Long-term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dog
Background: Tibiotarsal instabilities caused by partial or complete rupture of the medial collateral tarsal ligament (MCTL) are commonly treated by arthrodesis techniques with poor functional results and significant complication rates. Case Description: This study describes a new surgical technique...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Tripoli University
2022-06-01
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| Series: | Open Veterinary Journal |
| Subjects: | |
| Online Access: | https://www.openveterinaryjournal.com/OVJ-2022-03-052%20P.%20Buttin%20et%20al.pdf |
| _version_ | 1811336105463644160 |
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| author | Philippe Buttin Vincenzo Santoro Mathilde Agbalé Bastien Goin Thibaut Cachon Eric Viguier Filippo Maria Martini |
| author_facet | Philippe Buttin Vincenzo Santoro Mathilde Agbalé Bastien Goin Thibaut Cachon Eric Viguier Filippo Maria Martini |
| author_sort | Philippe Buttin |
| collection | DOAJ |
| description | Background: Tibiotarsal instabilities caused by partial or complete rupture of the medial collateral tarsal ligament (MCTL) are commonly treated by arthrodesis techniques with poor functional results and significant complication rates.
Case Description: This study describes a new surgical technique for synthetic reconstruction of the MCTL in an overweight dog (estimated body condition score 8/9) with an avulsion of the long head of the MCTL. Three bone tunnels were drilled in the distal tibia, the talus and the central tarsal bone, thus respecting the anatomical insertions of the physiological ligament. An Ultra-High Molecular Weight Polyethylene (UHMWPE) implant was fixed with interference screws to reconstruct the long and short heads of the MCTL. Premature weight-bearing was reported at two weeks postoperatively following early removal of the flexible restraint (bivalve resin boot), which had initially been prescribed for six weeks. At 11 weeks postoperatively, the tibiotarsal joint showed good valgus stability and the dog's gait was subnormal. At 12 and 16 months postoperatively, the dog regained full function of the operated limb although no weight loss was initiated as recommended.
Conclusion: The use of a UHMWPE implant fixed with interference screws to reconstruct the MCTL allowed a return to full function of the tibiotarsal joint, without complications despite an early return to weight-bearing without external restraint. The success of this isolated surgical technique could lead to improvements in the surgical management of MCTL rupture if these initial results are confirmed by a prospective study with a larger number of patients. |
| first_indexed | 2024-04-13T17:33:41Z |
| format | Article |
| id | doaj.art-d84803ab4c894860bb1e5320461e7818 |
| institution | Directory Open Access Journal |
| issn | 2226-4485 2218-6050 |
| language | English |
| last_indexed | 2024-04-13T17:33:41Z |
| publishDate | 2022-06-01 |
| publisher | Tripoli University |
| record_format | Article |
| series | Open Veterinary Journal |
| spelling | doaj.art-d84803ab4c894860bb1e5320461e78182022-12-22T02:37:28ZengTripoli UniversityOpen Veterinary Journal2226-44852218-60502022-06-0112337538210.5455/OVJ.2022.v12.i3.11Long-term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dogPhilippe Buttin0https://orcid.org/0000-0002-4998-3832Vincenzo Santoro1https://orcid.org/0000-0001-7368-3015Mathilde Agbalé2https://orcid.org/0000-0002-0582-7408Bastien Goin3https://orcid.org/0000-0003-4127-0317Thibaut Cachon4https://orcid.org/0000-0002-0919-6228Eric Viguier5https://orcid.org/0000-0003-3137-5457Filippo Maria Martini6https://orcid.org/0000-0001-9615-2540Itinerant surgeon, Villaz 74370, FranceOrtovet stp srl, Parma, ItalyNational Veterinary School of Alfort, F-94704, Maisons-Alfort, FranceUniversity of Lyon, VetAgro Sup, Interactions Cellules Environnement (ICE), Marcy l'Etoile 69280, FranceUniversity of Lyon, VetAgro Sup, Interactions Cellules Environnement (ICE), Marcy l'Etoile 69280, FranceUniversity of Lyon, VetAgro Sup, Interactions Cellules Environnement (ICE), Marcy l'Etoile 69280, FranceUniversity of Parma, Department of Veterinary Sciences, Parma, ItalyBackground: Tibiotarsal instabilities caused by partial or complete rupture of the medial collateral tarsal ligament (MCTL) are commonly treated by arthrodesis techniques with poor functional results and significant complication rates. Case Description: This study describes a new surgical technique for synthetic reconstruction of the MCTL in an overweight dog (estimated body condition score 8/9) with an avulsion of the long head of the MCTL. Three bone tunnels were drilled in the distal tibia, the talus and the central tarsal bone, thus respecting the anatomical insertions of the physiological ligament. An Ultra-High Molecular Weight Polyethylene (UHMWPE) implant was fixed with interference screws to reconstruct the long and short heads of the MCTL. Premature weight-bearing was reported at two weeks postoperatively following early removal of the flexible restraint (bivalve resin boot), which had initially been prescribed for six weeks. At 11 weeks postoperatively, the tibiotarsal joint showed good valgus stability and the dog's gait was subnormal. At 12 and 16 months postoperatively, the dog regained full function of the operated limb although no weight loss was initiated as recommended. Conclusion: The use of a UHMWPE implant fixed with interference screws to reconstruct the MCTL allowed a return to full function of the tibiotarsal joint, without complications despite an early return to weight-bearing without external restraint. The success of this isolated surgical technique could lead to improvements in the surgical management of MCTL rupture if these initial results are confirmed by a prospective study with a larger number of patients.https://www.openveterinaryjournal.com/OVJ-2022-03-052%20P.%20Buttin%20et%20al.pdftibiotarsal jointmedial collateral tarsal ligamentsynthetic ligament reconstructionuhmwpe implantdog |
| spellingShingle | Philippe Buttin Vincenzo Santoro Mathilde Agbalé Bastien Goin Thibaut Cachon Eric Viguier Filippo Maria Martini Long-term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dog Open Veterinary Journal tibiotarsal joint medial collateral tarsal ligament synthetic ligament reconstruction uhmwpe implant dog |
| title | Long-term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dog |
| title_full | Long-term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dog |
| title_fullStr | Long-term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dog |
| title_full_unstemmed | Long-term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dog |
| title_short | Long-term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dog |
| title_sort | long term outcome following synthetical reconstruction of the medial collateral tarsal ligament in a dog |
| topic | tibiotarsal joint medial collateral tarsal ligament synthetic ligament reconstruction uhmwpe implant dog |
| url | https://www.openveterinaryjournal.com/OVJ-2022-03-052%20P.%20Buttin%20et%20al.pdf |
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