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CC BY 4.0 · VCOT Open 2020; 03(02): e112-e118
DOI: 10.1055/s-0040-1716821
Case Report

Arthroscopically Guided Proximal Tibial Epiphysiodesis Screw Placement as Treatment of a Bilateral Partial Cranial Cruciate Ligament Injury in a Juvenile Dog

Mélanie Olive
1   Small Animal Surgery Department, Centre Hospitalier Vétérinaire Atlantia, Nantes, France
,
Alexandre Caron
1   Small Animal Surgery Department, Centre Hospitalier Vétérinaire Atlantia, Nantes, France
,
Alexandre Fournet
1   Small Animal Surgery Department, Centre Hospitalier Vétérinaire Atlantia, Nantes, France
,
Maïa Vanel
1   Small Animal Surgery Department, Centre Hospitalier Vétérinaire Atlantia, Nantes, France
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Abstract

This study aimed to describe surgical technique of arthroscopically guided proximal tibial epiphysiodesis screw placement in the treatment of a bilateral partial cranial cruciate ligament (CrCL) rupture in a 5.6-month-old Golden Retriever. A 19-kg, 5.6-month-old female Golden Retriever was diagnosed with bilateral partial CrCL rupture. Proximal tibial epiphysiodesis was performed bilaterally under arthroscopic guidance. Arthroscopic stifle joint inspection was performed bilaterally with a 2.7 mm arthroscope. A medial port at the level of the distal one-third of the patella was used as camera portal. A lateral instrument port was positioned at the level of the distal one-third of the patella. A 3.0 mm diameter headless cannulated self-compressive screw was placed into the centre of the tibial cranial intercondyloid area as parallel as possible to the tibial shaft axis under arthroscopic control. Screw head was buried. Arthroscopic guidance allowed good accuracy in screw placement, specifically in its insertion point. However, the screw orientation was less satisfactory. The tibial plateau angle progressively decreased in both stifles to achieve 15 degrees on the left and 16 degrees on the right at the last follow-up. A varus deformity developed on both stifles. No clinical consequences were observed. Recurrence of right pelvic lameness occurred 1 year postoperatively because of a medial meniscal lesion, which necessitated partial caudal meniscectomy. Arthroscopically guided proximal tibial epiphysiodesis is technically feasible and is a minimally invasive treatment of CrCL injury in a juvenile dog.

Keywords

arthroscopic treatment - epiphysiodesis - cruciate ligament injury - growth plate pathology - juvenile dog


Publication History

Received: 19 April 2020

Accepted: 12 August 2020

Article published online:
18 September 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

Georg Thieme Verlag KG
Stuttgart · New York

 

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