Aragosa Federica, Caterino Chiara, Della Valle Giovanni, Fatone Gerardo
Department of Veterinary Medicine and Animal Production, University of Naples "Federico II", 80137 Naples, Italy.
Animals (Basel). 2022 Aug 17;12(16):2114. doi: 10.3390/ani12162114.
(1) Background: Several surgical techniques were described for the treatment of cranial cruciate ligament rupture in dogs. This report aims to critically review the available literature focused on preoperative planning, surgical procedure, follow-up, and complications of cranial cruciate ligament rupture treated by tibial tuberosity advancement techniques; (2) Methods: three bibliographic databases: PubMed, Google Scholar, and Scopus were used for a board search of TTAT (canine OR dog). Five GRADE recommendations according to Grading of Recommendations Assessment, Development and Evaluation and Joanna Briggs Institute Critical Appraisal Checklists were applied to the studies included. Data regarding preoperative planning (a measure of advancement), meniscal disease (meniscectomy, meniscal release, and late meniscal tears), and postoperative patellar tendon angle were recorded. Time frame, outcome, and complications were classified according to Cook’s guidelines; (3) Results: from 471 reports yielded, only 30 met the inclusion criteria. The common tangent method was the most commonly reported measurement technique for preoperative planning. The 40.21% of stifles presented meniscal tears at surgery, while 4.28% suffered late meniscal tears. In short-, mid-and long-term follow-ups examined showed a full/acceptable function was shown in >90% of cases. Among all new generation techniques, minor complications were reported in 33.5% of cases and major complications in 10.67%; (4) Conclusions: Compared to traditional TTA, new generation TTAT resulted effective in the treatment of cranial cruciate ligament failure, showing a lower rate of late meniscal injury but a higher rate of minor complications.
(1) 背景：已有多种手术技术用于治疗犬颅交叉韧带断裂。本报告旨在严格回顾现有文献，重点关注胫骨结节前移技术治疗颅交叉韧带断裂的术前规划、手术过程、随访及并发症；(2) 方法：使用三个文献数据库：PubMed、谷歌学术和Scopus对胫骨结节前移技术（犬科动物或犬）进行全面检索。根据推荐评估、制定与评价分级（GRADE）及乔安娜·布里格斯研究所批判性评价清单，对纳入研究应用五条GRADE推荐意见。记录术前规划（前移量）、半月板疾病（半月板切除术、半月板松解及晚期半月板撕裂）及术后髌腱角的数据。根据库克指南对时间框架、结果及并发症进行分类；(3) 结果：在检索出的471篇报告中，仅30篇符合纳入标准。共同切线法是术前规划中最常报告的测量技术。40.21%的膝关节在手术时出现半月板撕裂，4.28%出现晚期半月板撕裂。在短期、中期和长期随访中，>90%的病例显示功能完全/可接受。在所有新一代技术中，33.5%的病例报告有轻微并发症，10.67%有严重并发症；(4) 结论：与传统胫骨结节前移术相比，新一代胫骨结节前移技术在治疗颅交叉韧带断裂方面有效，晚期半月板损伤发生率较低，但轻微并发症发生率较高。
