Management of cruciate ligament rupture: what is 'best practice'?

Innes, John F.
January 2012
Veterinary Ireland Journal;
The canine cranial cruciate ligament is commonly injured and torn and this is probably the most common reason for orthopaedic surgery in dogs. Despite this, decision-making in this condition remains controversial and current treatment modalities have advantages and disadvantages. This article aims to review the most common treatment methods employed today including lateral suture stabilisation, tibial plateau levelling osteotomy (TPLO), tibial tuberosity transposition (TTA) and triple tibial osteotomy (TTO). The evidence-base in support of each of these techniques is also discussed. In addition, other factors that influence outcome, such as meniscal injury, are reviewed. After completing this article, the reader should feel informed on the current status of this subject and be able to advise clients accordingly.


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