Browsing by Author "Harper, Tisha Adele Maria"
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- A Biomechanical Cadaver Study to Determine the Effectiveness of the Lateral Graft Technique and Isometric Suture Placement for Extracapsular Stabilization of the Cranial Cruciate Ligament Deficient Stifle in the DogHarper, Tisha Adele Maria (Virginia Tech, 2003-03-18)Objective – 1) To determine whether a graft of fascia lata and part of the patellar ligament, used in an extracapsular fashion from the tibial crest to the femorofabellar ligament, would eliminate abnormal cranial drawer motion in the cranial cruciate ligament (CrCL) deficient stifle 2) To determine if two new tibial suture anchor points would enhance biomechanical function of the lateral fabellar-tibial suture (FTS). Study Design – Experimental. Animals – 28 canine cadaver hind limbs. Methods – Stifles were mounted in a jig that allowed tibial rotation during loading and were tested between loads of â 65 to 80 N in caudal and cranial drawer respectively. Stifles were tested with the CrCL intact followed by one of four stabilization techniques after CrCL transection: lateral graft technique (LGT) and three FTS with different tibial anchor points. Results – Differences in cranial drawer motion (displacement) and stiffness between the LGT and standard FTS were not significant in two data sets, when compared to the intact CrCL. The FTS with the anchor point in the tibial crest showed the least displacement of all stabilization methods. Differences in stiffness were not significant between the stabilization techniques. Conclusions – Stability provided by the LGT is comparable to that of the standard FTS for the CrCL-deficient stifle in the cadaver. Altering the tibial anchor points for the FTS did not improve stiffness or result in a further decrease in cranial drawer motion. Clinical Relevance – The LGT could be used for the treatment of acute and chronic CrCL ruptures in the dog. A clinical study is recommended.
- 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 studyAulakh, Karanvir Singh (Virginia Tech, 2013-05-21)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.
Study design: In vitro biomechanical study: 32 hind limbs from 16 canine cadavers.
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.
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.
Clinical significance: LSSTT and LSSEG techniques failed to completely restore normal stifle kinematics in CrCL-D stifles in vitro. - The effects a novel extracapsular suture technique (lateral extracapsular suture system or LESSa) on the kinematics of the cranial cruciate deficient stifleD'Amico, Laura Lee (Virginia Tech, 2013-04-23)Objective: To evaluate the relative position of the femur and tibia in cranial cruciate ligament (CCL) intact stifles, CCL deficient stifles, and stifles following a novel extracapsular procedure (lateral extracapsular suture system or LESSa) under load at specific joint angles. Study Design: In vitro biomechanical study. Methods: Twenty pelvic limbs from 11 dogs were used to evaluate the relative position of the femur and tibia between 3 stifle conditions (CCL intact, CCL deficient, and LESSa treated) at a load of 30 % and stifle angles of 125", 135", and 145" using electromagnetic tracking sensors. Results: Cranial cruciate ligament deficient stifles had significantly greater (p <0.0001) cranial displacement and internal rotation of the tibia relative to the femur than CCL intact stifles or LESSa treated stifles at all stifle angles. Cranial displacement of the tibia relative to the femur for CCL intact and LESSa treated were not significantly different from one another at stifle angles of 125", but were significantly different at stifle angles of 135" (p = 0.0182) and 145" (p = 0.0012). There was no significant difference in internal rotation of the tibia relative to the femur between CCL intact and LESSa treated stifles at any of the stifle angles. Conclusion: LESSa effectively decreases cranial tibial displacement and eliminates internal rotation of the tibia relative