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Clinical comparison and short-term radiographic evaluation of Tight Rope and Lateral Suture procedures for dogs after cranial cruciate ligament rupture€14,30
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Clinical comparison and short-term radiographic evaluation of Tight Rope and Lateral Suture procedures for dogs after cranial cruciate ligament rupture
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Clinical comparison and short-term radiographic e
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Clinical Comparison And Short-term Radiographic E
ABSTRACT: The aim of this study was to monitor short-term osteoarthrosis progress in relation to a recently
introduced novel extracapsular method called the Tight Rope procedure and after Lateral Suture with nylon in
cruciate-deficient dog stifle joints. Twelve dogs were included in the study. ...
Original Paper Veterinarni Medicina, 59, 2014 (10): 502–505
Clinical comparison and short-term radiographic
evaluation of Tight Rope and Lateral Suture procedures
for dogs after cranial cruciate ligament rupture
V. Ledecky, M. Hluchy, R. Freilichman, S. Hornak, D. Knazovicky
Small Animal Clinic, University of Veterinary Medicine and Pharmacy, Kosice, Slovak Republic
ABSTRACT: The aim of this study was to monitor short-term osteoarthrosis progress in relation to a recently
introduced novel extracapsular method called the Tight Rope procedure and after Lateral Suture with nylon in
cruciate-deficient dog stifle joints. Twelve dogs were included in the study. Treatment type was not randomised.
Mediolateral radiographs from 12 stifle joint were evaluated preoperatively and six months after surgery. A modified
scoring system for evaluation of osteoarthrotic changes was used. The initial osteoarthrotic score in the TightRope
group ranged from three to six and in the Lateral Suture group from 0 to 11. In the TightRope group 66.6% of dogs
had an osteoathrotic score difference of ≤ 5 and 33.3% dogs had an osteoarthrotic score difference of > 5. For the
Lateral Suture group 50% of dogs had an osteoarthrotic score difference of ≤ 5 and 50% dogs had an osteoarthrotic
score difference of > 5. The Wilcoxon signed rank test revealed a significant difference between preoperative and
postoperative osteoarthrotic scores (P = 0.0038). No significant differences were noted between TightRope and
Lateral Suture groups in terms of changes in mean radiographic osteoarthrotic score preoperatively and at the six-
month postoperative end point. Both groups had numerically higher radiographic scores six months after surgery.
Keywords: cruciate-deficient stifle; extracapsular method; radiology; dog
List of abbreviations
CCL = cranial cruciate ligament, LS = Lateral Suture, OA = osteoarthrosis, SD = standard deviation, TR = Tight Rope
Cranial cruciate ligament (CCL) provides cranio- and Budsberg 2005, Au et al. 2010; Conzemius et al.
caudal stability, prevents hyperextension and con- 2005). These methods can be classified as promot-
strains medial rotation of the tibia in the canine ing static or dynamic stabilisation according to the
stifle joint. CCL rupture is the leading cause of hind technique used (Boudrieau 2009; Kuhn et al. 2011).
leg lameness; it is also the most frequent cause of de- Extracapsular Lateral Suture (LS) is a commonly
generative disease of the canine stifle joint (Johnson performed technique for static stabilisation of the
and Johnson 1993). The primary goal of surgical stifle (Caporn and Roe 1996). More recently, a novel
management of a CCL rupture is to promote re- extracapsular method called the Tight Rope proce-
turn to normal function, by providing joint stabil- dure (TR) has been introduced, which is based on
ity. Functional stability is thought to minimise or the lateral retinacular imbrication suture principle
slow down the progression of osteoarthrosis (OA) (Cook et al. 2010). Our objective was to evaluate
(Slocum and Slocum 1998). Many surgical proce- outcomes by assessing subjective measurement of
dures have been used to secure the stability of the cranial drawer and cranial tibial thrust at 6 months
stifle joint with torn cranial cruciate ligament, but after surgery (Cook et al. 2010). Our next objective
there is no evidence to show that any given surgical was to use a previously reported radiographic stifle
treatment is to be preferred the over others (Aragon OA scoring system (Vasseur and Berry 1992) to com-
Supported by the Scientific Sponsorship Agency of the Ministry of Education of the Slovak Republic (Project VEGA
MS SR No.1/2945/12).
502
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