What is it about?
Treatment of meniscal tears is often overlooked during the procedure for stabilization of the CCL-deficient stifle. If a meniscal lesion is left untreated, it is possible that the outcome of the procedure will be suboptimal, due to the pain related to the meniscus. On the other hand, meniscal visualization is quite difficult, either with open or arthroscopic surgery. If a meniscal procedure is required, either partial meniscectomy or meniscal suture, very often the joint room available is so reduced that damaging the joint cartilage with instruments is very likely. The use of a joint distractor helps in increasing the room available, in this way facilitating both visualization and treatment of meniscal tears.
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Why is it important?
Meniscal surgery is an emerging procedure, due to the technical problems encountered for performing it. Joint distraction can greatly help the surgeon in performing both visualization and treatment of meniscal tears, dramatically reducing the risk of iatrogenic lesions to the joint cartilage.
Perspectives
Treating meniscal tears during stifle stabilization for CCL disease could be a standard procedure if it can performed in a consistent way and with a low risk of side effects.
DVM, DECVS (NA) Gian Luca Rovesti
Clinica veterinaria M. E. Miller
Read the Original
This page is a summary of: Facilitation of arthroscopic visualization and treatment of meniscal tears using a stifle joint distractor in the dog, BMC Veterinary Research, June 2018, Springer Science + Business Media,
DOI: 10.1186/s12917-018-1534-9.
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