The effect of axial and abaxial release on meniscal displacement in the dog.

The meniscal release (MR) is used to minimize meniscal pathology after Tibial Plateau Leveling Osteotomy (TPLO) surgery. The purposes of this study were: (i) to describe meniscal orientation in a unaltered cadaveric canine stifle, a cruciate deficient stifle, TPLO repaired stifle with and without the MR using magnetic resonance imaging; (ii) to determine if the abaxial release is equivalent to the axial release in its ability to affect caudal pole displacement in a TPLO repaired stifle and (iii) to evaluate with MRI the effect of MR on the femorotibiol articular cartilage contact area in a TPLO repaired stifle. Briefly, cadaver limbs were placed into a jig designed to mimic a weight-bearing stance at 140 degrees and 90 degrees at the stifle. The limbs were sequentially evaluated from the unaltered state; after cranial cruciate ligament transection; after TPLO stabilization; and finally after a meniscal release. No significant difference was found between the intrameniscal area (IMA) of the abaxial and axial meniscal releases although there was an increase in the IMA after the meniscal release compared to the IMA in the normal, cranial cruciate ligament deficient stifle, and TPLO stabilized stifle. In the abaxial release, a meniscal remnant remained in situ and provided a space effect between the femur and the tibial plateau. This is in contrast to the axial meniscal release, where the entire caudal pole of the medial meniscus relocated caudolaterally and consequently permitted more direct femorotibial contact. Overall, however, there was evidence of caudal pole compression of the medial meniscus throughout the MRI series which was ameliorated by either of the MR procedures.

Three-dimensional kinematics of the intact and cranial cruciate ligament-deficient stifle of dogs.

Joint motion was measured for the intact and cranial cruciate ligament (CCL)-deficient stifle in five large dogs using an instrumental spatial linkage and radiophotogrammetry. The linkage was directly attached to the bones using modified bone plates. Motion data were presented in terms of a clinical coordinate system. Stifle kinematics were highly reproducible for a given dog. For intact stifle kinematics, the swing phase included flexion-extension, internal-external rotation and abduction-adduction, while stance-phase kinematics included only flexion-extension. Loss of the CCL altered joint kinematics over the entire gait cycle. At the swing-stance transition, the CCL-deficient stifle demonstrated an abrupt cranial subluxation of the tibia which was sustained throughout stance. At the beginning of the swing phase the CCL-deficient joint returned to the cranial-caudal alignment seen in the intact joint. The dog's stifle was shown to be CCL-dependent during stance. The dog compensated for CCL loss by reducing the external limb load and by carrying the limb in greater flexion throughout the gait cycle, but was unable to prevent joint subluxation during stance. Stifle kinematics are greatly altered following CCL loss. It is the repetitive, mechanical, dynamic subluxation in a CCL-deficient joint which may be the cause of joint degeneration.

Three-dimensional osteometric scaling and normative modelling of skeletal segments.

Many analytical biomechanics methods require extensive three-dimensional descriptions of anatomical geometry. In particular, researchers requiring the three-dimensional coordinates of specific boney landmarks (e.g. tendon and ligament attachments) are often forced to extrapolate such measurements from an experimental specimen set to their subject geometry. This work offers an approach to two problems inherent above; accurate extrapolation of specimen landmark locations to subject homologues and statistical accumulation of normative three-dimensional anatomical landmark data bases. A least squares solution for an affine scaling transformation from specimen to subject is used which incorporates both right-left and same hand comparisons. A two stage technique is formulated to consecutively remove landmark location variation and to size a normative specimen from a set of similar specimens. This ability to statistically represent a specimen set will provide better geometric models for other analytical studies and prosthetic design and evaluation.

Effects of whole blood clots, time, and implant size on vascularization and collagen deposition along Teflon-ensheathed carbon fibers implanted in ewes.

Seventy-two subcutaneous implants were examined to evaluate connective tissue response to Teflon-ensheathed carbon fibers and whole blood clots. Carbon fibers significantly (P less than or equal to 0.001) increased vascularization and collagen formation within the Teflon sheath. Carbon fibers provide a potentially strong scaffold that would physically support cell migration during wound healing. However, obvious foreign body reactions occurred, which indicate that further studies on the biologic features of carbon fiber are needed before carbon fibers become entirely acceptable for long-term implantation. Compared with no-clot controls, Teflon tubes containing only whole blood clots stimulated a significant (P less than or equal to 0.001) wound-healing response, including organized collagen fiber formation. Other variables tested in this study such as length and diameter of the Teflon tubes did not significantly influence connective tissue responses.

