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Vet Comp Orthop Traumatol 1997; 10(03): 141-145
DOI: 10.1055/s-0038-1632585
Case Report
Schattauer GmbH

Autogenous Tensor Fascia Lata Graft Replacement of the Patellar Ligament in a Dog

D. N. Aron
1   From the Departments of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
2   From the Departments of Anatomy and Radiology, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
,
B. A. Selcer
2   From the Departments of Anatomy and Radiology, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
,
J. D. Smith
1   From the Departments of Small Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia, USA
› Author Affiliations
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Publication History

Received for publication 03 October 1996

Publication Date:
10 February 2018 (online)

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Summary

This report documents a complicated trauma case in a dog that was successfully managed by substitution of a missing patellar ligament with an autogenous tensor fascia lata free graft. Important to the success of the case was the use of a careful postoperative regime of progressive controlled mobilization with the aid of the hinged transarticular external skeletal fixator. Because of the advantages provided by use of the autogenous tensor fascia lata graft and the hinged transarticular external skeletal fixator, patient morbidity was low and the end result was good.

An autogenous tensor fascia lata free graft was successfully used to completely substitute for a missing patellar ligament in a dog. Postoperative rehabilitation was facilitated by the use of the hinged transarticular external skeletal fixator. The technique is described along with the results. Complete substitution of the patellar ligament with a graft has not been reported in the dog.

Keywords

Patellar ligament - graft - controlled mobilization - dog
 

  • REFERENCES

  • 1 Bloomberg MS, Parker RB. Chronic lameness in the dog due to delayed, diagnosis of diruption of the patellar ligament. J Am Anim Hosp Assoc 1984; 20: 899-904.
    PubMedGoogle Scholar
  • 2 Carb AC. A partial patellectomoy procedure for transverse patella fracture in the dog and cat. J Am Anim Hosp Assoc 1975; 11: 649-57.
    PubMedGoogle Scholar
  • 3 Culvenor JA. Fascia lata flap to re-inforce repair of patella ligament injuries in the dog and cat. J Small Anim Pract 1988; 29: 559-63.
    CrossrefPubMedGoogle Scholar
  • 4 Gilmore DR. Patellar ligament rupture in a dog. J Am Vet Med Assoc 1983; 183: 228-9.
    PubMedGoogle Scholar
  • 5 Ries RL, Harris LR. Patellar ligament avulsion in a dog. Mod Vet Pract 1982: 969-71.
    Google Scholar
  • 6 Phillips BB. Traumatic disorder. In: Campbell's Operative Orthopaedics 8th edn.. Crenshaw AH. (ed) St Louis: Mosby; 1992: 1895.
    Google Scholar
  • 7 Aron DN. Tendon repair techniques. In: Current Techniques in Small Animal Surgery, 3rd edn. Bojrab MJ. (ed) Philadelphia: Lea & Febiger; 1990: 549.
    Google Scholar
  • 8 Braden TD. Fascia lata transplant for repair of chronic achilles tenodn defects. J AM Anim Hosp Assoc 1976; 12: 800-5.
    PubMedGoogle Scholar
  • 9 Bugg Jr EI, Boyd BM. Repair of neglected rupture or laceration of the achilles tendon. Clin Orthop 1968; 56: 73-5.
    PubMedGoogle Scholar
  • 10 Fu FH, Harner CD, Hohnson DL. et al. Biomechanics of knee ligaments. J Bone Joint Surg 1993; 75-A: 1716-27.
    PubMedGoogle Scholar
  • 11 Kasperczyk W, Bosch U, Oestern H-J, Tscherne H. Staging of patellar tendon autograft healing after posterior cruciate ligament reconstruction. Clin Orthop 1993; 286: 271-82.
    PubMedGoogle Scholar
  • 12 Hsu K-Y, Wang K-C, Ho W-P, Hsu RW-W. Traumatic patellar tendon ruptures: A follow- up study of primary repair and a neutralization wire. J Trauma 1994; 36: 658-60.
    CrossrefPubMedGoogle Scholar
  • 13 Akeson WH, Amiel D, Abel MF. et al. Effects of immobilization on joints. Clin Orthop 1987; 219: 28-37.
    PubMedGoogle Scholar
  • 14 Buckwalter JA. Should bone, soft-tissue, and joint injuries be treated with rest or activity?. J Orthop Res 1995; 13: 155-6.
    CrossrefPubMedGoogle Scholar