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Investigation of a novel prosthesis technique for extracapsular stabilization of cranial cruciate ligament–deficient stifle joints in adult cattle

Joseph W. Lozier DVM, MS1, Andrew J. Niehaus DVM, MS1, C. Austin Hinds DVM, MS1, Sushmitha S. Durgam BVSC, PhD1, Stephen C. Jones MVB, MS1, and Jeffrey Lakritz DVM, PhD1
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  • 1 1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210.

Abstract

OBJECTIVE

To evaluate a novel prosthesis technique for extracapsular stabilization of cranial cruciate ligament (CCL)–deficient stifle joints in adult cattle.

SAMPLE

13 cadaveric bovine stifle joint specimens.

PROCEDURES

In the first of 3 study phases, the most isometric points on the distal aspect of the femur (distal femur) and proximal aspect of the tibia (proximal tibia) were determined from measurements obtained from lateromedial radiographs of a stifle joint specimen maintained at angles of 135°, 90°, 65°, and 35°. During phase 2, 800-lb-test monofilament nylon leader line was cut into 73-cm-long segments. Each segment was secured in a loop by use of 2, 3, or 4 crimping sleeves such that there were 12 replicates for each construct. Each loop was distracted to failure at a constant rate of 1 mm/s. Mean force at failure and elongation and mode of failure were compared among the 3 constructs. During phase 3, bone tunnels were created in the distal femur and proximal tibia at the isometric points identified during phase 1 in each of 12 CCL-deficient stifle joint specimens. The 3-sleeve construct was applied to each specimen. Specimens were distracted to failure at a constant rate of 1 mm/s.

RESULTS

Among the 3 constructs evaluated, the 3-sleeve construct was considered optimal in terms of strength and amount of foreign material. In phase 3, all replicates failed because of suture slippage.

CONCLUSIONS AND CLINICAL RELEVANCE

Use of 800-lb-test monofilament nylon leader line as a prosthesis might be a viable alternative for extracapsular stabilization of CCL-deficient stifle joints in adult cattle. Further in vivo studies are necessary.

Contributor Notes

Dr. Hinds's present address is Department of Veterinary Medicine and Surgery, College of Veterinary Medicine, University of Missouri, Columbia, MO 65211.

Address correspondence to Dr. Lozier (lozier.29@osu.edu).