Surgical Treatment for CCL Rupture

Question 1

Extracapsular reconstruction

Answer 1

Simulates CrCL

Lateral suture - suture behind fabella pr around bone anchor and make a tunnel through tibial tuberosity

Tightrope CCL - creation of tunnel through femur and tunnel through tibial tuberosity

Question 2

Tibial plateau leveling osteotomy (TPLO)

Answer 2

Renders CrCL irrelevant

Levels the tibial plateau to prevent tibia moving cranially; utilizes the tibial plateau angle to level plateau into horizontal position

Question 3

Tibial tuberosity advancement (TTA)

Answer 3

Simulates CrCL

Cut through cranial border of tibia and moving cranially; fix in place with bone graph to allow patella ligament to act as CrCL

Question 4

Primary ligament

Answer 4

Simulates CrCL

Uses suture in place of of CCL

Question 5

Intracapsular reconstruction

Answer 5

Simulates CrCL

Uses strip of fascia lata to act as ligament. Fascia lata strip runs through tibial tunnel, through the joint space, through a femoral tunnel or over the top of lateral condyle, and attaches to the distal end of femur

Question 6

Fibular head advancement

Answer 6

Simulates CrCL

Dislocate tibial-fibular joint and advance cranially so the lateral collateral ligament can act as CrCL

Question 7

Tibial wedge osteotomy

Answer 7

Renders CrCL irrelevant

Determine TPA and remove wedge shape of the corresponding angle from the tibia, connecting remaining part using bone plate - levels the tibial plateau