Scintigraphic Evaluation of Dogs with Experimentally Transected Cranial Cruciate Ligaments Treated Using Tibial Plateau Leveling Osteotomy

실험적으로 전십자 인대를 단열한 개에서 TPLO의 핵의학적 평가

  • Lee Jae yeong (College of Veterinary Medicine and Research Institute of Veterinary Medicine, Chungbuk National University) ;
  • Kim Joong-hyun (College of Veterinary Medicine and Research Institute of Veterinary Medicine, Chungbuk National University) ;
  • Lee Won guk (College of Veterinary Medicine and Research Institute of Veterinary Medicine, Chungbuk National University) ;
  • Kang Seong soo (College of Veterinary Medicine and Biotechnology Research Institute, Chonnam National University) ;
  • Bae Chun sik (College of Veterinary Medicine and Biotechnology Research Institute, Chonnam National University) ;
  • Choi Seok hwa (College of Veterinary Medicine and Research Institute of Veterinary Medicine, Chungbuk National University)
  • 이재영 (충북대학교 수의과대학 및 동물의학연구소) ;
  • 김중현 (충북대학교 수의과대학 및 동물의학연구소) ;
  • 이원국 (충북대학교 수의과대학 및 동물의학연구소) ;
  • 강성수 (전남대학교 수의과대학 및 생물공학연구소) ;
  • 배춘식 (전남대학교 수의과대학 및 생물공학연구소) ;
  • 최석화 (충북대학교 수의과대학 및 동물의학연구소)
  • Published : 2005.03.01

Abstract

This study was performed to assess therapeutic effect of the tibial plateau leveling osteotomy (TPLO) in dogs with experimentally transected cranial cruciate ligaments (CrCL). Nine healthy adult Beagle dogs were transected left CrCL under general anesthesia. The dogs were assigned to TPLO and non-TPLO control groups. The TPLO procedures for correcting the CrCL rupture in the left stifle of dogs were performed under sterile conditions. Before TPLO procedures, all dogs were screened by orthopedic and radiographic examinations. Dogs were lameness free for the previous three months, and when examined at the walk and trot on a hard surface, in a straight line and on a circle. Lateral and craniocaudal radiographs were done to confirm the soundness of the both knee joint in dogs and not detectable lesions were diagnosed. The dogs were intravenously injected with a 10 mci/kg of 99mTechnetium-methylene diphosphonate (99mTc-MDP) under general anesthesia. Scintigraphs were obtained using a large field of view gamma camera equipped a parallel-hole, low-energy about 3 hours after intravenous injection of 99mTc-MDP. Before CrCL transection and 4, 8, and 12 weeks after the procedures, scintigraphy were conducted. Bone uptake of the left stifle joint increased after the procedures in all dogs. When the bone uptake from the TPLO procedure was compared with that of the control, there was a significant difference (p < 0.05). At 12 weeks after the TPLO procedure, the dogs showed normal anatomical posture and gait. It is concluded that TPLO procedure was effective in reconstruct of the stifle joint in dogs with CrCL rupture.

Keywords

References

  1. Anderson CC, Tomlinson JL, Daly WR, Carson WL, Payne JT, Wagner-Mann CC. Biomechanical evaluation of a crimp clamp system for loop fixation of monofilament nylon leader material used for stabilization of the canine stifle joint. Vet Surg 1998; 27: 533-539 https://doi.org/10.1111/j.1532-950X.1998.tb00528.x
  2. Ballagas AJ, Montgomery RD, Henderson RA, Gillete R. Pre-and postoperative force plate analysis of dogs with experimentally transected cranial cruciate ligaments treated using tibial plateau leveling osteotomy. Vet Surg 2004; 33: 187-190 https://doi.org/10.1111/j.1532-950x.2004.04027.x
  3. Brandt KD, Schauwecker DS, Dansereau S, Meyer J, O'Connor B, Myers SL. Bone scintigraphy in the canine cruciate deficiency model of osteoarthritis. Comparison of the unstable and contralateral knee. J Rheumatol 1997; 24: 140-145
  4. Chauvet AE, Johnson AL, Pijanowski GJ, Homco L, Smith RD. Evaluation of fibular head transposition, lateral fabellar suture, and conservative treatment of cranial cruciate ligament rupture in large dogs: a retrospective study. J Am Anim Hosp Assoc 1996; 32: 247-255
  5. Christensen SB. Localization of bone-seeking agents in developing, experimentally induced osteoarthritis in the knee joint of the rabbit. Scand J Rheumatol 1983; 12: 343-349 https://doi.org/10.3109/03009748309099738
  6. Cook GJ, Ryan PJ, Clarke SE, Fogelman I. SPECT bone scintigraphy of anterior cruciate ligament injury. J Nucl Med 1996; 37: 1353-1356
  7. Deligny CL, Gelsem WJ, Tji TG, Hygeian YM, Vink HA. Bone seeking radiopharmaceuticals. Eur J Nucl Med 1990; 17: 161-174
  8. Elkins AD, Pechman R, Kearney MT, Herron M. A retrospective study evaluating the degree ofdegenerative joint disease in the stifle joint of dogs following surgical repair of anterior cruciate ligament repture. J Am Anim Hosp Assoc 1991; 27: 533-540
  9. Flo GL. Modification of the lateral retinacular imbrication technique for stabilizing cruciate ligament injuries. J Am Anim Hosp Assoc 1975; 11: 570-576
  10. Hogervorst T, Pels Rijcken TH, Rucker D, Van der Hart CP, Taconis WK. Changes in bone scans after anterior cruciate ligament reconstruction: a prospective study. Am J Sports Med 2002; 30: 823-833
  11. O'Connor BL, Visco DM, Heck DA, Myers SL, Brandt KD.Gait alterations in dogs after transection of the anterior cruciate ligament. Arth Rheum 1989; 32: 1142-1147 https://doi.org/10.1002/anr.1780320913
  12. Pond M, Nuki G. Experimentally induced osteoarthritis in the dog. Ann Rheum Dis 1973; 32: 387-388 https://doi.org/10.1136/ard.32.4.387
  13. Rayward RM, Thomson DG, Davies JV, Innes JF, Whitelock RG. Progression of osteoarthritis following TPLO surgery: a prospective radiographic study of 40 dogs. J Small Anim Pract 2004; 45: 92-97 https://doi.org/10.1111/j.1748-5827.2004.tb00209.x
  14. Slocum B, Devine T. Cranial tibial wedge osteotomy: A technique for eliminating cranial tibial thrust in cranial cruciate ligament repair. J Am Vet Med Assoc 1984; 184: 564-569
  15. Slocum B, Devine T. A primary force in the canine stifle. J Am Vet Med Assoc 1983; 183:456-459
  16. Slocum B, Slocum TD. Tibial plateau leveling osteotomy for repair of cranial cruciate ligament rupture in the canine. Vet Clin North Am Small Anam Pract 1993; 23: 777-795
  17. Vanharanta H, Kuusela T, Kiuru A. Early detection of developing osteoarthritis by scintigraphy: and experimental study on rabbits. Eur J Nucl Med 1984; 9: 426-428 https://doi.org/10.1007/BF00295579
  18. Vasseur PB, Berry CR. Progression of stifle osteoarthrosis following reconstruction of the cranial cruciate ligament in 21 dogs. J Am Anim Hosp Assoc 1992; 28:136: