Importance of meniscal injury diagnosis and surgical management in dogs during reconstruction of cranial cruciate ligament rupture: A retrospective study

Abstract

Objective: The objective of this study was to evaluate the benefits of the clinical outcome of meniscal injury diagnosis and surgical management during the reconstruction of cranial cruciate ligament rupture (RCCL) in dogs. Materials and methods: For these purpose two groups with 2 different surgery regimens; group 1 (G1), RCCL was corrected with partial meniscectomy and tibial tuberosity advancement (TTA), and another one (group-2, G2) only with TTA. Long-term follow-up about postoperative complications and any recurrence of signs were recorded by referring veterinarians by medical questionnaire over telephone contact and radiographic postoperative follow-up of bone healing was evaluated. Results: Meniscal injuries were diagnosed arthroscopically in five dogs out of six dogs, and corrected by partial meniscectomy arthroscopically. The percentage of presence of meniscal injury was 83%. It was found that clinical outcomes were superior in G1 than G2 group both walking starting time (4.6±2.5 and 6.4±2.9 days, respectively) or full recovery time (39.2±26.9 and 58.1±24.5 days, respectively) was significantly shortage (P<0.05) along with less postoperative complication at two years postoperative observation. Out of the five dogs, lameness, arthritis was developed in four dogs in G2 group while the number of dogs was two in G1 group within two years. Conclusion: Finally based on the clinical superiority, it is recommended that meniscal injury should be checked and corrected during RCCL reconstruction for getting better clinical outcomes.

Canine thoracolumbar intervertebral disk herniation and rehabilitation therapy after surgical decompression: A retrospective study

“…General anesthesia was administered via a slow intravenous injection of propofol 6–8 mg/kg, and sevoflurane (1%–5%) was used to maintain anesthesia [5]. Positive pressure was maintained by a ventilator, and ECG and end-tidal CO 2 were monitored automatically by an automated anesthetic machine (PAIEON, J & TEC, Goyang-Si, Gyeonggi-do, South Korea) during surgery [18–20]. In preparation for surgery, intravenous (IV) 0.9% normal saline, cephradine, tramadol, and steroid dexamethasone or methylprednisolone sodium succinate were administered as described previously [5].…”

A retrospective study of canine cervical disk herniation and the beneficial effects of rehabilitation therapy after ventral slot decompression

“…Co., Ltd., Seoul, Republic of Korea) infusion and volatile anaesthetic sevoflurane inhalant (1-5%; Abbott Korea Ltd., Seoul, Republic of Korea). Inhaled oxygen and positive pressure were maintained, and an automated anaesthetic machine (PAIEON, J & TEC, Goyang-Si, Gyeonggi-do, Republic of Korea) monitored ECG and CO 2 partial pressure during surgery, as described previously (Seo et al 2017;Choi et al 2018a;Choi et al 2018b). After shaving the entire back region, aseptic preparation, clipping, and draping were performed.…”

Surgical treatment of cranial cruciate ligament disease in dogs using Tibial Plateau Leveling Osteotomy or Tibial Tuberosity Advancement–A systematic review with a meta-analytic approach

“…Some authors ( 31 – 34 , 36 – 38 , 41 – 57 ) only included dogs with unilateral CCL rupture, so the number of dogs and number of cases were the same. Study group sizes varied between five subjects per group ( 56 , 58 ) and 1,732 subjects per group. The highest total number of subjects in one study was 1,732 dogs with 1,768 surgeries ( 59 ).…”

“…Most studies (51.4 %) deliver an unclear risk of bias as they did not correctly report every detail concerning study design and outcome data. Unclear or high risk of bias was also seen in studies ( 54 , 56 , 60 – 64 , 68 , 70 – 77 ) that were (partly) based on results stated by the owners or referring vets ( Table 1 ). These might not have followed standard protocols, but be influenced by the owners' or referring vets' personal opinion and bias toward the treatment.…”