Complications in Canine Cranial Cruciate Ligament Surgery

Filling a gap in the current literature, Complications in Canine Cranial Cruciate Ligament Surgery provides revision strategies for correcting the complications associated with surgical repair techniques for cranial cruciate ligament rupture, one of the most common causes of a hind limb lameness in dogs. Presenting step-by-step instructions for numerous surgical correction techniques, this practical guide covers articular, extra-articular and osteotomy repair techniques as well as non-surgical management, physical rehabilitation, clinical decision making, and more.  

The book begins with an overview of cranial cruciate ligament tear, diagnosis, and treatment goals, followed by a discussion of methods for minimizing surgical site infection and complications. Subsequent chapters describe the potential complications of a particular technique and explain how to identify, evaluate, and correct the complication. Throughout the book, hundreds of high-quality clinical photographs show the appearance of complications and demonstrate each step of the corrective procedure. This authoritative guide:  

• Provides step-by-step techniques for surgical corrections of common complications 
• Emphasizes surgical decision making and specific strategies for surgical correction 
• Contains revision strategies for identification of intra-operative complications  
• Covers evaluation and identification of post-operative complications 
• Features more than 400 photographs and clinical images   

Part of the state-of-the-art Advances in Veterinary Surgery series, Complications in Canine Cranial Cruciate Ligament Surgery is an invaluable resource for surgical residents, veterinary surgeons, and general practice veterinarians alike. 

The editors

Ron Ben-Amotz, DVM, MS, CCRP, DACVS-SA, DECVS, is a Surgeon and the Section Head of Small Animal Orthopedics at the Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Israel.  

David L. Dycus, DVM, MS, CCRP, DACVS-SA, is the Chief of Orthopedics at the Nexus Veterinary Bone & Joint Center, Nexus Veterinary Specialists, Maryland, USA. 

List of Contributors vii

Preface xi

Foreword xiii

Acknowledgments xv

Disclosures xix

I Introduction 1

1 Pathology, Diagnosis, and Treatment Goals of Cranial Cruciate Ligament Rupture and Defining Complications 3

David L. Dycus, Jeffery Biskup, Michael G. Conzemius, and Ron Ben‐Amotz

2 Surgeon and Patient Preparation to Minimize Surgical Site Complications and Infection Surveillance Programs 15

Katie L. Hoddinott, J. Scott Weese, and Ameet Singh

3 Identification, Addressing, and Following Up on Surgical Site Infection After Cranial Cruciate Ligament Stabilization 33

Katie L. Hoddinott, J. Scott Weese, and Ameet Singh II Intraarticular Repair Techniques 43

4 Complications Associated with Intraarticular Repair Techniques 45

Jeffery Biskup and Michael G. Conzemius

5 Complications Associated with Proximal Tibial Epiphysiodesis 61

Aldo Vezzoni, Joshua S. Zuckerman, and Ron Ben‐Amotz

III Extraarticular RepairTechniques 85

6 Extracapsular Stabilization Using Synthetic Material 87

Ian G. Holsworth

7 Complications Associated with Extracapsular Stabilization Using Monofilament Material 109

R. Randy Basinger

8 Complications Associated with Extracapsular Stabilization using Multifilament Material 121

Matt Corse and Ian G. Holsworth

IV Osteotomy Repair Techniques 145

9 Complications Associated with Cranial Closing Wedge Osteotomy 147

Bill Oxley

10 Complications Associated with Tibial Plateau Leveling Osteotomy 163

Ron Ben‐Amotz and Joshua Zuckerman

11 Complications Associated with CORA‐Based Leveling Osteotomy 189

David L. Dycus and Don Hulse

12 Complications Associated with Tibial Tuberosity Advancement 199

Matthew D. Barnhart

13 Complications Associated with the Modified Maquet Technique 219

Marc H. Balligand

V Nonsurgical Management and Physical Rehabilitation 237

14 Complications Associated with Stifle Orthotics 239

Bryan T. Torres and Steven C. Budsberg

15 Complications from Cranial Cruciate Ligament Surgery: Rehabilitation Considerations 249

Matthew W. Brunke, David Levine, David L. Dycus, and Denis J. Marcellin‐Little

VI Adjunctive Information 263

16 Complications Associated with Feline Cranial Cruciate Ligament Techniques 265

Sorrel Langley‐Hobbs and  Eva Schnabl‐Feichter

17 Complications Associated withArthroscopic Evaluation of the Stifle and Decision Making 289

Brian S. Beale, Stephen C. Jones, and Selena Tinga

18 Complications Associated with the Meniscus and Decision Making 309

Stephen C. Jones, Selena Tinga, and Brian S. Beale

Index 000

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