A Review of the Pathogenesis of Canine Cranial Cruciate Ligament Disease as a Basis for Future Preventive Strategies

Mechanical testing of newly developed biomaterial designed for intra-articular reinforcement of partially ruptured cranial cruciate ligament: ex vivo pig model

The study deals with mechanical testing of newly developed material polyethylene terephtalate coated with polycaprolactone nanofibers in combination with biodagradable Hexalon ACL/PCL screws as a new possibility of intra-articular reinforcement of partially ruptured cranial cruciate ligament. Four groups ofex vivomodels of pig stifle joints were prepared and tested: a model with intact CCL (group 1), a model with partial CCL rupture (group 2), a model with CCL rupture stabilized with 7 mm Mersilene®strip (group 3), and a model with CCL rupture stabilized with 5 mm PET/PCL biomaterial strip (group 4). The models were loaded in the standing angle of 100° and the maximum load (N) and the shift (mm) were monitored. The mean maximum peak power and the shift were 1266.0 ± 146.9 N and 13.7 ± 2.5 mm for group 1, and 1164.7 ± 228.2 N and 1 6.8 ± 3.3 mm for group 2, respectively. In all cases after reaching the maximum load, a tibial fracture occurred but never a CCL rupture. In groups 3 and 4, the initial fixation failure occurred in the mean values of 375.7 ± 81.5 and 360.4 ± 52.0 N, respectively, and with a bigger shift of 52.3 ± 11.9 mm and 39.4 ± 14.6 mm, respectively, compared to group 1. A critical point of failure was the anchoring in the bone. It can be concluded that the PET/PCL substitute in theex vivomodel has mechanically comparable properties with the clinically used Mersilene®,and based on its proven ability to carry stem cells it could be appropriate for partially ruptured CCL protection.

Lateral and medial tibial plateau angles in normal dogs. An osteological study

OBJECTIVES

To measure lateral and medial tibial plateau angle values in isolated canine tibiae and to compare lateral and medial tibial plateau angle values between dogs based on sex and breed.

METHODS

Tibiae of 90 dogs from 24 different breeds were used. Photographs were taken of the medial and lateral aspects of the tibiae for measurement of the medial and lateral tibial plateau angles. Additionally, the medial tibial plateau angle was measured from radiographs of the tibiae. Two-way analysis of variance was used to test the effects of side, sex and breed on the medial and lateral tibial plateau angles as measured from photographs as well as the medial tibial plateal angles as measured from radiographs. The photographic and radiographic medial tibial plateau angles were compared by paired t-test, whereas the medial and lateral photographic tibial plateau angles were compared by t-test.

RESULTS

When all dogs were included in the analysis, the difference between the mean medial tibial plateau angle (24.0 ± 3.19°) and the mean lateral tibial plateau angle (25.5 ± 3.84°) as measured from photographs was significant (p <0.05). The difference in the photographic medial tibial plateau angle between male and female dogs was significant (p <0.05), whereas the difference in the photographic lateral tibial plateau angle between sexes was not significant. There was a significant difference between the medial and lateral tibial plateau angles as measured from photographs in male dogs (p <0.05) but not in female dogs. Breed comparisons also showed significant differences for the photographic lateral tibial plateau angle (p <0.05).

CLINICAL SIGNIFICANCE

The axial rotation of the femoral condyles on the tibial plateau is probably affected by the discrepancy between the medial and lateral tibial plateau angles, and this difference in certain breeds might influence the prevalence of cranial cruciate ligament disease.

Pelvic limb kinetic and kinematic analysis in Labrador Retrievers predisposed or at a low risk for cranial cruciate ligament disease

OBJECTIVE

To compare kinematics, net moments, powers, ground and joint reaction forces (GRF, JRF) across the hock, stifle and hip joints in Labrador Retrievers at low risk or predisposed to cranial cruciate ligament disease (CCLD).

STUDY DESIGN

Cross-sectional clinical study.

ANIMALS

Clinically normal Labradors predisposed (n = 11) or at low risk for CCLD (n = 9).

