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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

D. M. Damur
1   Clinic of Small Animal Surgery, University of Zurich, Switzerland
,
S. Tepic
1   Clinic of Small Animal Surgery, University of Zurich, Switzerland
,
P. M. Montavon
1   Clinic of Small Animal Surgery, University of Zurich, Switzerland
› Author Affiliations
Further Information

Publication History

Received 11 October 2001

Accepted 10 March 2003

Publication Date:
22 February 2018 (online)

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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
 

  • 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.
    PubMedGoogle Scholar
  • 2 Beck P, Montavon PM. Was diagnostizieren Sie? Welche Behandlungen schlagen Sie vor?. Schweiz Arch Tierheilk 1987; 129: 493-5.
    PubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 5 Damur DM, Montavon PM. Comparison of the conventional versus the oscillating drilling mode in pelvic surgery in dogs. Scientific Proceedings, BSAVA Congress. 2001
    PubMedGoogle Scholar
  • 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.
    PubMedGoogle Scholar
  • 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.
    PubMedGoogle Scholar
  • 8 Flo GL. Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-6.
    PubMedGoogle Scholar
  • 9 Geyer H. Die Behandlung der Kreuzbandrisse beim Hund: Vergleichende Untersuchungen. Dissertation an der Universität Zürich. 1966
    PubMedGoogle Scholar
  • 10 Harrison JW, Montavon PM. Technique extracapsulaire de stabilisation de la motilité antérieure du tibia (Harrison). Schweiz Arch Tierheilk 1981; 123: 1-11.
    PubMedGoogle Scholar
  • 11 Henderson R, Milton J. Tibial compression mechanism: A diagnostic aid in stifle injuries. J Am Anim Hosp Assoc 1978; 14: 474-9.
    PubMedGoogle Scholar
  • 12 Moore KW, Read RA. Rupture of the cranial ligament in dogs – Part I. Comp Cont Pract Educ Pract Vet 1996; 18: 223-33.
    PubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 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.
    PubMedGoogle Scholar
  • 15 Paatsama S. Ligament injuries of the canine stifle joint: A clinical and experimental study. Thesis. Helsinki. 1952
    PubMedGoogle Scholar
  • 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.
    PubMedGoogle Scholar
  • 17 Read RA, Robins GM. Deformity of the proximal tibia in dogs. Vet Rec 1982; 111: 295-8.
    CrossrefPubMedGoogle Scholar
  • 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.
    PubMedGoogle Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 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.
    PubMedGoogle Scholar
  • 21 Slocum B, Devine T. Cranial tibial thrust: a primary force in the canine stifle. J Am Vet Med Assoc 1983; 183: 456-9.
    PubMedGoogle Scholar
  • 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.
    PubMedGoogle Scholar
  • 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.
    Google Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 25 Slocum B, Slocum TD. Alignment problems of the hindlimb. Proceedings of the 10th Annual ESVOT Congress; Munich. 2000: 60-2.
    PubMedGoogle Scholar
  • 26 Tepic S, Damur DM, Montavon PM. Biomechanics of the stifle joint. Proceedings of the 1st World Orthopaedic Concress; Munich. 2002: 189.
    PubMedGoogle Scholar
  • 27 Vasseur PB. The stifle joint. In: Slatter DH. (ed). Textbook of small animal surgery. 2nd ed. Philadelphia: WB Saunders Co; 1993: 1817-66.
    Google Scholar
  • 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.
    CrossrefPubMedGoogle Scholar
  • 29 Watt P. Tibial plateau leveling. Aust Vet J 2000; 78: 385-6.
    CrossrefPubMedGoogle Scholar
  • 30 Whitehair JG, Vasseur PB, Willits NH. Epidemiology of cranial cruciate ligament rupture in dogs. J Am Vet Med Assoc 1993; 203: 1016-9.
    PubMedGoogle Scholar