res 1992; 10: 177-86.
    CrossrefPubMedSearch in Google Scholar
  • 18 Fleming B, Beynnon BD, Johnson RJ. et al Isometric versus tension measurements: a comparison for the reconstruction of the anterior cruciate ligament. Am J Sports Med 1993; 21: 82-8.
    CrossrefPubMedSearch in Google Scholar
  • 19 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: 33-8.
    PubMedSearch in Google Scholar
  • 20 Griffin DW, Vasseur PB. Synovial fluid analysis in dogs with cranial cruciate ligament rupture. J Am Anim Hosp Assoc 1992; 28: 277-81.
    PubMedSearch in Google Scholar
  • 21 Hefzy MS, Grood ES, Noyes FR. Factors affecting the region of most isometric femoral attachments, part II: the anterior cruciate ligament. Am J Sports Med 1989; 17: 208-16.
    CrossrefPubMedSearch in Google Scholar
  • 22 Hulse DA, Butler DL, Kay MD. et al Biomechanics of cranial cruciate ligament reconstruction in the dog: I. in vitro laxity testing. Vet Surg 1983; 12: 109-12.
    CrossrefPubMedSearch in Google Scholar
  • 23 Inoue M, McGurk-Burleson E, Hollis JM. et al Treatment of the medial collateral ligament injury I: the importance of anterior cruciate ligament on the varus-valgus knee laxity. Am J Sports Med 1987; 15: 15-21.
    CrossrefPubMedSearch in Google Scholar
  • 24 Johnson SG, Hulse DA, Hogan HA. et al System behavior of commonly used cranial cruciate ligament reconstruction autografts. Vet Surg 1989; 18: 459-65.
    CrossrefPubMedSearch in Google Scholar
  • 25 Knecht CD. Evolution of surgical techniques for cruciate ligament ruptures in animals. J Am Anim Hosp Assoc 1976; 12: 717-26.
    PubMedSearch in Google Scholar
  • 26 Lew WD, Engebretson L, Lewis JL. et al Method for setting total graft force and load sharing in augmented ACL grafts. J Orthop Res 1990; 8: 702-11.
    CrossrefPubMedSearch in Google Scholar
  • 27 Lewis JL, Lew WD, Engebretson L. et al Factors affecting graft force in surgical reconstruction of the anterior cruciate ligament. J Orthop Res 1990; 8: 514-21.
    CrossrefPubMedSearch in Google Scholar
  • 28 Oster DM, Grood ES, Feder SM. et al Primary and coupled motions in the intact and the ACL-deficient knee: an in vitrostudy in the goat model. J Orthop Res 1992; 10: 476-84.
    CrossrefPubMedSearch in Google Scholar
  • 29 Patterson RH, Smith GK, Gregor TP. et al Biomechanical stability of four cranial cruciate ligament repair techniques in the dog. Vet Surg 1991; 20: 85-90.
    CrossrefPubMedSearch in Google Scholar
  • 30 Prostredny JM, Bauer MS, Blevins WE. et al Effect of suture type on stifle joint biomechanics after extra-articular repair of cranial cruciate ligament transection in the dog. V. C. O.T 1991; 4: 144-9.
    PubMedSearch in Google Scholar
  • 31 Shires PK, Hulse DA, Liu W. The underand- over fascial replacement technique for anterior cruciate ligament rupture in dogs: A retrospective study. J Am Anim Hosp Assoc 1984; 20: 69-77.
    PubMedSearch in Google Scholar
  • 32 Slocum B, Devine T. Cranial tibial thrust: a primary force in the canine stifle. J Am Vet Med Assoc 1983; 183: 456-9.
    PubMedSearch in Google Scholar
  • 33 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: 564-58.
    PubMedSearch in Google Scholar
  • 34 Smith GK, Torg JS. Fibular head transposition for repair of cruciate-deficient stifle in the dog. J Am Vet Med Assoc 1985; 187: 375-83.
    PubMedSearch in Google Scholar
  • 35 Stewart NJ, Engebretson L, Lewis JL. et al Maintenance of set forces in anterior cruciate ligament grafts. J Orthop Res 1993; 11: 149-53.
    CrossrefPubMedSearch in Google Scholar
  • 36 Vasseur PB. Stifle joint. In: Textbook of Small Animal Surgery. 2nd ed. Slatter D. ed Philadelphia: Saunders; 1993: 1817-65.
    Search in Google Scholar
  • 37 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: 129-36.
    PubMedSearch in Google Scholar
  • 38 Vasseur PB, Pool RR, Arnoczky SP. et al Correlative biomechanical and histologic study of the cranial cruciate ligament in dogs. Am J Vet Res 1985; 46: 1842-54.
    PubMedSearch in Google Scholar
  • 39 Yoshiya S, Andrish JT, Manley MT. et al Graft tension in anterior cruciate ligament reconstruction: an in vivostudy in dogs. Am J Sports Med 1987; 15: 464-9.
    CrossrefPubMedSearch in Google Scholar