J Knee Surg 2015; 28(05): 404-410
DOI: 10.1055/s-0035-1544975
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Evaluation of Partial Transection versus Synovial Debridement of the ACL as Novel Canine Models for Management of ACL Injuries

Chantelle C. Bozynski
1   Comparative Orthopaedic Laboratory, University of Missouri, Columbia, Missouri
,
Keiichi Kuroki
1   Comparative Orthopaedic Laboratory, University of Missouri, Columbia, Missouri
,
James P. Stannard
2   Department of Orthopaedic Surgery, University of Missouri Hospital, Columbia, Missouri
,
Patrick A. Smith
3   Department of Orthopaedic Surgery, Columbia Orthopaedic Group, Columbia, Missouri
,
Aaron M. Stoker
1   Comparative Orthopaedic Laboratory, University of Missouri, Columbia, Missouri
,
Cristi R. Cook
1   Comparative Orthopaedic Laboratory, University of Missouri, Columbia, Missouri
,
James L. Cook
1   Comparative Orthopaedic Laboratory, University of Missouri, Columbia, Missouri
› Author Affiliations
Further Information

Publication History

19 September 2014

06 December 2014

Publication Date:
30 January 2015 (online)

Abstract

A major hurdle in investigating important clinical questions in knee ligament treatment is a lack of valid translational animal models. This study characterizes the effects of partial transection versus synovial debridement of the anterior (cranial) cruciate ligament (ACL) in dogs. A total of 27 adult purpose-bred research hounds underwent surgery and were assessed over the following 8 weeks. Dogs were randomized into the following three ACL status groups: sham control (n = 9), intact ACL with synovial debridement (exposed ACL) (n = 9), and partial transection of the ACL (partial tear ACL) (n = 9). Dogs in the exposed ACL group and partial tear ACL group had significantly (p < 0.05) more severe lameness, pain, effusion, reduced function, and reduced comfortable range of motion compared with controls, with the partial tear ACL group being most severely affected. More severe ACL and whole-joint pathology, and radiographic scores for osteoarthritis were present in the partial tear ACL group compared with exposed and/or sham control group. On the basis of these findings, biologic components of ACL injury (exposed ACL) played a role in whole-joint inflammation, but the clinical and pathological effects were more severe when both biologic and biomechanical components were present (i.e., partial tear ACL). These novel canine models were successfully developed to evaluate partial transection versus synovial debridement of the ACL and these models will be used to evaluate treatment options for acute management of ACL injuries.

