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Extra Articular Substitution Of The Cranial Cruciate Ligament With Patellar Tendon

By: Huma Noor | Dr. Mazhar Iqbal.
Contributor(s): Dr. Mubasher | Dr. Muhammed Younas | Faculty of Veterinary Sciences.
Material type: materialTypeLabelBookPublisher: 1993Subject(s): Department of Clinical Medicine & SurgeryDDC classification: 0431,T Dissertation note: Rupture of the cranial cruciate ligament is the most common cause of hind-limb lameness in the dog. Many techniques have been used for the repair of ruptured cranial cruciate ligament including intra-articular techniques both using synthetic and viable materials. Viable materials have proved better then synthetic due to lesser chances of rejection and infection. Extra-articular techniques are also though better than intra-articular repairs as whole of the joint is manipulated in the latter which increases the chances of trauma. In this project 12 dogs were used in which 2 were the control dogs. The dogs underwent repair of the ruptured cranial cruciate ligament by using extra-articular technique in which a strip of the patellar ligament along with the superficial half of the patella was screwed to the lateral side of the lateral femoral condyle in a way to eliminate the cranial drawer sign. The joint was approached through a medial parapatellar artrotomy. In the control dogs the cranial cruciate ligament was cut but not repaired. All the dogs were kept in Kennel cages for a period of twelve weeks and evaluated clinically by various physical tests at regular interval. Euthanasia was performed after twelve weeks and the stifle joints of all the operated dogs were explored for gross abnormalities. In case of the repaired dogs, majority of the results confirmed that the joints remained stable throughout the experimental period. However, in case of control dogs the post-euthanasia evaluation was clearly indicative of the complete rupture of cranial cruciate ligaments. Hence it was seen that the surgical technique used in this study provided adequate stability to the stifle joints in which the cranial cruciate ii gament was ruptured experimentally.
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Veterinary Science 0431,T (Browse shelf) Available 0431,T
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Rupture of the cranial cruciate ligament is the most common cause of hind-limb lameness in the dog. Many techniques have been used for the repair of ruptured cranial cruciate ligament including intra-articular techniques both using synthetic and viable materials.

Viable materials have proved better then synthetic due to lesser chances of rejection and infection. Extra-articular techniques are also though better than intra-articular repairs as whole of the joint is manipulated in the latter which increases the chances of trauma.

In this project 12 dogs were used in which 2 were the control dogs.

The dogs underwent repair of the ruptured cranial cruciate ligament by using extra-articular technique in which a strip of the patellar ligament along with the superficial half of the patella was screwed to the lateral side of the lateral femoral condyle in a way to eliminate the cranial drawer sign. The joint was approached through a medial parapatellar artrotomy. In the control dogs the cranial cruciate ligament was cut but not repaired.

All the dogs were kept in Kennel cages for a period of twelve weeks and evaluated clinically by various physical tests at regular interval. Euthanasia was performed after twelve weeks and the stifle joints of all the operated dogs were explored for gross abnormalities. In case of the repaired dogs, majority of the results confirmed that the joints remained stable throughout the experimental period. However, in case of control dogs the post-euthanasia evaluation was clearly indicative of the complete rupture of cranial cruciate ligaments. Hence it was seen that the surgical technique used in this study provided adequate stability to the stifle joints in which the cranial cruciate ii gament was ruptured experimentally.

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