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Treatment of cranial cruciate ligament rupture in the feline stifle. Biomechanical comparison of a standard fabella-tibial suture and lateral sutures placed between quasi-isometric points.


Type

Article

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Authors

De Sousa, R 
Rousset, N 
Langley-Hobbs, SJ 

Abstract

OBJECTIVE: To determine whether a lateral suture placed with bone anchors between quasi-isometric points in a cat is superior to a standard fabella-tibial suture for the stabilization of cranial cruciate ligament (CrCL) rupture compared to an intact stifle joint. STUDY DESIGN: Biomechanical cadaveric study. METHODS: Six stifle joints with intact cruciate ligaments from three skeletally mature cats were placed in a loading mounting set and tested with axial loads of 20N and 60N at three different joint angles (75°,130° and 160°). The procedure was repeated with a transected CrCL; a stabilized stifle joint after a combination of three lateral suture techniques (fabella-tibial suture technique [SFT]; femoro-tibial suture technique 1 [FTS-1] and femoro-tibial suture technique 2 [FTS-2]). Radiographic examination of the relative position of the tibia to the fixed femur was compared. RESULTS: Stabilization of the stifle joint with lateral sutures had comparable stability to the intact specimens in the cranio-caudal direction (p = 0.2) but not in the proximo-distal direction for the SFT (p = 0.04) and FTS-2 technique (p = 0.03). There was no significant difference between the three stabilization techniques (p >0.05). CLINICAL SIGNIFICANCE: Lateral sutures placed with bone anchors at quasi-isometric points performed better than SFT and FTS-2 in stabilizing the feline stifle after CrCL rupture in the proximo-distal plane. Biomechanical stability in the cranio-caudal plane after placement of a lateral suture across the feline stifle was similar to the intact CrCL.

Description

Keywords

Cat, cruciate disease, lateral suture, quasi-isometric points, stifle joint, Animals, Anterior Cruciate Ligament, Biomechanical Phenomena, Cadaver, Cats, Femur, Stifle, Suture Techniques, Tibia

Journal Title

Vet Comp Orthop Traumatol

Conference Name

Journal ISSN

0932-0814
2567-6911

Volume Title

Publisher

Georg Thieme Verlag KG
Sponsorship
The authors would like to recognise the British Veterinary Orthopaedic Association for funding this project.