Advances in the Canine Cranial Cruciate Ligament, 2nd edition

(Wang) #1
Arthroscopic Follow-Up after Surgical Stabilization of the Stifle 289

commonly performed in medium- and large-
breed dogs; this group of dogs typically has
persistent or intermittent lameness, and often
will have a meniscal click if a bucket-handle
tear of the medial meniscus is present.


Conclusions


Follow-up arthroscopy has provided much-
needed evidence of outcome after cruciate
stabilization surgery. Follow-up arthroscopy
was associated with minimal morbidity. Many
changes in the intra-articular environment of
the stifle have been identified, including menis-
cal tears, CaCL fiber wear, chronic synovitis,
cartilage wear, and osteophyte formation. Many
of the pathological changes were evident in
dogs that were thought to be without clinical
signs. Many of the arthroscopic findings are not
easily assessed by imaging techniques. Follow-
up arthroscopy is an excellent method of assess-
ing the intra-articular condition of the canine
stifle joint months to years after stifle surgery.


References


Aman A, Beale BS. Follow-up arthroscopic evaluation
of canine stifles having undergone tibial plateau
leveling osteotomy with and without meniscal
release. Proceedings of the 36th Annual Conference
Veterinary Orthopedic Society, 2009, p. 21.
Aragon CL, Budsberg SC. Applications of evidence-
based medicine: Cranial cruciate ligament injury
repair in the dog. Vet Surg 2005;34:93–98.
Arthur EG, Beale BS, Whitney WO. Second-look
arthroscopic evaluation of the canine stifle follow-
ing tibial plateau osteotomy. Proceedings of the
32nd Annual Conference Veterinary Orthopedic
Society, 2005, p. 45.
Barger B, Piazza A, Muir P. Treatment of stable partial
cruciate rupture (Grade I sprain) in five dogs with
tibial plateau levelling osteotomy. Vet Rec Case Rep
2016;4:e000315.
Beale BS Hulse DA, Schulz KS,et al. Small Animal
Arthroscopy. Philadelphia, WB Saunders, 2003.
Haynes KH, Biskup J, Freeman A,et al.Effect of tib-
ial plateau angle on cranial cruciate ligament strain:
Anex vivostudy in the dog. Vet Surg 2015;44:46–49.


Hulse DA, Beale BS, Kerwin S. Second look arthro-
scopic findings after tibial plateau leveling
osteotomy. Vet Surg 2010;39:350–354.
Jerram RM, Walker AM. Cranial cruciate ligament
injury in the dog: pathophysiology, diagnosis and
treatment. N Z Vet J 2003;51:149–158.
Kim S, Pozzi A, Banks SA,et al.Effect of tibial
plateau leveling osteotomy on femorotibial con-
tact mechanics and stifle kinematics. Vet Surg
2009;38:23–32.
Luther JK, Cook CR, Cook JL. Meniscal release in cru-
ciate ligament intact stifles causes lameness and
medial compartment cartilage pathology in dogs
12 weeks postoperatively. Vet Surg 2009;38:520–
529.
Pacchiana PD, Morris E, Gillings SL,et al.Surgical and
postoperative complications associated with tibial
plateau leveling osteotomy in dogs with cranial
cruciate ligament rupture: 397 cases (1998–2001).
J Am Vet Med Assoc 2003;222:184–193.
Pozzi A, Litsky AS, Field J,et al.Pressure distributions
on the medial tibial plateau after medial meniscal
surgery and tibial plateau levelling osteotomy in
dogs. Vet Comp Orthop Traumatol 2008;21:8–14.
Priddy NH, Tomlinson JL, Dodam JR,et al.Compli-
cations with and owner assessment of the outcome
of tibial plateau leveling osteotomy for treatment of
cranial cruciate ligament rupture in dogs: 193 cases
(1997–2001). J Am Vet Med Assoc 2003;222:1726–
1732.
Rayward RM, Thomson DG, Davies JV,et al.Pro-
gression of osteoarthritis following TPLO surgery:
a prospective radiographic study of 40 dogs. J Small
Anim Pract 2004;45:92–97.
Reif U, Hulse DA, Hauptman JG. Effect of leveling on
stability of the canine cranial cruciate-deficient sti-
fle joint: anin vitrostudy. Vet Surg 2002;31:147–154.
Stauffer K, Tuttle T, Elkins D. Complications associ-
ated with 696 tibial plateau leveling osteotomies
(2001–2003). J Am Anim Hosp Assoc 2006;42:44–50.
Warzee CC, Dejardin LM, Arnoczky SP,et al.Effect
of tibial plateau leveling on cranial and caudal
tibial thrusts in canine cranial cruciate-deficient
stifles: anin vitroexperimental study. Vet Surg
2001;30:278–286.
Whitney WO. Arthroscopically assisted surgery of
the stifle joint. In:Small Animal Arthroscopy,Beale
BS, Hulse DA, Schulz KS, Whitney WO, eds.
Philadelphia, WB Saunders, 2003.
Wolf R, Beale BS, Whitney WO. Effect of debridement
of the cranial cruciate ligament in dogs having early
partial tears of the cranial cruciate ligament at the
time of TPLO. Vet Surg 2008;37:E2.
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