 
  • References

  • 1 Seijas R, Ares O, Cuscó X, Alvarez P, Steinbacher G, Cugat R. Partial anterior cruciate ligament tears treated with intraligamentary plasma rich in growth factors. World J Orthod 2014; 5 (3) 373-378
  • 2 Spindler KP, Wright RW. Clinical practice. Anterior cruciate ligament tear. N Engl J Med 2008; 359 (20) 2135-2142
  • 3 Beynnon BD, Johnson RJ, Abate JA, Fleming BC, Nichols CE. Treatment of anterior cruciate ligament injuries, part I. Am J Sports Med 2005; 33 (10) 1579-1602
  • 4 American Academy of Orthopaedic Surgeons: Orthoinfo: Anterior cruciate ligament (ACL) injuries. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=a00549 . Accessed August 20, 2014
  • 5 Garner BC, Stoker AM, Kuroki K, Evans R, Cook CR, Cook JL. Using animal models in osteoarthritis biomarker research. J Knee Surg 2011; 24 (4) 251-264
  • 6 Kapoor M, Martel-Pelletier J, Lajeunesse D, Pelletier J-P, Fahmi H. Role of proinflammatory cytokines in the pathophysiology of osteoarthritis. Nat Rev Rheumatol 2011; 7 (1) 33-42
  • 7 Cook JL. Cranial cruciate ligament disease in dogs: biology versus biomechanics. Vet Surg 2010; 39 (3) 270-277
  • 8 Scanzello CR, Plaas A, Crow MK. Innate immune system activation in osteoarthritis: is osteoarthritis a chronic wound?. Curr Opin Rheumatol 2008; 20 (5) 565-572
  • 9 Kuroki K, Stoker AM, Cook JL. Effects of proinflammatory cytokines on canine articular chondrocytes in a three-dimensional culture. Am J Vet Res 2005; 66 (7) 1187-1196
  • 10 Ray A, Kuroki K, Cook JL , et al. Induction of matrix metalloproteinase 1 gene expression is regulated by inflammation-responsive transcription factor SAF-1 in osteoarthritis. Arthritis Rheum 2003; 48 (1) 134-145
  • 11 Attur MG, Dave M, Akamatsu M, Katoh M, Amin AR. Osteoarthritis or osteoarthrosis: the definition of inflammation becomes a semantic issue in the genomic era of molecular medicine. Osteoarthritis Cartilage 2002; 10 (1) 1-4
  • 12 Richardson DW, Dodge GR. Effects of interleukin-1beta and tumor necrosis factor-alpha on expression of matrix-related genes by cultured equine articular chondrocytes. Am J Vet Res 2000; 61 (6) 624-630
  • 13 Goldring MB. The role of cytokines as inflammatory mediators in osteoarthritis: lessons from animal models. Connect Tissue Res 1999; 40 (1) 1-11
  • 14 Townley CO, Fumich RM, Shall LM. The free synovial graft as a shield for collagen ingrowth in cruciate ligament repair. Clin Orthop Relat Res 1985; (197) 266-271
  • 15 Cook JL, Hung CT, Kuroki K , et al. Animal models of cartilage repair. Bone Joint Res 2014; 3 (4) 89-94
  • 16 Cook JL, Kuroki K, Visco D, Pelletier J-P, Schulz L, Lafeber FPJG. The OARSI histopathology initiative - recommendations for histological assessments of osteoarthritis in the dog. Osteoarthritis Cartilage 2010; 18 (Suppl. 03) S66-S79
  • 17 Luther JK, Cook CR, Cook JL. Meniscal release in cruciate ligament intact stifles causes lameness and medial compartment cartilage pathology in dogs 12 weeks postoperatively. Vet Surg 2009; 38 (4) 520-529
  • 18 Cook JL, Fox DB, Malaviya P , et al. Long-term outcome for large meniscal defects treated with small intestinal submucosa in a dog model. Am J Sports Med 2006; 34 (1) 32-42
  • 19 Hudson JT, Slater MR, Taylor L, Scott HM, Kerwin SC. Assessing repeatability and validity of a visual analogue scale questionnaire for use in assessing pain and lameness in dogs. Am J Vet Res 2004; 65 (12) 1634-1643
  • 20 Cook JL, Tomlinson JL, Kreeger JM, Cook CR. Induction of meniscal regeneration in dogs using a novel biomaterial. Am J Sports Med 1999; 27 (5) 658-665
  • 21 Mahn MM, Cook JL, Cook CR, Balke MT. Arthroscopic verification of ultrasonographic diagnosis of meniscal pathology in dogs. Vet Surg 2005; 34 (4) 318-323
  • 22 Roy RG, Wallace LJ, Johnston GR, Wickstrom SL. A retrospective evaluation of stifle osteoarthritis in dogs with bilateral medial patellar luxation and unilateral surgical repair. Vet Surg 1992; 21 (6) 475-479
  • 23 Hasegawa A, Nakahara H, Kinoshita M, Asahara H, Koziol J, Lotz MK. Cellular and extracellular matrix changes in anterior cruciate ligaments during human knee aging and osteoarthritis. Arthritis Res Ther 2013; 15 (1) R29
  • 24 Mullaji AB, Marawar SV, Simha M, Jindal G. Cruciate ligaments in arthritic knees: a histologic study with radiologic correlation. J Arthroplasty 2008; 23 (4) 567-572
  • 25 Kondo E, Merican AM, Yasuda K, Amis AA. Biomechanical analysis of knee laxity with isolated anteromedial or posterolateral bundle-deficient anterior cruciate ligament. Arthroscopy 2014; 30 (3) 335-343
  • 26 Kuroki K, Cook CR, Cook JL. Subchondral bone changes in three different canine models of osteoarthritis. Osteoarthritis Cartilage 2011; 19 (9) 1142-1149
  • 27 Riordan EA, Frobell RB, Roemer FW, Hunter DJ. The health and structural consequences of acute knee injuries involving rupture of the anterior cruciate ligament. Rheum Dis Clin North Am 2013; 39 (1) 107-122
  • 28 Gregory MH, Capito N, Kuroki K, Stoker AM, Cook JL, Sherman SL. A review of translational animal models for knee osteoarthritis. Arthritis (Egypt) 2012; 2012: 764621