Use of an owner questionnaire to evaluate long-term surgical outcome and chronic pain after cranial cruciate ligament repair in dogs: 253 cases (2004–2006)

2013 ◽  
Vol 243 (5) ◽  
pp. 689-695 ◽  
Author(s):  
Sari H. Mölsä ◽  
Anna K. Hielm-Björkman ◽  
Outi M. Laitinen-Vapaavuori
2019 ◽  
Vol 22 (4) ◽  
pp. 277-284
Author(s):  
Gudrun S Boge ◽  
Karolina Engdahl ◽  
Elena R Moldal ◽  
Annika Bergström

Objectives The aim of this study was to describe the characteristics and long-term outcome of surgically and conservatively treated cats with cranial cruciate ligament disease (CCLD). Methods A retrospective cohort study of cats with CCLD, diagnosed at two university animal hospitals between January 2011 and December 2016, was performed. Signalment, history, treatment and follow-up information were retrieved. Cat owners were contacted for additional long-term follow-up information. The cases were divided into two groups: one conservatively managed and one surgically treated with the lateral fabellotibial suture technique. A quality of life questionnaire, the Feline Musculoskeletal Pain Index (FMPI), was distributed to the owners of cats alive at follow-up for assessment of chronic pain as a long-term outcome. Univariable statistical methods were used to evaluate the data. Results Fifty cats were identified and were followed for a median of 41 months after diagnosis of CCLD. Seven cats (14%) developed bilateral CCLD. Twenty-eight cats (56%) were treated conservatively and 22 (44%) surgically. All surgically treated cats in which arthrotomy was performed (19/22) had total cranial cruciate ligament rupture and 9/19 (47%) had meniscal injuries. Postoperative surgical complications were recorded in 6/22 cats (27%). Owners of 24/29 (83%) cats still alive at follow-up completed the FMPI questionnaire. The conservatively treated cats had a lower FMPI score, indicating less chronic pain, than those cats treated surgically ( P = 0.017). Conclusions and relevance Conservatively treated cats with CCLD experienced less chronic pain at long-term follow-up than surgically treated cats. Bilateral disease is not uncommon in cats with CCLD.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Tafara Mapuvire

PICO question In dogs weighing under 15 kg with unilateral cranial cruciate ligament disease, does tibial tuberosity advancement lead to better long-term functional outcomes than lateral fabellar suture?   Clinical bottom line Category of research question Treatment The number and type of study designs reviewed There were no papers that answered the PICO question Strength of evidence Zero Outcomes reported Between TTA and LFS none of the techniques was shown to provide better long-term functional outcomes than the other in dogs weighing less than 15 kg Conclusion Given the absence of evidence answering the PICO question, choice and recommendation of procedure between TTA and LFS in dogs weighing under 15 kg should be guided by what the surgeon deems to be in the best interest of the patient   How to apply this evidence in practice The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources. Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.  


1991 ◽  
Vol 20 (2) ◽  
pp. 85-90 ◽  
Author(s):  
RUSSELL H. PATTERSON ◽  
GAIL K. SMITH ◽  
THOMAS P. GREGOR ◽  
CHARLES D. NEWTON

2000 ◽  
Vol 13 (04) ◽  
pp. 197-203 ◽  
Author(s):  
J. K. Roush ◽  
J. J. Hoskinson ◽  
R. M. McLaughlin ◽  
J. J. Geels

SummaryTreatment of cranial cruciate ligament (CCL) rupture using fascial replacement techniques have yielded good clinical results, with 85% to 93% of dogs returning to clinical soundness or intermittent lameness as evaluated by surgeons or owners, but have not been evaluated by force plate analysis long-term. The purpose of this study is to document the long-term clinical and radiographic outcome of dogs having CCL rupture stabilized with an underand- over fascial graft technique by owner assessment, clinical examination, force plate analysis, plain film radiography, and scintigraphy. Twenty dogs with previously repaired unilateral CCL rupture were used for the study. Although client satisfaction was high, force plate analysis revealed significantly lower vertical forces and impulses in the operated versus unoperated limbs. Radiographs and bone scans revealed significant bony changes and synovitis in the operated stifle relative to the unoperated stifle at a median of 17.5 months following repair. Lameness persists in dogs having undergone CCL repair using the under-and-over fascial graft technique; whether this lameness is secondary to progression of osteoarthritis or is a result of surgical repair is unknown.The under-and-over fascial strip technique for stabilization of cranial cruciate ligament-deficient stifles has been evaluated using force plate analysis and nuclear scintigraphy. A median of 17.5 months following surgery, dogs are bearing less weight on the operated limbs as compared to the unoperated limbs. Significant synovitis and bony changes are present when compared to the unoperated limb as evaluated by scintigraphy. Despite these changes, clients are satisfied with the results of surgical repair.


Medicina ◽  
2021 ◽  
Vol 57 (3) ◽  
pp. 287
Author(s):  
Antonio Maestro ◽  
Iván Pipa ◽  
Nicolás Rodríguez ◽  
Carmen Toyos ◽  
Marcelino Torrontegui-Duarte ◽  
...  

Injuries to the knee ligaments can be particularly disabling in young patients, given the risk of long-term disability if adequate fixation is not achieved during initial repair. The TWINFIX™ titanium (Ti) suture anchor with ULTRABRAID™ Suture (Smith and Nephew, London, UK) was designed to secure tendon and ligament reconstructions with increased boney ingrowth at the anchor site with minimal invasive technique. This retrospective analysis looked at 33 patients (41 implants) operated with this device between 2015 and 2019 at a single institution. The average age of patients was 33.18 years (standard deviation [SD], 15.26), with an average body mass index of 24.88 (SD, 3.49). The indications were lateral extra-articular tenodesis during anterior cruciate ligament reconstruction, medial patellofemoral ligament reconstruction, quadriceps or patellar tendon repair and medial collateral ligament repair. After an average follow up of 24.3 + 6.53 months, there was no reports of clinical failure or radiographic evidence of implant failure or loosening. One patient experienced a complication unrelated to the study device, requiring manipulation under anesthesia with resolution of symptoms. This case series supports the safety and performance of this implants for the knee procedures in which its use is indicated. Additional follow-up will be required to determine whether these effects are sustained at medium- and long-term durations.


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