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Vet Comp Orthop Traumatol 1995; 08(02): 118-123
DOI: 10.1055/s-0038-1632440
Clinical Communication
Schattauer GmbH

An Evaluation of Three Different Cranial Cruciate Ligament Surgical Stabilization Procedures As They Relate to Postoperative Meniscal Injuries

A Retrospective Study of 665 Stifles
A. Lisa Metelman
,
P. D. Schwarz
1   From the Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA
,
M. Salman
1   From the Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA
,
M. R. Alvis
1   From the Department of Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, Colorado, USA
› Author Affiliations
Further Information

Publication History

Received for publication 09 September 1994

Publication Date:
10 February 2018 (online)

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Summary

Cranial cruciate ligament (CrCL) rupture is the most commonly diagnosed stifle condition in the dog. Meniscal injury, in conjunction with CrCL rupture is also common in both man and dogs. There is a growing concern regarding meniscal injuries, whether unrecognized at the time of CrCL surgical stabilization or subsequent to stabilization, and the relationship to poor postoperative functional outcome. However, current literature is not specific as to an actual number of dogs subsequently requiring a second arthrotomy/meniscectomy.

Three different CrCL stabilization operations in dogs were compared, retrospectively, for the occurrence of post-operative meniscal damage requiring a second arthrotomy and meniscectomy. Additional information concerning: signalment, weight, history of injury, CrCL ruptured, surgeon, type of CrCL rupture and amount of arthritis present was recorded in 665 cases. It was found that 13.8% of the stifles at risk (i. e. those stifles that did not have the meniscus removed at the time of initial surgical stabilization) returned for a second arthrotomy/meniscectomy. A significant difference in outcome was not found between the results when initially performed by different surgeons. The number of dogs which returned for a second arthrotomy/ meniscectomy whose weight were ≤ 15 kg was significant, when compared to the total number of dogs considered at risk for this weight range. There was a significantly lower rate of return, in those dogs at risk, which had received fibular head transposition stabilization.

A retrospective study of 665 canine cranial cruciate ligament rupture cases documents the incidence (13.8%) of those dogs requiring a second arthrotomy, and subsequent meniscectomy, after one of three initial surgical stabilization procedures. Of the three procedures, the fibular head transposition technique had a significantly lower return rate requiring subsequent meniscectomy.

