evolution of crcl surgery - irp-cdn.multiscreensite.com › b86b3fdc › files... · wayne whitney...

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12/09/15 1 Evolution of CrCL surgery Peter Böttcher www.fluokin.de FluoKin.de Saki Patsaama • Anatomical intraarticular repair FluoKin.de Steven Paul Arnoczky Over-the-top Mr. Cruciate FluoKin.de Gretchen Flo • Lateral Suture Repair

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Page 1: Evolution of CrCL surgery - irp-cdn.multiscreensite.com › b86b3fdc › files... · Wayne Whitney D. Hulse FluoKin.de Anatomical intraarticular repair R. Acker KYON . Department

12/09/15

1

Evolution of CrCL surgery

Peter Böttcher

www.fluokin.de FluoKin.de

Saki Patsaama

•  Anatomical intraarticular repair

FluoKin.de

Steven Paul Arnoczky

Over-the-top

Mr. Cruciate

FluoKin.de

Gretchen Flo •  Lateral Suture Repair

Page 2: Evolution of CrCL surgery - irp-cdn.multiscreensite.com › b86b3fdc › files... · Wayne Whitney D. Hulse FluoKin.de Anatomical intraarticular repair R. Acker KYON . Department

12/09/15

2

FluoKin.de

Barclay Slocum

•  Dynamic stability

FluoKin.de

S. Tepic & P. Montavon

•  Change the forces

FluoKin.de

Beale & Hulse

•  Arthroscopic - assisted arthrotomy ! Stifle arthroscopy now accepted

gold-standard

FluoKin.de

•  Isometric, anker based lateral suture

Beale & Hulse

Page 3: Evolution of CrCL surgery - irp-cdn.multiscreensite.com › b86b3fdc › files... · Wayne Whitney D. Hulse FluoKin.de Anatomical intraarticular repair R. Acker KYON . Department

12/09/15

3

FluoKin.de

Jimi Cook

„The Joint is an Organ“

•  TR resulted in 6-month outcomes that were not different than TPLO FluoKin.de

Antonio Pozzi

FluoKin.de

Lateral Suture

6Wochen post OP

FluoKin.de

Compl. CCl rupture, 8W post TTA

Page 4: Evolution of CrCL surgery - irp-cdn.multiscreensite.com › b86b3fdc › files... · Wayne Whitney D. Hulse FluoKin.de Anatomical intraarticular repair R. Acker KYON . Department

12/09/15

4

FluoKin.de

What about leveling?

FluoKin.de

Overcorrection with TPLO

FluoKin.de

Rotational instability following TPLO

FluoKin.de

Rotation as the trigger for cranio-caudal instability?

Page 5: Evolution of CrCL surgery - irp-cdn.multiscreensite.com › b86b3fdc › files... · Wayne Whitney D. Hulse FluoKin.de Anatomical intraarticular repair R. Acker KYON . Department

12/09/15

5

FluoKin.de

TPLO with internal brace

A.Pozzi FluoKin.de

Leveling & intraarticular graft

Wayne Whitney D. Hulse

FluoKin.de

Anatomical intraarticular repair

R. Acker

KYON