Intra-Articular Repair for Cranial Cruciate Ligament Rupture in the Dog

Jeffery J. Biskup, Michael G. Conzemius

Research output: Chapter in Book/Report/Conference proceedingChapter

4 Scopus citations


This chapter first identifies some potential limitations of commonly used surgical procedures for cruciate ligament rupture. It briefly explores the historic use of intra-articular repair in dogs, and then focuses on overcoming the identified limitations of both extra- and intra-articular repairs. The chapter provides a review of the literature addressing intra-articular repair in dogs identifies three common limitations namely: inappropriate graft selection; inappropriate fixation; and an inappropriate biological environment for graft healing. Three main challenges arise when stabilizing an intra-articular graft: placement at an ideal location, optimal tension at the time of fixation, and development of a fixation method that will provide the required strength for recovery. Intra-articular repair in veterinary medicine continues to be inferior to extra-articular repairs in controlled studies and in surgeon opinion. As research into graft selection and processing, fixation techniques and graft healing advances, intra-articular repairs may become more common in veterinary medicine.

Original languageEnglish (US)
Title of host publicationAdvances in the Canine Cranial Cruciate Ligament
Subtitle of host publicationSecond Edition
Number of pages16
ISBN (Electronic)9781119261728
ISBN (Print)9781119261711
StatePublished - Dec 7 2017

Bibliographical note

Publisher Copyright:
© 2018 ACVS Foundation. All rights reserved.


  • Cranial cruciate ligament rupture
  • Extra-articular repair
  • Graft healing
  • Inappropriate fixation
  • Inappropriate graft selection
  • Intra-articular repair
  • Surgical procedures
  • Veterinary medicine


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