Effects of isobutyl-2-cyanoacrylate on bone healing.

An in vivo evaluation of isobutyl-2-cyanoacrylate as an osseous adhesive was performed to determine its effect on bone healing. Oblique cortical fractures were induced at the tibial-fibular junctions of adult rabbits. Forty-eight fractures were repaired by the use of isobutyl-2-cyanoacrylate and a full cerclage wire. The opposite control fracture was repaired with a full cerclage wire only. One hundred percent of the glued fractures were not united through the glue interface, although normal periosteal new bone formation (secondary bone healing) took place around the glue. One hundred percent of the nonglued fractures healed by secondary bone union. Reactions were not seen in the bone or soft tissue adjacent to the adhesive material.

Biomechanical properties of canine cortical bone allografts: effects of preparation and storage.

The effects of various preparation and storage procedures and of different storage times on structural properties of canine cortical bone allografts were determined by evaluation of the compressive load to failure of a whole diaphyseal segment, the ability of a screw to resist being pulled from a cortical segment, and the torque required to strip the threads of a screw hole in a cortical segment. Preparation and storage procedures evaluated were sterile collection and storage at -20 C; ethylene oxide sterilization and storage at room temperature (22 C); chemical sterilization (methanol and chloroform, then iodoacetic acid) and storage at -20 C; and chemical sterilization, partial decalcification, and storage at -20 C. Storage times were 1, 16, and 32 weeks for each procedure. After 1 week of storage, aseptically collected frozen bone and ethylene oxide-sterilized bone had an increase, compared with matched controls, in load to failure in compression, but pullout load or screw-stripping torque did not change. Chemically sterilized bone had not changed after 1 week of storage, whereas chemically sterilized and partially decalcified bone had a 40% to 60% decrease in compressive load to failure, pullout load, and screw-stripping torque. Chemically sterilized and partially decalcified bone remained weak after 16 and 32 weeks of storage. Significant structural alterations were not detected in aseptically collected bone after 16 or 32 weeks of storage. Ethylene oxide-sterilized bone had a reduced pullout load after 32 weeks of storage. Chemically sterilized bone had significantly reduced compressive load to failure and pullout load after 16 and 32 weeks of storage.(ABSTRACT TRUNCATED AT 250 WORDS)

Chondrolysis associated with cartilage canals of the epiphyseal cartilage of the distal humerus of growing pigs.

The articular-epiphyseal (A-E) cartilage of the distal humeri of 7 pigs weighing 13.1 to 18.2 kg and of 3 pigs weighing 36.4 to 40.9 kg was studied. Frozen samples of A-E cartilage were stained for the presence of reduced nicotinamide adenine dinucleotide dehydrogenase, lactate dehydrogenase, isocitrate dehydrogenase, and uridine diphosphate galactose-4-epimerase. Additional frozen sections and paraffin-processed sections were stained using the Alcian blue-critical electrolyte concentration method, safranin O-fast green, and hematoxylin and eosin. An area of grossly visible, opaque A-E cartilage of the medial condyle corresponded to regions of chondrolysis of the epiphyseal cartilage. The chondrolytic regions contained chondrocytes that did not stain for enzymes, had reduced staining for proteoglycans in the matrix, and were located at the site where the A-E cartilage increased in thickness. Cartilage canals were associated with the chondrolytic areas. Cartilage canals in both groups of pigs were commonly in various stages of chondrification, some of which were associated with degenerative cartilage. The regions of chondrolysis may indicate sites of biomechanical weakness in the A-E cartilage during the transformation of the epiphyseal cartilage into bone.

Composition and morphologic features of the interosseous muscle in Standardbreds and Thoroughbreds.

