Development and In Situ Application of an Adjustable Aiming Device to Guide Extra‐ to Intraarticular Tibial Tunnel Drilling for the Insertion of the Cranial Cruciate Ligament in Dogs

Abstract

The proposed technique may reduce tibial tunnel misplacement when performing intraarticular CCL repair using a tibial bone tunnel.

Radiographic localization and isometry of the origin and insertion of the canine cranial cruciate ligament

“…It should be noted; however, that there was a large standard deviation in this measurement (>50% change in either direction). A study performed by Winkels et al showed the mediolateral position of the tibial insertion was relatively constant, but the craniocaudal position was associated with tibial depth. We looked only at the craniocaudal position of the CrCL‐Li and the large standard deviation in our results supports Winkels previous findings.…”

Estudo Da Técnica Intracapsular Assistida Por Artroscopia Para O Tratamento Da Ruptura Do Ligamento Cruzado Cranial Em Cadáveres De Cães

“…Acredita-se que a razão pela qual as técnicas intra-articulares em cães, especialmente aquelas que fazem uso de túneis ósseos, falham em restaurar a cinemática normal do joelho pode estar relacionada com a escolha imprópria do enxerto e confecção incorreta na posição dos túneis (2,10,14) . Muitas variações quanto a confecção dos túneis ósseos e fixação do enxerto foram realizadas, porém sem um padrão estabelecido (2,6,15) .…”

“…Muitas variações quanto a confecção dos túneis ósseos e fixação do enxerto foram realizadas, porém sem um padrão estabelecido (2,6,15) . Em cães, atualmente, os pesquisadores têm procurado refinar e aperfeiçoar a técnica de reconstrução intracapsular do LCCr (2,7,14,15,16,17,18) . Estas sugerem que a reconstrução anatômica do enxerto do LCCr pode ser uma abordagem promissora para restaurar a estabilidade normal e cinemática articular (14,18) .…”

Joint stability after canine cranial cruciate ligament graft reconstruction varies among femoral fixation sites

“…No established treatment restores normal stifle kinematics, and clinical success varies among stifle stabilization procedures . Current research suggests that anatomical CrCL graft reconstruction may be a promising approach to restore normal joint stability and kinematics …”

“…Canine CrCL reconstruction has limited acceptance in the surgical community due to difficulties with graft harvest, viability, placement, and attachment, in addition to variable graft behavior . Further, canine CrCL reconstruction techniques have been associated with higher complication rates than osteotomy and extra‐capsular stabilization .…”