Keywords

Meniscectomy - cranial cruciate ligament - canine
 

  • REFERENCES

  • 1 Arnoczky SP, Marshal JL. The cruciate ligaments of the canine stifle: an anatomical and functional analysis. Am J Vet Res 1977; 38: 1807-14.
    PubMedGoogle Scholar
  • 2 Pond MJ, Campbell JR. The canine stifle joint. J Small Anim Pract 1972; 13: 1-10.
    CrossrefPubMedGoogle Scholar
  • 3 Mullen HS, Matthiesen DT. Complication of transposition of the fibular head for stabilization of the cranial cruciate-deficient stifle in dogs: 80 cases (1982–1986). J Am Vet Med Assoc 1989; 195: 1267-71.
    PubMedGoogle Scholar
  • 4 Flo GL. Meniscal injuries. Vet Clin North Am 1993; 23: 831-44.
    CrossrefPubMedGoogle Scholar
  • 5 Brinker WO, Piermattei DL, Flo GL. Handbook of Small Animal Orthopedics and Fracture Treatment. 2nd ed. Philadelphia: Saunders; 1990
    Google Scholar
  • 6 Dupuis J, Harari J. Cruciate ligament and meniscal injuries in dogs. Compend Contin Educ Pract 1993; 15: 215-232.
    PubMedGoogle Scholar
  • 7 Johnson JM, Johnson AL. Cranial cruciate ligament rupture: pathogenesis, diagnosis, and postoperative rehabilitation. Vet Clin North Am 1993; 23: 717-34.
    CrossrefPubMedGoogle Scholar
  • 8 Scavelli TD, Schrader SC, Matthiesen DT, Skorup DE. Partial rupture of the cranial cruciate ligament of the stifle in dogs: 25 cases (1982–1988). J Am Vet Med Assoc 1990; 196: 1135-8.
    PubMedGoogle Scholar
  • 9 Strom H. Partial rupture of the cranial cruciate ligament in dogs. J Small Anim Pract 1990; 31: 137-40.
    CrossrefPubMedGoogle Scholar
  • 10 Gillquist J. Repair and reconstruction of the ACL: is it good enough?. Arthroscopy 1993; 9: 68-71.
    CrossrefPubMedGoogle Scholar
  • 11 Elkins AD, Pechman R, Kearney MT, 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. J Am Anim Hosp Assoc 1991; 27: 533-40.
    PubMedGoogle Scholar
  • 12 Flo GL. Classification of meniscal lesions in 26 consecutive canine meniscectomies. J Am Anim Hosp Assoc 1983; 19: 335-40.
    PubMedGoogle Scholar
  • 13 Vasseur PB, Berry CR. Progression of stifle osteoarthrosis following reconstruction of the cranial cruciate ligament in 21 dogs. J Am Anim Hosp Assoc 1992; 28: 129-36.
    PubMedGoogle Scholar
  • 14 Flo GL, DeYoung D. Meniscal injuries and medial meniscectomy in the canine stifle. J Am Anim Hosp Assoc 1978; 14: 683-9.
    PubMedGoogle Scholar
  • 15 Hough AJ, Webber RJ. Pathology of the meniscus. Clin Orthop Rel Res 1990; 252: 32-40.
    PubMedGoogle Scholar
  • 16 Bennett D, May C. Meniscal damage associated with cruciate disease in the dog. J Small Anim Pract 1991; 32: 111-7.
    CrossrefPubMedGoogle Scholar
  • 17 Rudy RL. Stifle joint. In: Canine Surgery. 2nd ed. Archibald J. ed Santa Barbara: Am Vet Publishers; 1974: 1104-58.
    Google Scholar
  • 18 Bennett DB. Joint and Joint Diseases in Canine Orthopedics. 2nd ed. Whittick WG. ed Philadelphia: Lea & Febiger; 1990: 761-856.
    Google Scholar
  • 19 McDevett CA, Webber RJ. The ultrastructure and biochemistry of meniscal cartilage. Clin Orthop Rel Res 1990; 252: 8-18.
    PubMedGoogle Scholar
  • 20 Arnoczky SP, Tarvin GB. The microvasculature of the meniscus and its response to injury. Proc Vet Orthop Soc 1981; 8: 4
    PubMedGoogle Scholar
  • 21 Hulse DA, Shires P, Abdelbaki YZ, Hugh- Jones M, Kearney MT. Vascular access channeling to increase meniscal regeneration in the dog. Vet Surg 1986; 15: 414-9.
    CrossrefPubMedGoogle Scholar
  • 22 Stone KR, Rodkey WG, Webber R. et al Meniscal regeneration with copolymeric collagen scaffolds. Am J Sports Med 1992; 20: 104-11.
    CrossrefPubMedGoogle Scholar
  • 23 Hashimoto J, Kurosaka M, Yoshiya S, Hirahata K. Meniscal repair using fibrin sealant and endothelial cell growth factor. Am J Sports Med 1992; 20: 537-41.
    CrossrefPubMedGoogle Scholar