Suspensory ligaments (SL) from 32 Thoroughbreds and 32 Standardbreds were collected to evaluate the variation in muscle content with respect to age, breed, sex, limb, and use. Six transverse sections, each 3 to 5 mm thick, were obtained from each SL. Four sections were taken from the body of the SL and 1 from the midportion of each branch. Sections were stained with van Gieson picric acid-fuchsin solution, then photographed, and black-and-white slides were made from the processed negatives. The transverse-sectional area of the SL and the contained muscle were determined by use of a computer with a color monitor and a digitizing device with its associated software. The percentage of muscle was then calculated for each section, for the entire ligament, and for each horse. Results were analyzed by multiple-regression analysis and Duncan multiple-range test, using the General Linear Model of SAS. Standardbreds had 40% more muscle in their SL than did Thoroughbreds. There was no significant difference in the percentage of SL muscle among sex, age, use, individual limb, or forelimb vs hind limb. For Standardbred horses, females had significantly greater muscle area content than intact males. Also, hind limb muscle area content was significantly greater than forelimb muscle content. Thoroughbred horses between 2 and 10 years of age not in training had significantly more muscle content than horses of the same age not in training. The reasons for these differences remain unclear.

Uterine motility during the estrous cycle: studies in healthy bitches.

Natural and drug-induced uterine motilities (UM) were recorded via uterine-implanted catheter-tip pressure transducers in 5 bitches during proestrus and estrus and in 6 bitches during early (30 days) and late (60 days) diestrus. The UM was monitored in unanesthetized bitches for 2 days after the estrous-cycle stage had been determined by vaginal cytologic findings. Natural UM, expressed as Alexandria units (pressure X frequency X duration of contractions), was greatest during estrus, moderate during proestrus, and appreciably decreased or lacking during early and late diestrus. During proestrus and estrus, prostaglandin F2 alpha (5 micrograms/kg of body weight, IV) induced intrauterine pressures of 107 and 115 mm of Hg, respectively, and oxytocin (0.05 USP units/kg, IV) induced pressures of 106 and 116 mm of Hg, respectively. In contrast, the intrauterine pressure values induced by prostaglandin F2 alpha given IV during early and late diestrus were 61 and 58 mm of Hg, respectively, and for oxytocin, were 61 and 51 mm of Hg, respectively. Prostaglandin F2 alpha given IM (50 micrograms/kg) also induced a greater intrauterine pressure during proestrus and estrus than during diestrus. We concluded that in the bitch, natural and drug-induced UM are decreased during early and late diestrus.

Evaluation of support bandaging during measurement of proximal sesamoidean ligament strain in horses by use of a mercury strain gauge.

Liquid mercury strain gauges were implanted in the forelimb proximal sesamoidean ligaments (PSL) of 8 adult horses. The gauges measured PSL strain while horses were standing with or without external support. In 6 of the horses, the gauges also measured PSL strain in horses at a walk, with or without external support. Gauges were enclosed within sliding polypropylene tubes to prevent nonaxial deformation. Each gauge was placed in 1 arm of a low-resistance half-bridge circuit. To provide temperature compensation, a dummy gauge was placed in the adjacent arm of the bridge circuit and was implanted next to the active gauge in the surrounding fascial tissue. External support included fiberglass cast support (CAST), dorsal fetlock splint support (DFS), support wraps of 3 bandage materials (SW1, SW2, and SW3), and support wrap with caudal splint (SW4). The cast was applied, with the fetlock and foot in weightbearing position, from the proximal portion of the metacarpus distal to and including the foot. The DFS was applied by placing the cranial half of the fiberglass cast on the dorsal aspect of the instrumented limb. The SW1, SW2, and SW3 were applied in a figure-8 pattern around the fetlock, using 50% of the linear stretch capacity of the bandage material, with the horse standing squarely on all 4 limbs. The SW4 was applied identically to the other support wraps, with the exception of addition of a flexible caudal splint incorporated in the support wrap. Mean maximal strain while standing (epsilon S) without external support for 8 horses was 6.0% (range, 3.8 to 7.5%).(ABSTRACT TRUNCATED AT 250 WORDS)

Joint laxity and its association with hip dysplasia in Labrador retrievers.

