Effect of surgical technique on limb function after surgery for rupture of the cranial cruciate ligament in dogs

Abstract

Surgical technique can influence limb function after surgery. Labrador Retrievers treated via LSS, ICS, or TPLO for repair for of RCCL and medial meniscal injury managed with partial or complete meniscectomy infrequently achieve normal function. Results of LSS and TPLO are similar and superior to ICS.

Técnica de interligação extracapsular fêmoro-fabelo-tibial na ruptura do ligamento cruzado cranial em cães: achados clínicos e radiográficos

“…A cirurgia é recomendada para todos os cães, pois acelera a taxa de recuperação e potencializa a função (SCHWARZ, 2003). CONZEMIUS et al (2005) observaram que, em cães de raças grandes, a sutura extracapsular de estabilização lateral e a osteotomia niveladora do platô tibial (TPLO) apresentaram resultados similares e superiores à estabilização intra-articular "over-the-top". Para CHAUVET et al (1996), quando a facilidade do procedimento e a satisfação do cliente são os objetivos do cirurgião, parece que a sutura fabelo-tibial é a melhor opção para cães grandes com RLCC; quando a meta é o pleno retorno da função e a prevenção da doença articular degenerativa, nenhum procedimento cirúrgico é satisfatório.…”

Modified stabilization method for the tibial tuberosity advancement technique: a biomechanical study

“…The development of surgical procedures that promote changes in joint anatomy and biomechanics constitutes a new perspective to decrease osteoarthrosis progression and restore normal limb function (MONTAVON et al, 2002). The Tibial Plateau Leveling Osteotomy (TPLO) has been studied and used worldwide, especially in the United States and Europe, with promising results (WARZEE et al, 2001;BALLAGAS et al, 2004;CONZEMIUS et al, 2005). Although cranial drawer movement is not eliminated, TPLO leads to the functional stability of the stifle joint during the stance phase of locomotion (REIF et al, 2002;BALLAGAS et al, 2004).…”

“…Although cranial drawer movement is not eliminated, TPLO leads to the functional stability of the stifle joint during the stance phase of locomotion (REIF et al, 2002;BALLAGAS et al, 2004). Despite the overall acceptance by most surgeons, studies using force plate analysis showed similar results in long-term outcome from the lateral suture technique and the Slocum TPLO (BALLAGAS et al, 2004;CONZEMIUS et al, 2005).…”

The cruciate question: what are the right questions to ask when evaluating clinical outcomes from cruciate ligament surgery in the dog?

“…There was never any real study of the old techniques and their advantages and disadvantages before the proposed change to osteotomy techniques first by Barclay Slocum in 1994 was accepted, and there still is none in spite of wide acceptance of these new and much more radical techniques [1] compared the TPLO to the lateral suture technique [2]. Did some radiographic comparisons of outcomes between TPLO and lateral suture.…”