Subscribe to RSS
DOI: 10.1160/VCOT-06-08-0069
Stifle joint luxation in the dog and cat: The use of temporary intraoperative transarticular pinning to facilitate joint reconstruction
Publication History
Received
01 September 2006
Accepted
22 July 2006
Publication Date:
21 December 2017 (online)
Summary
Multiple ligament injuries of the canine and feline stifle joint which result in luxation are uncommon. Two cats and one dog, that had sustained such a joint injury were surgically treated. A rupture of the cranial and caudal cruciate ligaments, and at least one collateral ligament was observed in all of the three animals. Prosthetic reconstruction was used, as previously described, in combination with a novel technique of intraoperative placement of a temporary trans-articular pin (TTP) to maintain intra-operative anatomical reduction. TTP placement facilitated maintenance of joint alignment during surgical reconstruction and aided appropriate tensioning of the prosthetic sutures, preventing collapse of femorotibial joint compartments. The TTP was removed prior to closure of the joint allowing immediate post-operative joint mobilisation. Based on assessment by their owners, all the animals made a complete recovery. TTP was considered a relatively simple and effective adjunctive aid for surgical treatment of traumatic luxation of the stifle joint.
-
References
- 1 Bruce WJ. Multiple ligamentous injuries of the canine stifle joint: astudy of 12 cases. J Small Anim Pract 1998; 39: 333-340.
- 2 Connery Connery, Rackard S. The surgical treatment of traumatic stifle disruption in a cat. Vet Comp Orthop Traumatol 2000; 13: 208-211.
- 3 Aron DN. Traumatic dislocation ofthe stifle joint: treatment of 12 dogs and one cat. J Am Anim Hosp Assoc 1988; 24: 333-340.
- 4 Smith GK. The principles for repair of multiple ligamentous injuries of the stifle. 22nd Annual Conference of Veterinary Orthopaedic Society. March 4th-11th, 1995 Whistler, B.C., Canada: A45-46.
- 5 Hulse Hulse, Shires PK. Multiple ligament injury of the stifle joint in the dog. JAmAnim Hosp Assoc 1986; 22: 105-110.
- 6 Robins GM. The canine stifle joint. In: Canine Orthopaedics, 2nd ed. Wittick WG (ed). Philadelphia: Lea & Febiger 1990; 693-760.
- 7 Denny Denny, Minter HM. Long term results of surgery of canine stifle disorders. J Small Anim Pract 1973; 14: 695-713.
- 8 Parker Parker, Schubert TA. Repair of ligamentous joint injuries in three dogs using spiked washers. J Am Anim Hosp Assoc 1981; 17: 45-50.
- 9 Welches Welches, Scavelli TD. Transarticular pinning to repair luxation of the stifle joint in dogs and cats: a retrospective study of 10 cases. J Am Anim Hosp Assoc 1990; 26: 207-214.
- 10 Jaeger GH, Wosar MA, Marcellin-Little DJ. et al. Use of hinged transarticular external fixation for adjunctive joint stabilization in dogs and cats: 14 cases (1999-2003). J Am Vet Med Assoc 2005; 227: 586-591.
- 11 Toombs Toombs, Wallace LJ. Surgical management of multiple ligamentous injuries of the feline stifle joint: case report. Vet Surg 1979; 8: 34-37.
- 12 Phillips IR. Dislocation of the stifle joint in the cat. J Small Anim Pract 1982; 23: 217-221.
- 13 Hoffman GT, Lipowitz AJ, Herron MR. et al. Clinical Forum: Concomitant rupture of the collateral and cruciate ligaments. Feline Pract 1985; 15: 433-434.
- 14 Swanwick A. Bilateral dislocation of the stifle joints in two cats. Aust Vet Pract 1987; 17: 190-194.
- 15 Bruce WJ. Stifle joint luxation in the cat: treatment using transarticular external skeletal fixation. J Small Anim Pract 1999; 40: 482-488.
- 16 Fossum TW. Diseases of the Joints. In: Small Animal Surgery. Fossum TW. (ed). St. Louis: Mosby; 2002: 1128-1130.
- 17 Piermattei DL. Approach to the stifle through a lateral and medial incision. In: An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. Piermattei DL. (ed). Philadelphia: WB. Saunders; 1993: 565-568.
- 18 Aron DN. A new tendon stitch. J Am Anim Hosp Assoc 1981; 17: 587-591.
- 19 Rudy RL. Stifle joint. In: Canine Surgery. Archibald J. (ed). American Veterinary Publications; Santa Barbara, CA, USA: 1974: 1104-1155.
- 20 Flo GL. Modification ofthe lateral retinacular in- brication technique for stabilizing cruciate ligament injuries. JAmAnim Hosp Assoc 1975; 11: 570-576.
- 21 Egger E. Caudal cruciate ligament repair. In: Current techniques in small animal surgery. Bojrab MJ. (ed). Philadelphia: Lea & Febiger; 1990
- 22 Smith Smith, Torg JS. Fibular head transposition for repair of cruciate-deficient stifle in the dog. J Am VetMed Assoc 1985; 187: 375-383.
- 23 McLaughlin RM. Traumatic Joint Luxations in Small Animals. Vet Clin North Am Small Anim Pract 1995; 25: 1175-1196.
- 24 Egger Egger, Freeman L. Transarticular pinning and external splintage for treatment of congenital hy- perextension of the stifle and tibiotarsal joint: a case report. J Am Anim Hosp Assoc 1985; 21: 663-667.
- 25 Williams Williams, Brandt K. Immobilisation ameliorates chemically-induced articular cartilage damage. Arthritis Rheum 1984; 27: 208-216.
- 26 Piper Piper, Whiteside LA. Early immobilization after knee ligament repair in dogs. An experimental study. Clin Orthop 1980; 150: 277-282.