METHODS

Right pelvic limbs were classified as predisposed or not to CCLD using a predictive score equation based on combining tibial plateau angle (TPA) and femoral anteversion angle (FAA) measured on radiographs. Kinematic, GRF, and morphometric data were combined in an inverse dynamics approach to compute hock, stifle and hip kinematics, net moments, powers, and JRF while trotting.

RESULTS

The extensor moment of the hock joint was greater in predisposed limbs compared with nonpredisposed limbs (0.37 versus 0.28 Nm/kg). The power generated around the hock and stifle joints in predisposed limbs was increased (0.69 versus 0.44 W/kg for the hock, 1.59 versus 1.05 W/kg for the stifle). Trotting velocity, stance time, vertical and craniocaudal GRF and JRF did not differ between groups.

CONCLUSIONS

Extensor moment at the hock was increased in predisposed limbs compared with nonpredisposed limbs. Predisposed limbs generated more energy than nonpredisposed limbs around the hock and stifle joints.

Effects of rotation and osteotomy angulation on patellar tendon insertion position during circular tibial tuberosity osteotomy

OBJECTIVE

To evaluate the influence of rotation of the tibial tuberosity (TT) in the sagittal plane and angulation of osteotomy in the frontal plane (FPA) on the displacement of patellar tendon (PT) insertion.

STUDY DESIGN

Ex vivo biomechanical study.

SAMPLE POPULATION

Canine tibiae (n = 36).

METHODS

Nine groups of 4 tibiae each had a circular osteotomy of the TT at an FPA from -20° to +20° with increments of 5° for each group. The osteotomized TT was rotated by angles of rotation (AORs) of 10°, 20°, or 30° in the sagittal plane. The craniocaudal (CCD), distoproximal (DPD), and mediolateral (MLD) displacements of a marker located at the PT insertion on the TT were evaluated radiographically. Differences between groups were analyzed by Mann-Whitney U test and Friedman 2-way ANOVA.

RESULTS

There was a significant correlation between the AOR and CCD. A positive FPA resulted in a high CCD and lateral shift of the TT at every AOR. Performing an osteotomy at an FPA of 0° produced the maximum amount of DPD.

CONCLUSIONS

FPA and AOR during circular osteotomy of the TT influence the final displacement of the PT insertion in all 3 planes.

Kinetic and kinematic analysis of the right hind limb during trotting on a treadmill in Labrador Retrievers presumed predisposed or not predisposed to cranial cruciate ligament disease

OBJECTIVE

To identify gait characteristics during trotting on a treadmill in nonlame Labrador Retrievers presumed predisposed or not predisposed to cranial cruciate ligament disease (CCLD).

ANIMALS

Clinically normal Labrador Retrievers presumed predisposed (n = 10) or not predisposed (7) to CCLD.

PROCEDURES

The right hind limb of each dog was classified by use of a predictive score equation that combined tibial plateau angle and femoral anteversion angle as presumed predisposed (high score [> -1.5]) or not predisposed (low score [≤ -1.5]) to CCLD. Tarsal joint, stifle joint, and hip joint kinematics, net moments, and powers were computed.

RESULTS

The stifle joint was held at a greater degree of flexion in limbs presumed predisposed to CCLD (130.9° vs 139.3°). More power was generated by muscles acting on the stifle joint in the early stance phase of limbs presumed to be predisposed to CCLD (2.93 vs 1.64 W/kg). The tarsal joint did not reach the same degree of extension in limbs presumed predisposed to CCLD, compared with that in limbs presumed not predisposed to CCLD (179.0° vs 161.0°). Velocity, stance time, vertical and craniocaudal forces, angular velocities, and net joint muscle moments did not differ between groups.

CONCLUSIONS AND CLINICAL RELEVANCE

Gait mechanics of dogs with high (> -1.5) and low (≤ -1.5) tibial plateau angle and femoral anteversion angle scores were characterized on a treadmill, which may help in the identification of dogs predisposed to CCLD.