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

R. De Sousa, M. Sutcliffe, N. Rousset, Mike J Holmes, Sorrel J Langley-Hobbs*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

7 Citations (Scopus)

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 proximodistal 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.

Original languageEnglish
Pages (from-to)401-408
Number of pages8
JournalVeterinary and Comparative Orthopaedics and Traumatology
Volume28
Issue number6
Early online date18 Sep 2015
DOIs
Publication statusPublished - Nov 2015

Keywords

  • Cat
  • Cruciate disease
  • Lateral suture
  • Quasi-isometric points
  • Stifle joint

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