Proximal lateral insertion portal of an intra-articular arthroscopic stifle lever: A cadaveric study.
Journal
Veterinary surgery : VS
ISSN: 1532-950X
Titre abrégé: Vet Surg
Pays: United States
ID NLM: 8113214
Informations de publication
Date de publication:
19 Jul 2024
19 Jul 2024
Historique:
revised:
20
05
2024
received:
26
03
2024
accepted:
08
06
2024
medline:
20
7
2024
pubmed:
20
7
2024
entrez:
20
7
2024
Statut:
aheadofprint
Résumé
To (1) Describe the proximal lateral insertion portal for the placement of an intra-articular distraction lever. (2) Assess for associated damage with the insertion of the lever and (3) evaluate the impact of duration of lever use on articular cartilage damage. Ex vivo canine cadaveric experimental study. Paired canine stifles from seven cadavers (14 stifles from dogs weighing >20 kg). A separate 0.5 cm proximal lateral portal was established adjacent to the lateral scope portal. A standard Ventura stifle thrust lever (VSTL) was inserted without removing the arthroscope. In Group A, the VSTL was placed in distraction for 5 min while in Group B the VSTL was placed for 10 min. The stifle joints were disarticulated and evaluated for associated damage to the long digital extensor tendon and iatrogenic articular cartilage injury (IACI) via India ink assay. No damage to the long digital extensor tendon was noted in any of the specimens during dissection. Superficial IACI was present in all specimens. There were no differences between groups when assessing for overall IACI. A proximal lateral portal and insertion of a standard VSTL can be performed without removing the arthroscope. The use of a proximal lateral lever portal without repositioning the arthroscope was repeatable without damaging the long digital extensor tendon. A duration of up to 10 min in which the thrust lever was engaged did not result in increased visual cartilage damage.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 American College of Veterinary Surgeons.
Références
Pozzi A, Hildreth BE, Rajala‐Schultz PJ. Comparison of arthroscopy and arthrotomy for diagnosis of medial meniscal pathology: an ex vivo study. Vet Surg. 2008;37(8):749‐755. doi:10.1111/j.1532‐950X.2008.00442.x
Plesman R, Gilbert P, Campbell J. Detection of meniscal tears by arthroscopy and arthrotomy in dogs with cranial cruciate ligament rupture: a retrospective, cohort study. Vet Comp Orthop Traumatol. 2013;26(1):42‐46. doi:10.3415/VCOT‐11‐10‐0153
Rogatko CP, Warnock JJ, Bobe G, Verpaalen VD. Comparison of iatrogenic articular cartilage injury in canine stifle arthroscopy versus medial parapatellar mini‐arthrotomy in a cadaveric model. Vet Surg. 2018;47(S1):O6‐O14. doi:10.1111/vsu.12736
Hoelzler MG, Millis DL, Francis DA, Weigel JP. Results of arthroscopic versus open arthrotomy for surgical management of cranial cruciate ligament deficiency in dogs. Vet Surg. 2004;33(2):146‐153. doi:10.1111/j.1532‐950X.2004.04022.x
Gemmill TJ, Farrell M. Evaluation of a joint distractor to facilitate arthroscopy of the canine stifle. Vet Surg. 2009;38(5):588‐594. doi:10.1111/j.1532‐950X.2009.00516.x
Winkels P, Pozzi A, Cook R, Böttcher P. Prospective evaluation of the leipzig stifle distractor. Vet Surg. 2016;45(5):631‐635. doi:10.1111/vsu.12495
Park JY, Jeong BS, Roh YS, Jeong SM, Lee HB. Evaluation of an arthroscopic stifle lever for stifle joint distraction in toy breed dogs. J Vet Sci. 2018;19(5):693‐698. doi:10.4142/jvs.2018.19.5.693
Cortés I, Warnock JJ, Ranganathan B, Bobe G. Iatrogenic cartilage injury associated with the use of stainless‐steel cannulas and silicone‐guarded cannulas for canine stifle arthroscopy. Vet Surg. 2019;48(8):1456‐1465. doi:10.1111/vsu.13288
Luther JK, Cook CR, Cook JL. Meniscal release in cruciate ligament intact stifles causes lameness and medial compartment cartilage pathology in dogs 12 weeks postoperatively. Vet Surg. 2009;38(4):520‐529. doi:10.1111/j.1532‐950X.2009.00520.x
Iodence AE. Evaluation of Iatrogenic Articular Cartilage Injury Associated with Arthroscopic Exploration of the Canine Elbow. Presented at the: 2023 ACVS Surgical Summit; October 12, 2023; Louisville, Kentucky.
Peters AE, Comerford EJ, Macaulay S, Bates KT, Akhtar R. Micromechanical properties of canine femoral articular cartilage following multiple freeze‐thaw cycles. J Mech Behav Biomed Mater. 2017;71:114‐121. doi:10.1016/j.jmbbm.2017.03.006
Meachim G. The effect of scarification on articular cartilage in the rabbit. J Bone Joint Surg Br. 1963;45‐B(1):150‐161. doi:10.1302/0301‐620X.45B1.150
Ferkel RD, Small HN, Gittins JE. Complications in foot and ankle arthroscopy. Clin Orthop Relat Res. 2001;391:89‐104. doi:10.1097/00003086‐200110000‐00010
Marijnissen ACA, vanRoermund PM, Verzijl N, Tekoppele JM, Bijlsma JWJ, Lafeber FPJG. Steady progression of osteoarthritic features in the canine groove model. Osteoarthr Cartil. 2002;10(4):282‐289. doi:10.1053/joca.2001.0507
Bounds CA, Hudson CC. Feasibility of feline coxofemoral arthroscopy using a supratrochanteric lateral portal: a cadaveric study. Vet Surg. 2023;52(8):1202‐1208. doi:10.1111/vsu.14019