Journal of Veterinary Science

The Korean Society of Veterinary Science (대한수의학회)
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Patellofemoral contact mechanics after transposition of tibial tuberosity in dogs

  • Park, Donghee (Department of Veterinary Surgery, College of Veterinary Medicine, Jeonbuk National University) ;
  • Kang, Jinsu (Department of Veterinary Surgery, College of Veterinary Medicine, Jeonbuk National University) ;
  • Kim, Namsoo (Department of Veterinary Surgery, College of Veterinary Medicine, Jeonbuk National University) ;
  • Heo, Suyoung (Department of Veterinary Surgery, College of Veterinary Medicine, Jeonbuk National University)
  • Received : 2019.12.05
  • Accepted : 2020.05.17
  • Published : 2020.07.31
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Abstract

Background: Tibial tuberosity transposition (TTT) causes caudalization of the patellar ligament insertion in canine medial patellar luxation, which can lead to increases in patellofemoral contact pressure. Objectives: The purpose of this study is to confirm the effect of patellofemoral contact mechanics after craniolateral and caudolateral transposition of tibial tuberosity in normal canine hindlimbs. Methods: Craniolateral and caudolateral transposition of tibial tuberosity was performed in 5 specimens, respectively. The pressure was measured in the specimen before TTT, and then in the same specimen after TTT. In this process, data was obtained in 10 specimens. The measurement results were output as visualization data through the manufacturer's software and numerical data through spreadsheet. Based on these 2 data and the anatomical structure of the patellofemoral joint (PFJ) surface, whole measurement area was analysed by dividing into medial, lateral and central area. Results: In craniolateralization of tibial tuberosity, total, medial, central contact pressure was decreased and lateral contact pressure was not statistically changed lateral contact pressure than normal PFJ. In caudolateralization of tibial tuberosity, total, lateral contact pressure was increased and medial contact pressure was not statistically changed than normal PFJ. Although not statistically significant changed, central contact pressure in caudolateralization of tibial tuberosity was increased in all 5 specimens. Conclusions: These results imply that traditional TTT, prone to caudal shift of patellar tendon, can increase retropatellar pressure may lead to various complications and diseases of the stifle joint.

