Effect of tibial insertion points for lateral suture stabilization on the kinematics of the cranial cruciate ligament deficient-stifle during early, middle and late stance: An in vitro study

Objective: To evaluate the effect of two tibial attachment sites for lateral suture stabilization (LSS) on the kinematics of the cranial cruciate ligament-deficient (CrCL-D) canine stifle during early, middle and late stance.<br />Study design: In vitro biomechanical study: 32 hind limbs from 16 canine cadavers.<br />Methods: Limbs were mounted in a testing jig and an electromagnetic tracking system was used to determine 3-D stifle kinematics under 33% body weight load during early, middle and late stance in the following sequence: CrCL intact, CrCL-D and LSS with the distal anchor through the tibial tuberosity (LSSTT) or through the cranial eminence of the extensor groove (LSSEG). The proximal anchor point was the lateral femoro-fabellar ligament.<br />Results: Transection of the CrCL resulted in significant changes in stifle kinematics during early, middle and late stance. Post-LSS stifle kinematics were more comparable to normal than post-transection kinematics for both techniques. Both LSS techniques restored stifle kinematics in CrCL-D stifles to varying amounts but neither technique successfully restored normal 3-D stifle kinematics. LSSEG improved kinematics of the CrCL-D stifle in the medial-lateral direction and axial rotation but performed poorly in restoring stifle kinematics in the cranial-caudal plane as compared to LSSTT.<br />Clinical significance: LSSTT and LSSEG techniques failed to completely restore normal stifle kinematics in CrCL-D stifles in vitro.

Name thesis:degree_name

Master of Science

Level thesis:degree_level

masters

Discipline thesis:degree_discipline

Biomedical and Veterinary Sciences

Department dc:contributor.department

Veterinary Medicine

Grantor dc:publisher

Virginia Tech

Year dc:date.issued

2013

Author dc:creator

• Aulakh, Karanvir Singh

Chair dc:contributor.committeechair

• Lanz, Otto I.

Committee members dc:contributor.committeemember

• Harper, Tisha Adele Maria
• McLaughlin, Ronald Malcolm

• Cranial cruciate ligament
• lateral suture stabilization
• cranial tibial translation
• kinematic

Statement dc:rights

• In Copyright

Licence dc:rights.uri

• http://rightsstatements.org/vocab/InC/1.0/

Dc Identifier Other

vt_gsexam:487

OAI identifier oai:identifier

oai:vtechworks.lib.vt.edu:10919/50844