Complications Associated with the Maquet Procedure–Two Case Reports in Dog's

Abstract

SOJ Veterinary Sciences Open Access Case ReportAccording to Brunel et al., the main complication of the technique is the risk of cracking or fracture of the tibial tuberosity. In this event the authors recommend conversion of the Maquet technique to the traditional TTA, as cerclage wires do not provide sufficient stability. Barthelemy et al. [8] reported the risk factors, complications, and owner satisfaction with the Maquet technique in 109 dogs. Complications were observed in 27% cases, 9% of which were major complications (requiring surgical revision) and 18% smaller (no need for further surgical intervention). Thinning of the tibial crest at surgery, predisposes it to fracture in the postoperative period. The owners reported excellent results in 82% of cases and good in 13.1%.The objective of this study was to describe two cases where complications were associated with the use of the Maquet technique in dogs. Case ReportTwo dogs with hindlimb lameness and no history of trauma were treated at the Veterinary Hospital of the Federal University of Paraná (HV-UFPR). On physical examination, a positive cranial drawer and tibial thrust test were observed, confirming the diagnosis of rupture of the cranial cruciate ligament. Animal 1 was a ten year old, female Dachshund, 11 kg body mass, with right CCrLR. Animal 2 was a two year old, male, German Dogue breed, body mass of 64 kg, with right CCrLR.The animals were sedated and the affected stifles were angulated at 135 degrees in the mediolateral position to calculate the tibial plateau angle (TPA) for surgical planning. The TPA of animals 1 and 2 were 21 and 22 degrees, respectively. In both cases, the Maquet technique was used for surgical repair.Medial parapatellar access was used and no significant damage was found in the menisci at medial arthrotomy. The joint capsule was sutured with polidioxanone 2.0 Sutan standard.Subcutaneous tissues were dissected with Mayo scissors and the periosteum lifted with a periosteal elevator to expose the tibial crest. For the Maquet technique, a drill (4mm, animal 1 and 6mm in animal 2) was used to drill the distal region of the tibial crest of the tibia, allowing advancement of the crest and AbstractCranial cruciate ligamente rupture is a very common disease in dogs and the leading cause of degenerative joint disease of the stifle. Many techniques are described for its treatment and none is without complications. The Maquet technique follows the same principles as tibial tuberosity advancement (TTA) but without the use of a bone plate on the tibial crest. The aim of this study was to report two cases where complications were observed with the Maquet technique. The first case was a male Dachshund, in which the tibial crest fractured during surgery, and was treated with use of a TTA bone plate. The second was a Fila Brasileiro in which fracture of the tibial crest was detected 21 days after surgery, and was treated with a clinical treatment. No surgical procedure is free of complications, but the veterinarian should be aware of wha...

Tibial Tuberosity Advancement Techniques (TTAT): A Systematic Review

“…We found 471 records in database searching from 2011 to June 2022 (depending on the first publication for each technique). After duplicate removal (n = 117) and exclusion of book sections, ex vivo studies, or thesis (n = 178), we screened 176 records, from which we reviewed 68 full-text documents, and finally included 29 papers [ 3 , 11 , 12 , 13 , 15 , 16 , 21 , 22 , 23 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ]. Later, we searched records from the reference lists of initially included studies, founding one paper that fulfilled inclusion criteria [ 14 ].…”