Effects of tibial tuberosity advancement and meniscal release on kinematics of the canine cranial cruciate deficient stifle during early, middle, and late stance.

摘要

Little research has been done to validate the biomechanical principles of tibial tuberosity advancement (TTA) throughout stance. The present study evaluates the effects of TTA on kinematics of the cranial cruciate (CrCL) deficient stifle during early, middle, and late stance. Cadaveric pelvic limbs were evaluated for the effects of TTA on kinematics under a load equivalent to 30% bodyweight and under the following treatment conditions: intact CrCL, CrCL deficient, TTA-treated, and TTA treated + meniscal release. Electromagnetic tracking sensors were used to determine tibial subluxation and rotation relative to the femur. Transection of the CrCL resulted in significant cranial tibial subluxation during early, middle, and late stance and significant internal rotation during early and middle stance. TTA normalized tibial subluxation in early, middle, and late stance but was unsuccessful in normalizing axial rotation in middle stance. Meniscal release had no effect on cranial/caudal or rotational displacement when performed following TTA.