In canine cranial cruciate ligament rupture is outcome following TPLO improved compared with lateral suture?

  • Catrina Pennington Royal Veterinary College Hawkshead Ln, Brookmans Park, Hatfield AL9 7TA
  • Mark Morton Chestergates Veterinary Specialists Units E&F Telford Court Chestergates Road Chester CH1 6LT
  • Ben Walton Chestergates Veterinary Specialists Units E&F Telford Court Chestergates Road Chester CH1 6LT

Published:

2019-09-20

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DOI

https://doi.org/10.18849/ve.v4i3.213

Abstract

PICO question

In dogs over 15 kg, with cranial cruciate ligament rupture is there evidence of improved outcome following tibial plateau levelling osteotomy or lateral fabellotibial suture?

Clinical bottom line

Although the evidence is not conclusive, the literature reviewed here suggests that tibial plateau levelling osteotomy (TPLO) results in superior limb function and owner satisfaction compared to placement of a lateral fabellotibial suture (LFS).

There is currently insufficient evidence to determine if there is a difference in complication rates or osteoarthritis (OA) development following TPLO or LFS.


Open Access Peer Reviewed

Author Biography

Catrina Pennington, Royal Veterinary College Hawkshead Ln, Brookmans Park, Hatfield AL9 7TA

Clinical Fellow in Small Animal Surgery

References

Au, K., Gordon-Evans, W., Dunning, D., O’Dell-Anderson, K., Knap, K., Griffon, D., & Johnson, A. (2010) Comparison of short- and long-term function and radiographic osteoarthrosis in dogs after postoperative physical rehabilitation and tibial plateau levelling osteotomy or lateral fabellar suture stabilization. Veterinary Surgery; 39: 173–180. DOI: https://doi.org/10.1111/j.1532-950X.2009.00628.x

Conzemius, M., Evans, R., Faulkner Besancon, M., Gordon, W., Horstman, C., Hoefle, W., Nieves, M., & Wagner, S. (2005) Effect of surgical technique on limb function after surgery for rupture of the cranial cruciate ligament in dogs. JAVMA; 226(2): 232–236. DOI: https://doi.org/10.2460/javma.2005.226.232

Cox, J., Nye, C., Schaefer, W., & Woodstein, I. (1975). The degenerative effect of partial and total resection of the medial meniscus in dogs’ knees. Clin Orthop; 109: 178–181. DOI: 10.1097/00003086-197506000-00026

Frey, T., Hoelzer, M., Scavelli, T., Fulcher, R., & Bastian, R. (2010) Risk factors for surgical site infection-inflammation in dogs undergoing surgery for rupture of the cranial cruciate ligatment: 902 cases (2005–2006). JAVMA; 236 (1): 88–94. DOI: https://doi.org/10.2460/javma.236.1.88

Gordon-Evans, W. (2016) Clinical effect of tibial plateau leveling osteotomy compared to lateral fabellar suture in dogs. Veterinary Evidence; 1(3): 44. DOI: http://dx.doi.org/10.18849/ve.v1i3.44

Gordon-Evans, W., Griffon, D., Bubb, C., Knap, K., Sullivan, M., & Evans, R. (2013) Comparison of lateral fabellar suture and tibial plateau levelling osteotomy techniques for treatment of dogs with cranial cruciate ligament disease. JAVMA; 243 (5): 675–680. DOI: https://doi.org/10.2460/javma.243.5.675

Hielm-Björkman, A., Rita, H., Tulamo, R. (2009) Psychometric testing of the Helsinki chronic pain index by completion of a questionnaire in Finnish by owners of dogs with chronic signs of pain caused by osteoarthritis. American Journal of Veterinary Research; 70: 727–734. DOI: https://doi.org/10.2460/ajvr.70.6.727

Lazar, T., Berry, C., Dehaan, J., Peck, J., & Correa, M. (2005) Long term radiographic comparison of tibial plateu levelling osteotomy versus extracapsular stabilization for cranial cruciate ligament rupture in the dog. Veterinary Surgery; 34: 133–141. DOI: https://doi.org/10.1111/j.1532950X.2005.00021.x

Marsolais, G., Dvorak, G., & Conzemius, M. (2002) Effects of postoperative rehabilitation on limb function after CCL repair in dogs. JAVMA; 220: 1325–1330. DOI: 10.2460/javma.2002.220.1325

Molsa, S., Hielm-Bjorkman, A., & Laitinen-Vapaavuori, O. (2013) Use of an owner questionnaire to evaluate long-term surgical outcome and chronic pain after cranial cruciate ligament repair in dogs: 253 cases (2004–2006). JAVMA; 243(5): 689–695. DOI: https://doi.org/10.2460/javma.243.5.689

Molsa, S., Hyytiainen, H., Hielm-Bjorkman, A., & Laitinen-Vapaavuori, O. (2014) Long-term function outcome after surgical repair of cranial cruciate ligament disease in dogs. BMC Veterinary Research; 10: 266. DOI: https://doi.org/10.1186/s12917-014-0266-8

Monk, M., Preston, C., & McGowan, C. (2006) Effects of early intensive postoperative physiotherapy on limb function after TPLO in dogs with deficiency of the cranial cruciate ligament. Am J Vet Res; 67: 529–536. DOI: https://doi.org/10.2460/ajvr.67.3.529

Nelson, S., Krotscheck, U., Rawlinson, J., Todhunter, R., Zhang, Z., & Mohammed, H. (2013) Long-term functional outcome of tibial plateau levelling osteotomy versus extracapsular repair in a heterogenous population of dogs. Veterinary Surgery; 42: 38–50. DOI: https://doi.org/10.1111/j.1532-950X.2012.01052.x

Slocum, B., & Slocum, T. (1993) Tibial plateau levelling osteotomy for repair of cranial cruciate ligament rupture in the canine. Veterinary Clinics of North America; 23:777–795. DOI: https://doi.org/10.1016/S0195-5616(93)50082-7

Solano, M., Danielski, A., Kovach, K., Fitzpatrick, N., & Farell, M. (2015) Locking plate and screw fixation after Tibial Plateau Leveling Osteotomy reduces postoperative infection rate in dogs over 50 kg. Veterinary Surgery; 44: 59–64. DOI: https://doi.org/10.1111/j.1532-950X.2014.12150.x

Vasseur, B., Berry, C. (1991) Progression of stifle osteoarthrosis following reconstruction of the cranial cruciate ligament in 21 dogs. JAAHA; 28: 129–136.

Voss, K., Imhof, J., Kaestner, S., &Montavon, P. (2007) Force plate gait analysis at the walk and trot in dogs with low-grade hindlimb lameness. VCOT; 20:299–304. DOI: 10.1160/VCOT-07-01-0008

Vol. 4 No. 3 (2019): The third issue of 2019

Section: Knowledge Summaries

Categories :  Small Animal  /  Dogs  /  Cats  /  Rabbits  /  Production Animal  /  Cattle  /  Sheep  /  Pig  /  Equine  /  Exotics  /