Proximal tibial osteotomy for the repair of cranial cruciate-deficient stifle joints in dogs

D. M. Damur; S. Tepic; P. M. Montavon

doi:10.1055/s-0038-1632782

Veterinary and Comparative Orthopaedics and Traumatology, Inhaltsverzeichnis

Vet Comp Orthop Traumatol 2003; 16(04): 211-216
DOI: 10.1055/s-0038-1632782

Clinical Communication

Schattauer GmbH

Proximal tibial osteotomy for the repair of cranial cruciate-deficient stifle joints in dogs

Authors

D. M. Damur

¹Clinic of Small Animal Surgery, University of Zurich, Switzerland
S. Tepic

¹Clinic of Small Animal Surgery, University of Zurich, Switzerland
P. M. Montavon

¹Clinic of Small Animal Surgery, University of Zurich, Switzerland

Abstract

Summary

A proximal tibial osteotomy technique for the repair of complete or partial rupture of the cranial cruciate ligament in dogs is described and the results of a series of 100 consecutively operated stifle joints are presented. Although the majority of dogs regained full function of the operated limb within four months of surgery, the overall complication rate was high.

Keywords

Osteotomy - cranial cruciate ligament rupture - stifle joint - dog

Volltext

Referenzen

References
1 Arnoczky SP, Tarvin GB, Marshall JL. The “over-the-top” procedure: A technique for anterior cruciate ligament substitution in the dog. J Am Anim Hosp Assoc 1979; 15: 283-90.
2 Beck P, Montavon PM. Was diagnostizieren Sie? Welche Behandlungen schlagen Sie vor?. Schweiz Arch Tierheilk 1987; 129: 493-5.
3 Bennett D, Tennant B, Lewis DG. et al. A reappraisal of anterior cruciate ligament disease in the dog. J Small Anim Pract 1988; 29: 275-9 7.
4 Wilke VL, Conzemius MG, Besancon MF. et al. Comparison of tibial plateau angle between clinically normal Greyhounds and Labrador Retrievers with and without rupture of the cranial cruciate ligament. J Am Vet Med Assoc 2002; 221: 1426-9.
5 Damur DM, Montavon PM. Comparison of the conventional versus the oscillating drilling mode in pelvic surgery in dogs. Scientific Proceedings, BSAVA Congress. 2001
6 DeAngelis M, Lau RE. A lateral retinacular imbrication technique for surgical correction of anterior cruciate ligament rupture in the dog. J Am Vet Med Assoc 1970; 157: 79-84.
7 Dickinson CR, Nunamaker DM. Repair of ruptured anterior cruciate ligament in the dog: Experience of 101 cases using a modified fascia lata strip technique. J Am Vet Med Assoc 1977; 170: 827-30.
8 Flo GL. Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-6.
9 Geyer H. Die Behandlung der Kreuzbandrisse beim Hund: Vergleichende Untersuchungen. Dissertation an der Universität Zürich. 1966
10 Harrison JW, Montavon PM. Technique extracapsulaire de stabilisation de la motilité antérieure du tibia (Harrison). Schweiz Arch Tierheilk 1981; 123: 1-11.
11 Henderson R, Milton J. Tibial compression mechanism: A diagnostic aid in stifle injuries. J Am Anim Hosp Assoc 1978; 14: 474-9.
12 Moore KW, Read RA. Rupture of the cranial ligament in dogs – Part I. Comp Cont Pract Educ Pract Vet 1996; 18: 223-33.
13 Morris EH, Lipowitz AJ. Comparison of tibial plateau angles in dogs with and without cranial cruciate ligament injuries. J Am Vet Med Assoc 2001; 218: 363-6.
14 Nisell R. Mechanics of the knee. A study of joint and muscle load with clinical applications. Acta Orthopaedica Scandinavica 1985; 216 (Suppl): 1-42.
15 Paatsama S. Ligament injuries of the canine stifle joint: A clinical and experimental study. Thesis. Helsinki. 1952
16 Pacchiana PD, Morris E, Gillings SL, Jessen CR, Lipowitz AJ. Surgical and postoperative complications associated with tibial plateau leveling osteotomy in dogs with cranial cruciate ligament rupture: 397 cases (1998-2001). J Am Vet Med Assoc 2003; 15: 184-93.
17 Read RA, Robins GM. Deformity of the proximal tibia in dogs. Vet Rec 1982; 111: 295-8.
18 Reif U, Hulse DA, Hauptmann JG. et al. Effect of tibia plateau leveling osteotomy on joint stability in the canine cranial cruciate deficient stifle under axial tibial load: an in vitro study. Vet Surg (abstr) 2000; 29: 473.
19 Selmi AL, Padilha JGFilho. Rupture of the cranial cruciate ligament associated with deformity of the proximal tibia in five dogs. J Small Anim Pract 2001; 42: 390-3.
20 Shires PK, Hulse DA, Liu W. The under-andover fascial replacement technique for anterior cruciate ligament rupture in the dog: A retrospective study. J Am Anim Hosp Assoc 1984; 20: 69-77.
21 Slocum B, Devine T. Cranial tibial thrust: a primary force in the canine stifle. J Am Vet Med Assoc 1983; 183: 456-9.
22 Slocum B, Devine T. Cranial tibial wedge osteotomy: a technique for eliminating cranial tibial thrust in cranial cruciate ligament repair. J Am Vet Med Assoc 1984; 184: 564-9.
23 Slocum B, Slocum TD. Meniscal release. In: Bojrab MJ. (ed). Current techniques in small animal surgery. 4th ed. Philadelphia, PA: Lea & Febiger; 1998: 1197-9.
24 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: 777-95.
25 Slocum B, Slocum TD. Alignment problems of the hindlimb. Proceedings of the 10^th Annual ESVOT Congress; Munich. 2000: 60-2.
26 Tepic S, Damur DM, Montavon PM. Biomechanics of the stifle joint. Proceedings of the 1^st World Orthopaedic Concress; Munich. 2002: 189.
27 Vasseur PB. The stifle joint. In: Slatter DH. (ed). Textbook of small animal surgery. 2^nd ed. Philadelphia: WB Saunders Co; 1993: 1817-66.
28 Warzee CC, Dejardin LM, Arnoczky SP. et al. Effect of tibial plateau leveling on cranial and caudal tibial thrusts in canine cranial cruciatedeficient stifles: an in-vitro experimental study. Vet Surg 2001; 30: 278-86.
29 Watt P. Tibial plateau leveling. Aust Vet J 2000; 78: 385-6.
30 Whitehair JG, Vasseur PB, Willits NH. Epidemiology of cranial cruciate ligament rupture in dogs. J Am Vet Med Assoc 1993; 203: 1016-9.