Peer-reviewed veterinary case report
Surgical options for dogs with kneecap and ligament injuries
By Fauron, Albane H et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2017·View original on PubMed →
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Original publication title: Surgical stabilization of concomitant canine medial patellar luxation and cranial cruciate ligament disease. Effect of fixation method on postoperative complication rate and clinical outcome.
- Species:
- dog
Plain-English summary
A 6-year-old mixed-breed dog was brought in for limping due to a combination of knee problems: a torn cranial cruciate ligament (CrCL) and a dislocated kneecap (medial patellar luxation). The dog underwent surgery using two different techniques: one group had extracapsular stabilization with tibial tuberosity transposition (ECS+TTT), while another group had tibial tuberosity transposition and advancement (TTTA). The results showed that dogs treated with ECS+TTT had more complications and poorer outcomes compared to those treated with TTTA. The TTTA method proved to be safer and more effective for recovery.
People also search for: dog limping knee pain · cranial cruciate ligament surgery recovery · medial patellar luxation treatment
Abstract
OBJECTIVES: To compare complication rates and outcomes between cases of concomitant cranial cruciate ligament (CrCL) disease and medial patellar luxation (MPL) treated using extracapsular stabilization and tibial tuberosity transposition (ECS+TTT) and tibial tuberosity transposition and advancement (TTTA). METHODS: In a multicentre retrospective study, records from four referral hospitals were reviewed for dogs with concomitant CrCL pathology and MPL treated using ECS+TTT or TTTA. Data retrieved included signalment, partial/complete CrCL tear, MPL grade, treatment performed, occurrence of postoperative complications, and postoperative outcome grade. Associations between surgical procedure and risk of complication and surgical procedure and outcome were investigated using univariable logistic regression and proportional odds logistic regression respectively. Multiple logistic regression was used to explore confounding factors. RESULTS: A total of 72 stifles were evaluated in 66 dogs; 32 stifles were stabilized using ECS+TTT and 40 using TTTA. Overall complications were 2.7 times more frequent in the ECS+TTT group and major complications occurred only in this group. The TTTA group was less likely to suffer complications (17.5%) compared to the ECS+TTT group (46.9%) (p = 0.009) and TTTA cases had lower odds of a poorer clinical outcome (p = 0.047). CLINICAL SIGNIFICANCE: Stifles stabilized using ECS+TTT are more likely to suffer from postoperative complications and a poorer clinical outcome when compared to TTTA.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/28393962/