A novel surgical technique for cranial cruciate ligament repair in dogs using autologous lateral digital extensor muscle tendon graft combined with platelet-rich plasma: A preliminary experimental study

Background and Aim: Cranial cruciate ligament (CrCL) injuries are a prevalent orthopedic issue in dogs, typically managed through surgical interventions such as tibial plateau leveling osteotomy and tibial tuberosity advancement. However, these techniques have limitations, including high costs and e...

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Main Authors: Mousa H. Daradka, Mays A. Malkawi, Zuhair Banni Ismail1, Hanan M. Hammouri, Mahmoud A. Abu-Abeeleh, Saba A. Rihani
Format: Article
Language:English
Published: Veterinary World 2025-01-01
Series:Veterinary World
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Online Access:https://www.veterinaryworld.org/Vol.18/January-2025/23.pdf
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author Mousa H. Daradka
Mays A. Malkawi
Zuhair Banni Ismail1
Hanan M. Hammouri
Mahmoud A. Abu-Abeeleh
Saba A. Rihani
author_facet Mousa H. Daradka
Mays A. Malkawi
Zuhair Banni Ismail1
Hanan M. Hammouri
Mahmoud A. Abu-Abeeleh
Saba A. Rihani
author_sort Mousa H. Daradka
collection DOAJ
description Background and Aim: Cranial cruciate ligament (CrCL) injuries are a prevalent orthopedic issue in dogs, typically managed through surgical interventions such as tibial plateau leveling osteotomy and tibial tuberosity advancement. However, these techniques have limitations, including high costs and extended recovery periods. This study introduces an innovative CrCL repair method employing an autologous lateral digital extensor muscle tendon graft and evaluates the effects of platelet-rich plasma (PRP) on tissue healing. Materials and Methods: Twenty-four healthy, male, local-breed dogs were divided into two groups. Group A underwent the surgical procedure without PRP, while Group B received intra-articular PRP during surgery. Outcomes were evaluated through clinical assessments of lameness, post-operative complications, and histological analysis over 10, 20, 30, and 40 days. Results: The PRP-treated group demonstrated statistically significant improvements in post-operative complication scores (p = 0.0025) and histological outcomes (p = 0.0002). However, graft maturation was unaffected by PRP treatment but improved over time (p = 0.0013). PRP-treated dogs exhibited faster recovery and enhanced tissue regeneration, with reduced inflammation and improved graft-bone attachment. Conclusion: This novel surgical approach demonstrates significant potential for improving outcomes in CrCL repair by combining autologous tendon grafting with PRP. The technique offers reduced complications and enhanced healing, providing a promising alternative to traditional methods. Further studies are recommended to validate its efficacy in clinical settings.
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institution Kabale University
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spelling doaj-art-ea2fe576742142c5a082cb02ed94ca672025-02-07T13:01:00ZengVeterinary WorldVeterinary World0972-89882231-09162025-01-0118121021910.14202/vetworld.2025.210-219A novel surgical technique for cranial cruciate ligament repair in dogs using autologous lateral digital extensor muscle tendon graft combined with platelet-rich plasma: A preliminary experimental studyMousa H. Daradka0https://orcid.org/0000-0002-8443-9023Mays A. Malkawi1https://orcid.org/0000-0001-9091-572XZuhair Banni Ismail12https://orcid.org/0000-0002-7267-8270Hanan M. Hammouri3https://orcid.org/0000-0001-7009-1022Mahmoud A. Abu-Abeeleh4https://orcid.org/0000-0001-9349-385XSaba A. Rihani5https://orcid.org/0009-0001-3712-3034Department of Clinical Veterinary Medical Sciences, Faculty of Veterinary Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan.Department of Clinical Veterinary Medical Sciences, Faculty of Veterinary Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan.Department of Clinical Veterinary Medical Sciences, Faculty of Veterinary Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan.Department of Mathematics and Statistics, Faculty of Science and Arts, Jordan University of Science and Technology. P.O. Box 3030, Irbid, 22110, Jordan.Deparment of General Surgery, Faculty of Medicine, The University of Jordan.P.O.Box 13857, Amman, 11942, Jordan.Department of Clinical Veterinary Medical Sciences, Faculty of Veterinary Medicine, Jordan University of Science and Technology, P.O. Box 3030, Irbid, 22110, Jordan.Background and Aim: Cranial cruciate ligament (CrCL) injuries are a prevalent orthopedic issue in dogs, typically managed through surgical interventions such as tibial plateau leveling osteotomy and tibial tuberosity advancement. However, these techniques have limitations, including high costs and extended recovery periods. This study introduces an innovative CrCL repair method employing an autologous lateral digital extensor muscle tendon graft and evaluates the effects of platelet-rich plasma (PRP) on tissue healing. Materials and Methods: Twenty-four healthy, male, local-breed dogs were divided into two groups. Group A underwent the surgical procedure without PRP, while Group B received intra-articular PRP during surgery. Outcomes were evaluated through clinical assessments of lameness, post-operative complications, and histological analysis over 10, 20, 30, and 40 days. Results: The PRP-treated group demonstrated statistically significant improvements in post-operative complication scores (p = 0.0025) and histological outcomes (p = 0.0002). However, graft maturation was unaffected by PRP treatment but improved over time (p = 0.0013). PRP-treated dogs exhibited faster recovery and enhanced tissue regeneration, with reduced inflammation and improved graft-bone attachment. Conclusion: This novel surgical approach demonstrates significant potential for improving outcomes in CrCL repair by combining autologous tendon grafting with PRP. The technique offers reduced complications and enhanced healing, providing a promising alternative to traditional methods. Further studies are recommended to validate its efficacy in clinical settings.https://www.veterinaryworld.org/Vol.18/January-2025/23.pdfcaninecranial cruciate ligamentprptendon grafttissue healing
spellingShingle Mousa H. Daradka
Mays A. Malkawi
Zuhair Banni Ismail1
Hanan M. Hammouri
Mahmoud A. Abu-Abeeleh
Saba A. Rihani
A novel surgical technique for cranial cruciate ligament repair in dogs using autologous lateral digital extensor muscle tendon graft combined with platelet-rich plasma: A preliminary experimental study
Veterinary World
canine
cranial cruciate ligament
prp
tendon graft
tissue healing
title A novel surgical technique for cranial cruciate ligament repair in dogs using autologous lateral digital extensor muscle tendon graft combined with platelet-rich plasma: A preliminary experimental study
title_full A novel surgical technique for cranial cruciate ligament repair in dogs using autologous lateral digital extensor muscle tendon graft combined with platelet-rich plasma: A preliminary experimental study
title_fullStr A novel surgical technique for cranial cruciate ligament repair in dogs using autologous lateral digital extensor muscle tendon graft combined with platelet-rich plasma: A preliminary experimental study
title_full_unstemmed A novel surgical technique for cranial cruciate ligament repair in dogs using autologous lateral digital extensor muscle tendon graft combined with platelet-rich plasma: A preliminary experimental study
title_short A novel surgical technique for cranial cruciate ligament repair in dogs using autologous lateral digital extensor muscle tendon graft combined with platelet-rich plasma: A preliminary experimental study
title_sort novel surgical technique for cranial cruciate ligament repair in dogs using autologous lateral digital extensor muscle tendon graft combined with platelet rich plasma a preliminary experimental study
topic canine
cranial cruciate ligament
prp
tendon graft
tissue healing
url https://www.veterinaryworld.org/Vol.18/January-2025/23.pdf
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