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DOI: 10.1055/s-0038-1632551
Bacterial Culture of the Canine Stifle Joint following Surgical Repair of Ruptured Cranial Cruciate Ligament
Publication History
Received:03 December 1997
Accepted:30 March 1998
Publication Date:
10 February 2018 (online)

Summary
The purpose of this project was to determine if chronic, low grade bacterial contamination is associated with an unsatisfactory outcome of cranial cruciate ligament (CCL ) repair. Additionally, signalment and physical examination findings were compared between dogs doing well and dogs doing poorly. A sample of synovial fluid was obtained from the stifle joints of dogs with either a satisfactory or an unsatisfactory long term outcome following extra-capsular CCL repair. Aerobic and anaerobic bacterial cultures were obtained and antibiotic sensitivities determined. Significant differences were not found between the two groups with regards to the frequency of positive cultures, signalment, or synovial fluid analyses. The dogs with an unsatisfactory outcome did have significantly more pain, less range of motion, and less cranial drawer signs than dogs with a satisfactory outcome. Chronic, low grade bacterial contamination is not associated with an unsatisfactory clinical outcome and, in general, appears to be an uncommon sequela to CCL repair. Physical examination findings suggest that elimination of cranial drawer is not a major determinant of clinical success of the procedure.
Synovial fluid cultures and physical exam findings were compared in dogs doing well and dogs doing poorly following cranial cruciate ligament repair.
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REFERENCES
- 1 Vasseur PB. Clinical Results Following Nonoperative Management for Rupture of the Cranial Cruciate Ligament in Dogs. Vet Surg 1984; 13: 243-6.
- 2 Elkins AD. Pechman R. Kearney, Herron M. A Retrospective Study Evaluating the Degree of Degenerative Joint Disease in the Stifle Joint of Dogs Following Surgical Repair of Anterior Cruciate Ligament Rupture. JAAHA 1991; 27: 533-40.
- 3 Coetzee GL, Lubbe AM. A Prospective Study Comparing Two Fascial Reconstruction Techniques to Stabilise the Cranial Cruciate Deficient Stifle in the Dog. Vet Comp Orthop Traumatol 1995; 8: 82-90.
- 4 Smith GK, Torg JS. Fibular Head Transposition for Repair of Cruciate-Deficient Stifle in the Dog. JAVMA 1985; 187: 375-83.
- 5 Conzemius MG, Hill CM, Smith GK. Morphometric Analysis of the Canine Stifle and it's Relationship to the Development of a Total Knee Replacement, Proceedings of the 24th Annual Meeting of the Veterinary Orthopedic Society. Big Sky, Montana, USA, March: 1997
- 6 Turner TM. Canine Total Stifle Arthroplasty, ACVS Symposium Proceedings. 1995: 74-6.
- 7 Biomedtrix, ACVS Symposium. 1996. San Francisco, CA, USA:
- 8 Turner TM. Total Knee Replacement, ACVS Symposium Proceedings. 1997
- 9 Bobyn JD, Cameron HU, Abdulla D. Pilliar RM, Weatherly GC. Biologic Fixation and Bone Remodeling with an Unconstrained Canine Total Knee Prosthesis. Clin Orth Rel Res 1982; 166: 301-12.
- 10 Sumner DR, Berzins A, Turner TM, Igloria R, Natarajan N. Initial In Vitro Stability of the Tibial Component in a Canine Model of Cementless Total Knee Replacement. J of Biomechanics 1994; 27: 929-39.
- 11 LaBerge M, Bobyn JD, Rivard CH. Drouin G, Duval P. Study of Soft Tissue Ingrowth into Canine Porous Coated Femoral Implants Designed for Osteosarcoma Management. J of Biomed Mat Res 1990; 24: 959-71.
- 12 Schirmer BD, Dix J, Schmieg Jr RE, Aguilar M, Urch S. The Impact of Previous Abdominal Surgery on Outcome Following Laparoscopic Cholecystectomy. Surgical Endoscopy 1995; 9 (10) 1085-9.
- 13 Poss R, Thornhill TS, Ewald FC, Thomas WH, Batte NJ, Sledge CB. Factors Influencing the Incidence and Outcome of Infection Following Total Joint Arthroplasty. Clin Orth Rel Res 1984; 182: 117-26.
- 14 Wilson MG, Kelley K, Thornhill TS. Infection as a Complication of Total Knee Replacement Arthroplasty. J Bone Joint Surg 1990; 72: A878-83.
- 15 Jupiter JB. Karchmer AW, Lowell JD, Harris WH. Total Hip Arthroplasty in the Treatment of Adult Hips with Current or Quiescent Sepsis. J Bone Joint Surg 1981; 63: A194.
- 16 Cherney DL, Amstutz HC. Total Hip Replacement in the Previously Septic Hip. J Bone Joint Surg 1983; 65A: 1256.
- 17 LaForgia R, Murphy JCM, Redfern TR. Low Friction Arthroplasty for Old Quiescent Infection of the Hip. J Bone Joint Surg 1988; 70: Br373.
- 18 Eftekhar NS. Prevention of Infection, in. Eftekhar NS. (ed) Total Hip Arthroplasty. St. Louis, MO, Mosby-Year, Inc; 1993: 341-75.
- 19 Smith MM, Vasseur PB, Saunders HM. Bacterial Growth Associated with Metallic Implants in Dogs. JAVMA 1989; 195: 765-7.
- 20 Montgomery RD, Long IR, Milton JL, DiPinto MN, Hunt J. Comparison of Aerobic Culturette, Synovial Membrane Biopsy, and Blood Culture Medium in Detection of Canine Bacterial Arthritis. Vet Surg 1989; 18: 300-3.
- 21 Rand JA. Sepsis following Total Knee Arthroplasty, in. Rand JA. (ed) Rand's Total Knee Arthroplasty. New York: NY, Raven Press; 1993: 352-6.
- 22 Petola H, Vahvanen V. A Comparative Study of Osteomyelitis and Purulent Arthri- tis with Special Reference to Aetiology and Recovery. Infection 1984; 12: 75-9.
- 23 Martens RJ. Pathogenesis, Diagnosis and Therapy of Septic Arthritis in Foals. J Vet Orthop 1981; 2: 49-58.
- 24 Morrey BF, Bianco AJ, Rhodes KH. Suppurative Arthritis of the Hip in Children. J Bone Joint Surg [Am] 1976; 58: 388-92.
- 25 Vasseur PB, Berry CR. Progression of Stifle Osteoarthrosis Following Reconstruction of the Cranial Cruciate Ligament in 21 Dogs. J of Am Anim Hosp Assoc 1992; 28: 129-36.
- 26 Dupuis J, Harari J, Papageorges M, Gallina AM, Ratzlaff M. Evaluation of Fibular Head Transposition for Repair of Experimental Cranial Cruciate Ligament Injury in Dogs. Vet Surg 1994; 23: 1-12.
- 27 Monnet E, Schwarz PD, Powers B. Politeal Tendon Transposition for Stabilization of the Cranial Cruciate Ligament Deficient Stifle Joint in Dogs: An Experimental Study. Vet Surg 1995; 24: 465-75.