Intra-articular replacement of the caudal cruciate ligament using a UHMWPE ligament under arthroscopic guidance in a dog: A case report.
Arthroscopy
Caudal cruciate ligament
Dog
Synthetic ligament reconstruction
UHMWPE
Journal
Open veterinary journal
ISSN: 2218-6050
Titre abrégé: Open Vet J
Pays: Libya
ID NLM: 101653182
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
16
03
2023
accepted:
19
06
2023
medline:
25
8
2023
pubmed:
24
8
2023
entrez:
24
8
2023
Statut:
ppublish
Résumé
As isolated ruptures of the caudal cruciate ligament (CdCL) are rare in dogs, there is no consensus on the indications and the gold-standard surgical technique for treatment. A 2-year-old Shepherd dog with an isolated rupture of the CdCL was treated with a new surgical technique for synthetic reconstruction. Three bone tunnels were drilled in the femur and the tibia under arthroscopic guidance to make sure the anatomical insertions of the physiological ligament were respected. An ultra-high molecular weight polyethylene (UHMWPE) implant was fixed with interference screws to reconstruct the CdCL. A synovial inflammation remained present on radiographs for 6 months after the surgery, together with a mild lameness. However, the dog fully recovered clinically and recovered a normal level of activity after 6 months. Liverpool osteoarthritis in dogs questionnaire results at 6 months and 1 year postoperatively were excellent. The use of a UHMWPE implant fixed with interference screws to reconstruct the CdCL allowed a return to full function of the knee without complications, despite a persistent synovial inflammation and mild lameness for a 6-month period after the surgery. The success of this isolated surgical technique could lead to improvements in the surgical management of CdCL rupture, if these initial results are confirmed by a prospective study with a larger number of patients.
Sections du résumé
Background
As isolated ruptures of the caudal cruciate ligament (CdCL) are rare in dogs, there is no consensus on the indications and the gold-standard surgical technique for treatment.
Case Description
A 2-year-old Shepherd dog with an isolated rupture of the CdCL was treated with a new surgical technique for synthetic reconstruction. Three bone tunnels were drilled in the femur and the tibia under arthroscopic guidance to make sure the anatomical insertions of the physiological ligament were respected. An ultra-high molecular weight polyethylene (UHMWPE) implant was fixed with interference screws to reconstruct the CdCL. A synovial inflammation remained present on radiographs for 6 months after the surgery, together with a mild lameness. However, the dog fully recovered clinically and recovered a normal level of activity after 6 months. Liverpool osteoarthritis in dogs questionnaire results at 6 months and 1 year postoperatively were excellent.
Conclusion
The use of a UHMWPE implant fixed with interference screws to reconstruct the CdCL allowed a return to full function of the knee without complications, despite a persistent synovial inflammation and mild lameness for a 6-month period after the surgery. The success of this isolated surgical technique could lead to improvements in the surgical management of CdCL rupture, if these initial results are confirmed by a prospective study with a larger number of patients.
Identifiants
pubmed: 37614738
doi: 10.5455/OVJ.2023.v13.i7.15
pii: OVJ-13-948
pmc: PMC10443818
doi:
Substances chimiques
ultra-high molecular weight polyethylene
0
Types de publication
Case Reports
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
948-954Déclaration de conflit d'intérêts
The authors have no conflicts of interest to declare.
Références
Vet Surg. 2008 Dec;37(8):749-55
pubmed: 19121170
Vet Surg. 2020 May;49(4):764-771
pubmed: 31957897
J Knee Surg. 2019 Jun;32(6):525-531
pubmed: 29852514
Arthrosc Tech. 2014 Jun 09;3(3):e377-82
pubmed: 25126507
Vet Clin North Am Small Anim Pract. 1993 Jul;23(4):717-33
pubmed: 8337786
Vet Surg. 1987 Mar-Apr;16(2):151-4
pubmed: 3507134
Arthroscopy. 2016 Jan;32(1):44-53
pubmed: 26311286
Am J Sports Med. 1995 Jul-Aug;23(4):436-43
pubmed: 7573653
Vet Comp Orthop Traumatol. 2016 Nov 23;29(6):491-498
pubmed: 27709221
Bone Joint J. 2019 Oct;101-B(10):1238-1247
pubmed: 31564153
Vet Surg. 2004 Mar-Apr;33(2):146-53
pubmed: 15027976
Vet Surg. 2008 Feb;37(2):166-77
pubmed: 18251811
PLoS One. 2013;8(3):e58125
pubmed: 23505459
Open Vet J. 2022 May-Jun;12(3):341-350
pubmed: 35821774
Vet Surg. 2011 Jul;40(5):531-43
pubmed: 21615432
J Biomed Mater Res B Appl Biomater. 2019 Apr;107(3):554-563
pubmed: 29722123
Vet Med Int. 2020 Jul 9;2020:4146790
pubmed: 32695304
Chang Gung Med J. 2007 Nov-Dec;30(6):480-92
pubmed: 18350731
Vet Surg. 1987 May-Jun;16(3):202-6
pubmed: 3507143
Arthroscopy. 2007 Nov;23(11):1226-30
pubmed: 17986411
Knee. 2013 Mar;20(2):96-9
pubmed: 23159153
J Knee Surg. 2017 Sep;30(7):704-711
pubmed: 28024306
PLoS One. 2014 Jun 03;9(6):e97329
pubmed: 24892866
Arthroscopy. 2009 Jan;25(1):78-85
pubmed: 19111222
Arthroscopy. 2009 Oct;25(10):1128-38
pubmed: 19801292
J Orthop Res. 1986;4(4):475-85
pubmed: 2946836
Vet Surg. 2003 Jul-Aug;32(4):390-401
pubmed: 12866003