Peer-reviewed veterinary case report
Recovery of limb function after Modified Maquet Procedure in dogs
By Della Valle, Giovanni et al.·Published in PloS one·2021·Department of Veterinary Medicine and Animal Production, Italy·View original on PubMed →
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Original publication title: Outcome after Modified Maquet Procedure in dogs with unilateral cranial cruciate ligament rupture: Evaluation of recovery limb function by use of force plate gait analysis.
- Species:
- dog
Plain-English summary
A group of 35 dogs with a torn cranial cruciate ligament (a common cause of limping) underwent a surgery called the Modified Maquet Procedure, which uses a special titanium wedge to stabilize the knee joint. After the surgery, the dogs were evaluated at 15, 30, and 90 days to see how well they were recovering. The results showed that most dogs improved significantly in their ability to walk normally, with many showing a balanced gait by the 90-day mark. While there were a few complications, the overall outcome was positive, indicating that this surgical method is effective for treating this type of injury in dogs.
People also search for: dog knee surgery recovery · cranial cruciate ligament tear treatment · limping dog surgery outcome
Abstract
INTRODUCTION: Cranial cruciate ligament failure is one of the principal causes of canine lameness. Several surgical procedures were proposed to achieve joint stabilisation; among these, the Modified Maquet Procedure involves using a titanium foam wedge to achieve and maintain the tibial tuberosity advancement. The force-plate analysis provides to objectively assess normal and abnormal gait and the outcome of different surgical techniques. The study evaluates the outcome of limbs that underwent Modified Maquet Procedure using land-force plate analysis comparing the operated limb with its healthy contralateral one as a control. MATERIALS AND METHODS: Thirty-five dogs with unilateral cranial cruciate ligament rupture were evaluated. Outcome after surgery was assessed by orthopaedic and radiographic evaluations and force plate gait analysis performed before surgery, at 15, 30 and 90 days after surgery. For objective comparison of ground reaction forces, data of operated limb were compared to contralateral limb on each time control and Symmetry Index at 90 days was determined. Healing radiographic signs, minor and major complication were reported. RESULTS: A significant improvement in ground reaction forces was reached in all the treated limbs between set time intervals. The median percentage increase in ground reaction forces was constant from 15 to 90 days, with a Symmetry Index >9 in 54.2% of patients suggesting a normal gait symmetry. A complete bone healing was noticed at 90 days follow-up radiographic assessment. We experienced three major (8.5%) and one minor (2.8%) complications. CONCLUSIONS: To the Authors' knowledge, this is the first study in the veterinary literature that assessed outcomes of dogs undergoing Modified Maquet Procedure for the treatment of cranial cruciate ligament rupture using force plate gait analysis and healthy contralateral limb as a control group. Our results confirm that Modified Maquet Procedure is an effective method to stabilise the stifle joint.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34379677/