The purpose of this study was to describe and assess the feasibility of a new
intra-articular approach in the treatment of cranial cruciate ligament deficiency in dogs
using an artificial ligament and a new bone-anchor system. Twelve canine cadavers
weighting 26 to 45 kg were used in this ex-vivo study. Special tibial and
femoral screws, two helicoils, and a high resistance artificial fiber compose the implant.
Surgery was performed using the cranio-lateral approach to the stifle joint. Helicoil and
tibial screw, connected to the fiber, were inserted in the center of the tibial insertion
area of the cranial cruciate ligament. The fiber was passed over-the-top,
tensioned, and fixed to the femoral screw, previously inserted with the helicoil in the
distal part of the femur. Surgery was completed in all the cases. Occasional problems
found during the insertion of the helicoils and screws were resolved with simple
procedures. Post-operative clinical assessment showed negative cranial drawer test,
negative cranial tibial thrust, and normal range of motion. Radiographic evaluation showed
an appropriate positioning of both tibial and femoral implants in all the cases. The
results of the first surgical appraisal of this new technique are encouraging, although
further studies are necessary to demonstrate the in vivo efficacy of this
procedure.
A hand-made, radiolucent, custom-designed device having a mobile and a non-mobile platforms was used to objectively quantify the in vivo cranial tibial translation, in order to assess the functional status of cranial-cruciate-ligament (CrCL) in dogs. The hypothesis was that changes in CrCL integrity would result in detectable changes in tibial translation. To validate the diagnostic method, data from injured (PA, n = 32), contralateral (CO, n = 32) and healthy stifles (HE, n = 32) were compared. Normalized tibial translation (Δ N ) of each stifle was measured in medio-lateral radiographic projection obtained before and during standard thrust force application, in PA (43.59±12.97%), CO (20.32±6.69%) and HE (12.22±3.77%). Comparing PA with HE and CO (Δ N cut-off value: 29.73%), diagnosis could be issued with very high probability. Comparing HE with CO (Δ N cut-off value: 14.80%), high performance was obtained. The translator device could be a useful tool to objectively quantify the in vivo tibial translation in dogs with CrCL rupture, before surgery and during post-operatory follow-up.
Copyright of these abstracts is retained by the authors of the abstract unless assigned elsewhere by them. Abstracts are grouped by topic (either Small Animal or Large Animal) and then listed in alphabetical order of the first author's name. Presenters names are underlined. Names with asterisk indicate that the author is an ECVS or ACVS Diplomate.
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