  • 24 Klompmaker J, Janse HWB, Veth RPH. et al Meniscal repair by fibrocartilage? An experimental study in the dog. J Orthop Res 1992; 10: 359-70.
    CrossrefPubMedGoogle Scholar
  • 25 Henning CE, Lynch MA, Yearout KM, Vequist SW, Stallbaumer RJ. Decker KA. Arthroscopic meniscal repair using an exogenous fibrin clot. Clin Orthop Rel Res 1990; 252: 64-79.
    PubMedGoogle Scholar
  • 26 Sommerlath KG, Gillquist J. The effect of anterior cruciate ligament resection and immediate or delayed implantation of a meniscus prosthesis on knee joint biomechanics and cartilage. Clin Orthop Rel Res 1993; 289: 267-75.
    PubMedGoogle Scholar
  • 27 Mikic AD, Brankov MA, Tubic MV, Lazetic AB. Allograft meniscus transplantation in the dog. Acta Orthop Scand 1993; 64: 329-32.
    CrossrefPubMedGoogle Scholar
  • 28 Sommerlath K, Gillquist J. The effects of an artificial meniscus substitute in a knee joint with a resected anterior cruciate ligament. Clin Orthop Rel Res 1993; 289: 276-84.
    PubMedGoogle Scholar
  • 29 Kohn D, Wirth CJ, Reiss G. et al Medial meniscus replacement by a tendon autograft. J Bone Joint Surg 1992; 74 B 910-7.
    CrossrefPubMedGoogle Scholar
  • 30 De Young DJ, Flo GL, Tvedten H. Experimental medial meniscectomy in dogs undergoing cranial cruciate ligament repair. J Am Anim Hosp Assoc 1980; 16: 639-45.
    PubMedGoogle Scholar
  • 31 Smith GK, Torg JS. Fibular head transposition for repair of cruciate deficient stifle in the dog. J Am Vet Med Assoc 1985; 187: 375-83.
    PubMedGoogle Scholar
  • 32 Flo GL. The missed or subsequent meniscal tear following cruciate ligament surgery. Proc Vet Orthop Soc 1986; 13: 20
    PubMedGoogle Scholar
  • 33 Flo GL. Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-6.
    PubMedGoogle Scholar
  • 34 Arnoczky SP, Tarvin GB, Marshall JL, Saltzman B. The over-the-top procedure: A technique for anterior cruciate ligament substitution in the dog. J Am Anim Hosp Assoc 1979; 15: 283-90.
    PubMedGoogle Scholar
  • 35 Vasseur PB. Clinical results following nonoperative management for rupture of the cranial cruciate ligament in dogs. Vet Surg 1984; 13: 243-6.
    CrossrefPubMedGoogle Scholar
  • 36 Whitehair JG, Vasseur PB, Willits NH. Epidemiology of cranial cruciate ligament rupture in dogs. Am Vet Med Assoc 1993; 203: 1016-22.
    PubMedGoogle Scholar
  • 37 Patterson RH, Smith GK, Gregor TP, Newton CD. Biomechanical stability of four cranial cruciate ligament repair techniques in the dog. Vet Surg 1991; 20: 85-90.
    CrossrefPubMedGoogle Scholar
  • 38 Dupuis J, Harari J, Papageorges M. et al Evaluation of fibular head transposition for repair of experimental cranial cruciate ligament injury in dogs. Vet Surg 1994; 23: 1-12.
    CrossrefPubMedGoogle Scholar
  • 39 Widmer WR, Buckwalter KA, Braunstein EM. et al Principles of magnetic resonance imaging and application to the stifle joint in dogs. JAVMA 1991; 198: 1914-22.
    PubMedGoogle Scholar
  • 40 Fischer SP, Fox JM, Del Pizzo W. et al Accuracy of diagnoses from MRI of the knee. J Bone Joint Surg 1991; 73 A 2-10.
    CrossrefPubMedGoogle Scholar
  • 41 Crues JV, Rye R, Morgan FW. Meniscal pathology: the expanding role of MRI. Clin Orthop Rel Res 1990; 252: 80-7.
    PubMedGoogle Scholar
  • 42 Raunest J, Oberle K, Loehnert L, Hoetzinger H. The clinical value of MRI in the evaluation of meniscal disorders. J Bone Joint Surg 1991; 73 A 11-6.
    CrossrefPubMedGoogle Scholar
  • 43 Ray CS, Mcllwraith CW, Poole AR. Synovial fluid markers of articular disease. Am Coll Vet Surg Proc, Abstract. 27
    PubMedGoogle Scholar
  • 44 Siemering GB, Eilert RE. Arthroscopic study of cranial cruciate ligament and medial meniscal lesions in the dog. J Vet Surg 1986; 15: 265-9.
    PubMedGoogle Scholar
  • 45 Miller CW, Presnell KR. Examination of the canine stifle: Arthroscopy versus arthrotomy. J Am Anim Hosp Assoc 1985; 21: 623-9.
    PubMedGoogle Scholar