Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial

Tiffany A. Johnson, Michael G. Conzemius

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objective: To assess the 6-month outcome and survival of enhanced polyethylene terephthalate (PET) implants as a replacement for the cranial cruciate ligament (CCL) in dogs with spontaneous CCL disease (CCLD). Study design: Pilot, prospective case series. Animals: Ten client-owned large breed dogs with unilateral spontaneous CCLD. Methods: Dogs were evaluated before and 6 months after intra-articular placement of a PET implant with the Liverpool Osteoarthritis in Dogs questionnaire and force platform gait analysis. Arthroscopy was performed 6 months after surgery to visually assess implant integrity. Results: Scores on owner questionnaires and limb asymmetry improved in all dogs that reached the 6-month time point, by 51.7% (p =.008) and 86% (p =.002), respectively. The PET implant appeared intact and functioning in two stifles, partially intact and functioning in four stifles and completely torn in three stifles. One dog had an implant infection and was removed from the study. Evidence of deterioration and tearing occurred in the midbody of the implant. Conclusion: Although function improved over the course of this study, only 2/10 implants appeared intact 6 months after placement. Clinical significance: Implant survivability prohibits further clinical investigation using this implant.

Original languageEnglish (US)
Pages (from-to)1215-1222
Number of pages8
JournalVeterinary Surgery
Volume51
Issue number8
DOIs
StatePublished - Nov 2022

Bibliographical note

Funding Information:
Author Contributions: Johnson TA, DVM: Participated in study design, acquired, and analyzed data, drafted, and revised the manuscript for intellectual content, final approval of the completed manuscript and submitted the final manuscript. Conzemius MG, DVM, PhD, DACVS: Participated in study design, acquired, and analyzed data, drafted, and revised the manuscript for intellectual content, and final approval of the completed manuscript.

Publisher Copyright:
© 2022 The Authors. Veterinary Surgery published by Wiley Periodicals LLC on behalf of American College of Veterinary Surgeons.

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