A study was done to determine whether radiographic-distraction measurement of coxofemoral joint (hip) laxity at 4 and 8 months of age can serve as a predictor of hip dysplasia in older Labrador Retrievers. The method of Smith, Biery, and Gregor was used for radiologic examination of hips and for evaluation of radiographs. Mean (+/- SEM) distraction laxity (ie, distraction index) for 10 adult disease-free dogs was 0.29 +/- 0.05, whereas a group of 8 dogs with dysplastic hips had mean distraction index of 0.60 +/- 0.10 (P < 0.05). Mean distraction index at 4 months of age for 11 pups of 4 litters from matings between dogs with normal hips was 0.39 +/- 0.07, and was 0.54 +/- 0.04 for 31 pups of 7 litters from matings between dogs with hip dysplasia. The distraction index and, thus, joint laxity at that age was significantly (P = 0.0351) different for the 2 groups. The distraction index at 4 months correlated positively with the distraction index at a later age at necropsy (r = 0.43; P = 0.0289). Distraction index < 0.4 at 4 months of age predicted normal hips in 88% of cases and distraction index > or = 0.4 predicted hip dysplasia in 57% of the dogs. Logistic regression modeling indicated that the odds of a hip being normal decreased with increasing distraction index, and thus, with increasing joint laxity. The logistic regression models provided a reasonable mathematical description of the data. Based on the logistic model of the data, distraction indexes between 0.4 and 0.7 at either 4 or 8 months of age were not associated strongly enough with evidence of disease to be clinically reliable in predicting, on an individual basis, the outcome for dysplastic hip conformation when dogs were older. Index > 0.7 was associated with high probability for developing dysplastic joints and distraction index < 0.4 predicted normal hips with high probability.

Correlation between anatomic features and low-field magnetic resonance imaging of the equine metacarpophalangeal joint.

OBJECTIVE: To expand our current knowledge and to establish limits of correlation between signal intensities of the magnetic resonance (MR) image and actual macroscopic and microscopic anatomic features of the imaged structures of the equine metacarpophalangeal joint (MCPJ). SAMPLE POPULATION: The right MCPJ was obtained from 4 adult horses that were euthanatized for reasons unrelated to the musculoskeletal system. PROCEDURE: The distal portion of the right forelimbs was collected from 4 equine cadavers. The bones were drilled to provide fixed reference points and examined by MR imaging. After imaging, the joints were sectioned for gross and histologic inspection. The MR images were aligned and correlated with digitized gross and histologic images to identify tissue types. RESULTS: Comparison of the images resulted in identification of different bone types, articular cartilage, and soft tissue structures of the equine MCPJ. CONCLUSION: Results provided relevant information regarding the appearance of the imaged tissues of the equine MCPJ. CLINICAL RELEVANCE: Although MR imaging does not have current clinical applications for equine practitioners, its wide acceptance as the imaging modality used for most human musculoskeletal derangements may aid in developing more realistic applications in equine medicine.

Rehabilitation of dogs with surgically treated cranial cruciate ligament-deficient stifles by use of electrical stimulation of muscles.

OBJECTIVE: To determine effect of electrical muscle stimulation (EMS) on rate and degree of return to function of the limb and development of degenerative joint disease (DJD) after surgical creation and subsequent stabilization of the cranial cruciate ligament (CrCL)-deficient stifle. ANIMALS: 12 clinically normal adult large (19.5 to 31.5 kg) dogs. PROCEDURE: Dogs were anesthetized, and the right CrCL was severed via arthrotomy, destabilizing the stifle. After 3 weeks, the stifle was surgically stabilized. Three weeks later, 6 dogs were subjected to an EMS treatment protocol for the thigh muscles. At 5, 9, 13, and 19 weeks after stifle destabilization, treated (n = 6) and control (n = 6) dogs were evaluated for return of stifle function. Gross and histologic evaluations of the stifles were performed at 19 weeks after stifle destabilization. RESULTS: Treated dogs had significantly (P = 0.001) better lameness score than did control dogs. There was less palpable crepitation of the stifle in treated dogs (P = 0.06); treated dogs also had significantly (P = 0.01) fewer radiographic signs of bone changes. Thigh circumference was significantly (P = 0.02) larger in treated dogs. There was less gross cartilage damage (P = 0.07) in the EMS-treated dogs, but more medial meniscal damage (P = 0.058, cranial pole; P = 0.051, caudal pole). CONCLUSIONS: Improved lameness scores, larger thigh circumference, and decreased radiographically apparent bony changes observed for the treated group of dogs support the hypothesis that dogs treated by EMS after surgical stabilization of the CrCL-deficient stifle had improved limb function, with less DJD, than did dogs treated with the currently accepted clinical protocol of cage rest and slow return to normal activity. However, results of force plate evaluation did not support the hypothesis. Increased meniscal damage in dogs treated by EMS may be cause for concern.

