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Case Report


Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog

Philippe Buttin, Vincenzo Santoro, Mathilde Agbale, Bastien Goin, Thibaut Cachon, Eric Viguier, Filippo Maria Martini.


Abstract
Background: Tibiotarsal instabilities caused by partial or complete rupture of the medial collateral tarsal ligament (MCTL) are commonly treated by arthrodesis techniques with poor functional results and significant complication rates.
Case description: This study describes a new surgical technique for synthetic reconstruction of the MCTL in an overweight dog (estimated body condition score 8/9) with an avulsion of the long head of the MCTL. Three bone tunnels were drilled in the distal tibia, the talus and the central tarsal bone, thus respecting the anatomical insertions of the physiological ligament. An Ultra-High Molecular Weight Polyethylene (UHMWPE) implant was fixed with interference screws to reconstruct the long and short heads of the MCTL. Premature weight-bearing was reported at two weeks postoperatively following early removal of the flexible restraint (bivalve resin boot), which had initially been prescribed for six weeks. At 11 weeks postoperatively, the tibiotarsal joint showed good valgus stability and the dog's gait was subnormal. At 12 and 16 months postoperatively, the dog regained full function of the operated limb although no weight loss was initiated as recommended.
Conclusion: The use of a UHMWPE implant fixed with interference screws to reconstruct the MCTL allowed a return to full function of the tibiotarsal joint, without complications despite an early return to weight-bearing without external restraint. The success of this isolated surgical technique could lead to improvements in the surgical management of MCTL rupture if these initial results are confirmed by a prospective study with a larger number of patients.

Key words: Tibiotarsal joint, medial collateral tarsal ligament, synthetic ligament reconstruction, UHMWPE implant, dog


 
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How to Cite this Article
Pubmed Style

Buttin P, Santoro V, Agbale M, Goin B, Cachon T, Viguier E, Martini FM, . Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog. Open Vet J. 2022; 12(3): 375-382. doi:10.5455/OVJ.2022.v12.i3.11

Web Style

Buttin P, Santoro V, Agbale M, Goin B, Cachon T, Viguier E, Martini FM, . Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog. https://www.openveterinaryjournal.com/?mno=280 [Access: April 10, 2024]. doi:10.5455/OVJ.2022.v12.i3.11

AMA (American Medical Association) Style

Buttin P, Santoro V, Agbale M, Goin B, Cachon T, Viguier E, Martini FM, . Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog. Open Vet J. 2022; 12(3): 375-382. doi:10.5455/OVJ.2022.v12.i3.11


Vancouver/ICMJE Style

Buttin P, Santoro V, Agbale M, Goin B, Cachon T, Viguier E, Martini FM, . Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog. Open Vet J. (2022), [cited April 10, 2024]; 12(3): 375-382. doi:10.5455/OVJ.2022.v12.i3.11


Harvard Style

Buttin, P., Santoro, V., Agbale, M., Goin, B., Cachon, T., Viguier, E., Martini, F. M. & (2022) Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog. Open Vet J, 12 (3), 375-382. doi:10.5455/OVJ.2022.v12.i3.11


Turabian Style

Buttin, Philippe, Vincenzo Santoro, Mathilde Agbale, Bastien Goin, Thibaut Cachon, Eric Viguier, Filippo Maria Martini, and . 2022. Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog. Open Veterinary Journal, 12 (3), 375-382. doi:10.5455/OVJ.2022.v12.i3.11


Chicago Style

Buttin, Philippe, Vincenzo Santoro, Mathilde Agbale, Bastien Goin, Thibaut Cachon, Eric Viguier, Filippo Maria Martini, and . "Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog." Open Veterinary Journal 12 (2022), 375-382. doi:10.5455/OVJ.2022.v12.i3.11


MLA (The Modern Language Association) Style

Buttin, Philippe, Vincenzo Santoro, Mathilde Agbale, Bastien Goin, Thibaut Cachon, Eric Viguier, Filippo Maria Martini, and . "Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog." Open Veterinary Journal 12.3 (2022), 375-382. Print. doi:10.5455/OVJ.2022.v12.i3.11


APA (American Psychological Association) Style

Buttin, P., Santoro, V., Agbale, M., Goin, B., Cachon, T., Viguier, E., Martini, F. M. & (2022) Long-term outcome following synthetical reconstruction of the tarsal medial collateral ligament in a dog. Open Veterinary Journal, 12 (3), 375-382. doi:10.5455/OVJ.2022.v12.i3.11


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