In canine cranial cruciate ligament disease, are conservative treatment and lateral fabellotibial suture recoveries comparable?

Published:

2023-05-31

Share
Open Access Logo

DOI

https://doi.org/10.18849/ve.v8i2.612

Abstract

PICO question

In dogs with cranial cruciate ligament disease, is conservative non-surgical treatment as effective as surgical treatment with the lateral fabellotibial suture technique in reducing time to recovery?

 

Clinical bottom line

Category of research

Treatment.

Number and type of study designs reviewed

One retrospective study.

Strength of evidence

Zero.

Outcomes reported

There is no evidence that surgical treatment with the lateral fabellotibial suture (LFTS) reduces time to recovery compared to conservative treatment in dogs with cranial cruciate ligament disease.

Conclusion

In dogs with cranial cruciate ligament disease there is no statistical evidence to support recommendation of surgical treatment with the LFTS technique compared to conservative treatment in reducing time to recovery.

 

How to apply this evidence in practice

The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.

Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.

References

Bergh, M.S., Sullivan, C., Ferrell, C.L., Troy, J. & Budsberg, S.C. (2014). Systematic Review of Surgical Treatments for Cranial Cruciate Ligament Disease in Dogs. Journal of the American Animal Hospital Association. 50(5), 315–321. DOI: https://doi.org/10.5326/JAAHA-MS-6356

Brown, D.C. (2014a). The Canine Orthopaedic Index. Step 1: Devising the Items. Veterinary Surgery. 43(3), 232–240. DOI: https://doi.org/10.1111/j.1532-950X.2014.12142.x

Brown, D.C. (2014b). The Canine Orthopaedic Index. Step 2: Psychometric Testing. Veterinary Surgery. 43(3), 241–246. DOI: https://doi.org/10.1111/j.1532-950X.2014.12141.x

Brown, D.C. (2014c). The Canine Orthopaedic Index. Step 3: Responsiveness Testing. Veterinary Surgery. 43(3), 247–254. DOI: https://doi.org/10.1111/j.1532-950X.2014.12162.x

Chauvet, A.E., Johnson, A.L., Pijanowski, G.J., Homco, L. & Smith, D. (1996). Evaluation of fibular head transposition, lateral fabellar suture, and conservative treatment of cranial cruciate ligament rupture in large dogs: a retrospective study. Journal of the American Animal Hospital Association. 32(3), 247–255. DOI: https://doi.org/10.5326/15473317-32-3-247

De Angelis, M. & Lau, R.E. (1970) A lateral retinacular imbrication technique for the surgical correction of anterior cruciate ligament rupture in the dog. Journal of American Animal Hospital Association. 157, 79–84.

Jevens, D.J., DeCamp, C.E., Hauptman, J., Braden, T.D., Richter, M. & Robinson, (1996). Use of force-plate analysis of gait to compare two surgical techniques for treatment of cranial cruciate ligament rupture in dogs. American Journal of Veterinary Research. 57(3), 389–393.

Flo, G.L. (1975). Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. Journal of American Animal Hospital Association. 11, 570–576.

Gambardella, P.C., Wallace, L.J. & Cassidy, F. (1981). Lateral Suture Technique for Management of Anterior Cruciate Ligament Rupture in Dogs: A Retrospective Study. Journal of the American Animal Hospital Association. 17(1), 33–38.

Krotscheck, U., Nelson, S.A., Todhunter, R.J., Stone, M. & Zhang, Z. (2016). Long Term Functional Outcome of Tibial Tuberosity Advancement vs. Tibial Plateau Levelling Osteotomy and Extracapsular Repair in a Heterogenous Population of Dogs. Veterinary Surgery. 45(2), 261–268. DOI: https://doi.org/10.1111/vsu.12445

Ness, M.G., Abercromby, R.H., May, C., Turner, B.M. & Carmichael, S. (1996). Survey of Orthopaedic Conditions in Small Animal Veterinary Practice in Britain. Veterinary Comparative Orthopaedic Traumatology. 09(02), 43–52. DOI: https://doi.org/1055/s-0038-1632502

O’Connor, L., Visco, D.L., Heck, D.A., Myers, S.L. & Brandt, K.D. (1989). Gait alterations in dogs after transection of the anterior cruciate ligament. Arthritis & Rheumatology. 32(9), 1142–1147. DOI: https://doi.org/10.1002/anr.1780320913

Pinna, S., Lambertini, C., Grassato, L. & Romagnoli, N. (2019). Evidence-Based Veterinary Medicine: A Tool for Evaluating the Healing Process After Surgical Treatment for Cranial Cruciate Ligament Rupture in Dogs. Frontiers in Veterinary Science. 6, 65. DOI: https://doi.org/10.3389/fvets.2019.00065

RCVS Knowledge Canine Cruciate Registry. (2022). Canine Cruciate Registry: Home. [online] Available at: https://www.caninecruciateregistry.org [Accessed Oct 2022].

Tikekar, , De Vicente, F., McCormack, A., Thomson, D., Farrell, M., Carmichael, S. & Chase, D. (2022). Retrospective comparison of outcomes following tibial plateau levelling osteotomy and lateral fabello-tibial suture stabilisation of cranial cruciate ligament disease in small dogs with high tibial plateau angles. New Zealand Veterinary Journal. 70(4), 218–227. DOI: https://doi.org/10.1080/00480169.2022.2052992

Vasseur, P.B. (1984). Clinical Results Following Nonoperative Management for Rupture of the Cranial Cruciate Ligament in Dogs. Veterinary Surgery. 13(4), 243–246. DOI: https://doi.org/10.1111/j.1532-950X.1984.tb00801.x

Walton, M.B., Cowderoy, E., Lascelles, D. & Innes, J.F. (2013). Evaluation of construct and criterion validity for the ‘Liverpool Osteoarthritis in Dogs’ (LOAD) clinical metrology instrument and comparison to two other instruments. PLOS ONE. 8(3), e58125. DOI: https://doi.org/10.1371/journal.pone.0058125

Vol. 8 No. 2 (2023): The second issue of 2023

Section: Knowledge Summaries

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