Comparison of Extracapsular Stabilization Techniques Using an Ultrasonically Implanted Absorbable Bone Anchor (Weldix) after Cranial Cruciate Ligament Rupture in Cats-An In Vitro Study.

Abstract

Simple SummaryOne reason for lameness in cats is the rupture of the cranial cruciate ligament. This ligament is located in the stifle joint and contributes to its stabilization during excessive forward movement and internal rotation of the tibia. One method for the surgical treatment of cranial ligament rupture is the placement of an extracapsular suture. Different materials and methods of suture fixation have been used in dogs and cats. This study investigated the use of a novel polylactide absorbable bone anchor that was implanted with ultrasound technology for suture fixation and compared this with suture fixation alone and fixation with a nonabsorbable bone anchor using an ex vivo modified limb-press model. For evaluation, distance measurements on radiographs were performed and the angles between defined bony structures were calculated. The acquired measurements accounted for both craniocaudal and mediolateral movements, and the results showed that the absorbable anchor could neutralize excessive movement within the stifle joint in two of three measurements and seems to be a good alternative to well-known surgical methods.Background: This study evaluated joint stability after surgical repair of cranial cruciate ligament (CrCL)-deficient stifle joints in cats using a novel absorbable polylactide bone anchor in an ex vivo model. Methods: Thirty-six hindlimbs from cats with intact (Gi group) and transected CrCLs were treated with fabellotibial suture alone (GFW group), suture combined with an absorbable polylactide bone anchor (GWD group), or suture combined with a nonabsorbable bone anchor (GFT group), positioned in a limb press with predefined joint angles (stifle joint: 120 ± 5°; hock joint: 120 ± 5°) and loaded with 10%, 20%, and 30% of body mass (BM). Predefined points were measured on lateral radiographs and with a coordinate measurement machine. Distances on radiographs (mm) were measured and angles (°) were calculated to represent the craniocaudal movement and the internal rotation of the tibia. Results: There were no differences for craniocaudal movement between Gi and GFW or GFT, but for GWD regarding angle measurement at 30% BM. For internal rotation, there was no significant difference between Gi and GFW or GWD, but for GFT. Conclusion: The used absorbable polylactide bone-anchor was able to stabilize the stifle joint regarding internal rotation and craniocaudal movement as calculated from distance measurements.