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

1 Scopus citations

Abstract

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
PublisherWiley-Blackwell
Pages201-216
Number of pages16
ISBN (Electronic)9781119261728
ISBN (Print)9781119261711
DOIs
StatePublished - Dec 7 2017

Keywords

  • 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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