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References

  1. Di Dona F, Della Valle G, Fatone G. Patellar luxation in dogs. Vet Med (Auckl). 2018;9:23-32. https://doi.org/10.2147/VMRR.S142545
  2. Lara J, Alves EG, Oliveira HP, Varon JA, Rezende CM. Patellar luxation and articular lesions in dogs: a retrospective: study research article. Arq Bras Med Vet Zootec. 2018;70:93-100. https://doi.org/10.1590/1678-4162-9245
  3. L'Eplattenier H, Montavon P. Patellar luxation in dogs and cats: management and prevention. Compend Contin Educ Pract Vet. 2002;24:292-298.
  4. Perez P, Lafuente P. Management of medial patellar luxation in dogs: what you need to know. Vet Irel J. 2014;4:634-640.
  5. Iliadis AD, Jaiswal PK, Khan W, Johnstone D. The operative management of patella malalignment. Open Orthop J. 2012;6(1):327-339. https://doi.org/10.2174/1874325001206010327
  6. Ramappa AJ, Apreleva M, Harrold FR, Fitzgibbons PG, Wilson DR, Gill TJ. The effects of medialization and anteromedialization of the tibial tubercle on patellofemoral mechanics and kinematics. Am J Sports Med. 2006;34(5):749-756. https://doi.org/10.1177/0363546505283460
  7. Steimer O, Kohn D. Anteromedialization of the tibial tubercle. Oper Tech Orthop. 2007;17(1):66-71. https://doi.org/10.1053/j.oto.2006.09.012
  8. Johnston SA, Tobias KM. Veterinary Surgery: Small Animal Expert Consult: 2-Volume Set. Philadelphia: Saunders; 2017.
  9. Waryasz GR, McDermott AY. Patellofemoral pain syndrome (PFPS): a systematic review of anatomy and potential risk factors. Dyn Med. 2008;7:9. https://doi.org/10.1186/1476-5918-7-9
  10. Beck PR, Thomas AL, Farr J, Lewis PB, Cole BJ. Trochlear contact pressures after anteromedialization of the tibial tubercle. Am J Sports Med. 2005;33(11):1710-1715. https://doi.org/10.1177/0363546505278300
  11. Fulkerson JP. Anteromedialization of the tibial tuberosity for patellofemoral malalignment. Clin Orthop Relat Res. 1983;(177):176-181.
  12. Saranathan A, Kirkpatrick MS, Mani S, Smith LG, Cosgarea AJ, Tan JS, et al. The effect of tibial tuberosity realignment procedures on the patellofemoral pressure distribution. Knee Surg Sports Traumatol Arthrosc. 2012;20(10):2054-2061. https://doi.org/10.1007/s00167-011-1802-8
  13. Apelt D, Kowaleski MP, Boudrieau RJ. Effect of tibial tuberosity advancement on cranial tibial subluxation in canine cranial cruciate-deficient stifle joints: an in vitro experimental study. Vet Surg. 2007;36(2):170-177. https://doi.org/10.1111/j.1532-950X.2007.00250.x
  14. Guerrero TG, Pozzi A, Dunbar N, Kipfer N, Haessig M, Beth Horodyski M, et al. Effect of tibial tuberosity advancement on the contact mechanics and the alignment of the patellofemoral and femorotibial joints. Vet Surg. 2011;40(7):839-848. https://doi.org/10.1111/j.1532-950X.2011.00866.x
  15. Hoffmann DE, Kowaleski MP, Johnson KA, Evans RB, Boudrieau RJ. Ex vivo biomechanical evaluation of the canine cranial cruciate ligament-deficient stifle with varying angles of stifle joint flexion and axial loads after tibial tuberosity advancement. Vet Surg. 2011;40(3):311-320. https://doi.org/10.1111/j.1532-950X.2011.00807.x
  16. Kipfer NM, Tepic S, Damur DM, Guerrero T, Hassig M, Montavon PM. Effect of tibial tuberosity advancement on femorotibial shear in cranial cruciate-deficient stifles. An in vitro study. Vet Comp Orthop Traumatol. 2008;21(5):385-390. https://doi.org/10.3415/VCOT-07-07-0067
  17. Pozzi A, Kim SE, Conrad BP, Horodyski M, Banks SA. Ex vivo pathomechanics of the canine Pond-Nuki model. PLoS One. 2013;8(12):e81383. https://doi.org/10.1371/journal.pone.0081383
  18. Retournard M, Bilmont A, Asimus E, Palierne S, Autefage A. Effect of tibial tuberosity advancement on cranial tibial subluxation in the feline cranial cruciate deficient stifle joint: an ex vivo experimental study. Res Vet Sci. 2016;107:240-245. https://doi.org/10.1016/j.rvsc.2016.06.005
  19. Clark AL, Barclay LD, Matyas JR, Herzog W. In situ chondrocyte deformation with physiological compression of the feline patellofemoral joint. J Biomech. 2003;36(4):553-568. https://doi.org/10.1016/S0021-9290(02)00424-4
  20. Ryu J, Saito S, Yamamoto K. Changes in articular cartilage in experimentally induced patellar subluxation. Ann Rheum Dis. 1997;56(11):677-681. https://doi.org/10.1136/ard.56.11.677
  21. Loudon JK. Biomechanics and pathomechanics of the patellofemoral joint. Int J Sports Phys Ther 2016;11(6):820-830.
  22. Huber J, Gasser B, Perren SM, Bandi W. Changes in retropatellar pressure values in relation to the position of the tibial tuberosity. Knee. 1994;1:S19-S43. https://doi.org/10.1016/0968-0160(94)90015-9
  23. Martinez SA. Congenital conditions that lead to osteoarthritis in the dog. Vet Clin North Am Small Anim Pract. 1997;27(4):735-758. https://doi.org/10.1016/S0195-5616(97)50078-7
  24. Heijink A, Gomoll AH, Madry H, Drobnic M, Filardo G, Espregueira-Mendes J, et al. Biomechanical considerations in the pathogenesis of osteoarthritis of the knee. Knee Surg Sports Traumatol Arthrosc. 2012;20(3):423-435. https://doi.org/10.1007/s00167-011-1818-0
  25. Musumeci G. The effect of mechanical loading on articular cartilage. J Funct Morphol Kinesiol. 2016;1(2):154-161. https://doi.org/10.3390/jfmk1020154
  26. Sun HB. Mechanical loading, cartilage degradation, and arthritis. Ann N Y Acad Sci. 2010;1211(1):37-50. https://doi.org/10.1111/j.1749-6632.2010.05808.x
  27. Towle HA, Griffon DJ, Thomas MW, Siegel AM, Dunning D, Johnson A. Pre- and postoperative radiographic and computed tomographic evaluation of dogs with medial patellar luxation. Vet Surg. 2005;34(3):265-272. https://doi.org/10.1111/j.1532-950x.2005.00040.x
  28. Linney WR, Hammer DL, Shott S. Surgical treatment of medial patellar luxation without femoral trochlear groove deepening procedures in dogs: 91 cases (1998-2009). J Am Vet Med Assoc. 2011;238(9):1168-1172. https://doi.org/10.2460/javma.238.9.1168
  29. Arthurs GI, Langley-Hobbs SJ. Complications associated with corrective surgery for patellar luxation in 109 dogs. Vet Surg. 2006;35(6):559-566. https://doi.org/10.1111/j.1532-950X.2006.00189.x
  30. Roy RG, Wallace LJ, Johnston GR, Wickstrom SL. A retrospective evaluation of stifle osteoarthritis in dogs with bilateral medial patellar luxation and unilateral surgical repair. Vet Surg. 1992;21(6):475-479. https://doi.org/10.1111/j.1532-950X.1992.tb00084.x
  31. Stephen J, Alva A, Lumpaopong P, Williams A, Amis AA. A cadaveric model to evaluate the effect of unloading the medial quadriceps on patellar tracking and patellofemoral joint pressure and stability. J Exp Orthop. 2018;5(1):34. https://doi.org/10.1186/s40634-018-0150-8
  32. Ostermeier S, Holst M, Hurschler C, Windhagen H, Stukenborg-Colsman C. Dynamic measurement of patellofemoral kinematics and contact pressure after lateral retinacular release: an in vitro study. Knee Surg Sports Traumatol Arthrosc. 2007;15(5):547-554. https://doi.org/10.1007/s00167-006-0261-0
  33. Rue JP, Colton A, Zare SM, Shewman E, Farr J, Bach BR Jr, et al. Trochlear contact pressures after straight anteriorization of the tibial tuberosity. Am J Sports Med. 2008;36(10):1953-1959. https://doi.org/10.1177/0363546508317125
  34. Stephen JM, Lumpaopong P, Dodds AL, Williams A, Amis AA. The effect of tibial tuberosity medialization and lateralization on patellofemoral joint kinematics, contact mechanics, and stability. Am J Sports Med. 2015;43(1):186-194. https://doi.org/10.1177/0363546514554553