Surgical Stabilization of the Stifle Joint

Question 1

what is a bucket-handle tear?

Answer 1

full thickness tear within the body of the meniscus

Question 2

what is a radial tear?

Answer 2

full thickness tear from axial free border to periphery

Question 3

what is the purpose of a meniscal release?

Answer 3

reduce the risk of postliminary tears

Question 4

what is the function of an intact meniscus?

Answer 4

even pressure distribution

Question 5

what are some extracapsular surgical options?

Answer 5

lateral suture
fibular head transposition

Question 6

what is the most common technique performed?

Answer 6

lateral suture

Question 7

where do you drill for a lateral suture?

Answer 7

tibial tunnel
1cm caudal to patellar tendon

Question 8

what is the prognosis of lateral suture?

Answer 8

clinical function good to excellent in 90%

Question 9

how is the plateau segment in TPLO stabilized?

Answer 9

plate fixation

Question 10

what angle is the tibial plateua in TPLO changed to?

Answer 10

5 degrees

Question 11

what maintains the advancement in a TTA?

Answer 11

titanium cage

Question 12

what happens in folding peripheral detachment?

Answer 12

peripheral detachment allows the caudal pole to fold under the femoral condyle

Question 13

what is an oblique tear?

Answer 13

full thickness tear obliquely through meniscal body

Question 14

what is a horizontal cleavage tear?

Answer 14

mid-substance cleavage cannot be seen on the surface

Question 15

what is a hemi-meniscectomy?

Answer 15

removal of the caudal pole

Question 16

what is a partial meniscectomy?

Answer 16

remove damaged portion and preserve normal meniscus

Question 17

how common are postliminary meniscal tears?

Answer 17

up to 25%

Question 18

what does meniscal release do?

Answer 18

mobilizes the caudal pole

Question 19

which ligament is released in MT ligament release?

Answer 19

caudal meniscotibial ligament

Question 20

what is intracapsular surgical treatment?

Answer 20

stabilize with an intra-articular prosthesis or tissue

Question 21

what are the three types of surgeries?

Answer 21

extracapsular
intracapsular
osteotomy procedures

Question 22

where do you pass the needle in lateral suture?

Answer 22

proximal to fabella, around femoro-fabellar ligament

Question 23

what does a lateral suture prevent?

Answer 23

cranial tibial thrust and internal rotation

Question 24

what does tibial plateau leveling osteotomy allow?

Answer 24

angular and rotational alignment of tibia

Question 25

what angle is the tibial plateau leveled to in tibial plateau leveling osteotomy?

Answer 25

5 degrees

Question 26

what percentage of TPLOs have good or excellent results?

Answer 26

90%

Question 27

when does tibial tuberosity advancement neutralize cranial tibial thrust?

Answer 27

at a patellar tendon angle of 90 degrees