Osteochondritis dissecans of the femoral head of a Pekingese.

An 8-month-old male Pekingese was admitted with a 1-month history of right hindlimb lameness and crepitation in the right coxofemoral joint. There was radiographic evidence of a focus of subchondral osteolysis of the right femoral head. The tentative diagnosis was avascular necrosis of the femoral head. The problem was corrected by femoral head ostectomy. Gross and microscopic examination of the femoral head resulted in a diagnosis of osteochondritis dissecans. Osteochondritis dissecans is an uncommon diagnosis both in small breeds of dogs and in the coxofemoral joint.

An approach to validation of a leg simulation by the comparison of two dynamic models.

The dynamics of a jointed leg were simulated using two different models, one based on a recursive Newton-Euler method and one on a closed-form Lagrange method. To validate the models, the simulations were run in parallel and the intermediate steps and output of the two methods were compared to one another to reveal the presence and locations of errors. Sources of error and the use of this method for the detection of errors are discussed. Some errors could not have been detected using only a single simulation.

Measurement of bite force in dogs: a pilot study.

A force transducer was developed to measure bite force in dogs. A total of 101 readings was obtained from 22 pet dogs ranging in size from 7 to 55 kg. Bite forces ranged from 13 to 1394 Newtons with a mean for all dogs of 256 Newtons and a median of 163 Newtons. Most measurements fell within the low end of the range, with 55% of the biting episodes less than 200 Newtons and 77% less than 400 Newtons.

Comparison of the effects of four different power scalers on enamel tooth surface in the dog.

The surface roughness of tooth enamel was quantitatively evaluated following scaling with four power scalers at three different tip forces. Ceramic and tooth samples were evaluated for surface roughness using surface profilometry. Applied tip forces were produced with a horizontal balanced arm holding the scaler handpiece and load weight, and were measured using a load cell. The power scalers evaluated were the ultrasonic piezoelectric, ultrasonic magnetostrictive (ferromagnetic stack), sonic, and rotosonic. For the tooth samples, at 50 grams of force, the piezoelectric, magnetostrictive, and sonic scaler roughnesses were similar and the rotosonic scaler outcome was statistically higher. Increasing the applied force significantly increased the roughness produced by the rotosonic and piezoelectric scalers. The results of this study indicate that the type of power scaler and applied tip force used determines the post-scaling surface roughness of ceramic and tooth enamel surfaces.

The effects of screw removal on bone strain in an idealized plated bone model.

An idealized plated bone model was used to test the hypothesis that selected screw removal could alter the bone strain field and be a viable treatment for stress protection osteoporosis. Eighteen bone screw modifications were evaluated for their effects on bone strain. The three variables studied were number, position, and length of screws. Removal of two or four bone screws from an eight hole plate significantly increased the strain per load on the bone model over the values with eight screws in the plate (p less than 0.05). The four screw configurations increased bone strain more than the six screw configurations. It also was shown that the position of screws in the plate could significantly alter the bone strain per load results. Removal of six bone screws from an eight hole plate also increased the bone strain per load, but to excess in some tests. In those configurations, the results were not statistically different from the unplated configuration. Replacement of the full length screws with eight half length screws that engaged only the near cortex significantly reduced bone strain per load as compared with eight bicortical bone screws.

Evaluation of a skin stapler for belt-loop gastropexy in dogs.

A new method for attachment of a belt-loop gastropexy using disposable, stainless steel skin staples was compared with a traditional hand-sewn belt-loop gastropexy technique in 24 fresh dog cadavers. Mean gastropexy times were 212 seconds for the stapled technique and 435 seconds for the hand-sewn technique. The stapled belt-loop gastropexy was significantly faster than the hand-sewn technique (P less than 0.001). There was no statistically significant difference in the mean maximum tensile strength between the two attachment methods. This study provides a basis for clinical evaluation of the stapled belt-loop gastropexy technique in dogs.