Re: arthroscopic meniscal repair

[Guest guest]

Hi Liz.Not sure about " repairs " but partial meniscectomies are fairly common with arthroscopy.  I'm sure our surgeons will comment...Amie

 

hi, I just had a conversation with a local surgeon about arthroscopic meniscal repairs for dogs. He does not have the capability yet. Someone in CA posted a while back, stating that they have a surgeon who does arthroscopy on stifles. The surgeon said that this is one of the hot topics. Anyone have more info on this? Thanks!

Liz Powers, MPT, CCRT

[Guest guest]

Sorry for the delay on this one…….yes, arthroscopic partial menisectomies are

very common now-a-days (for those scoping), however we are still working through

the challenges of a good " arthroscopic meniscal repair technique " . Seems to be

a challenge on the human side as well.

Best,

Sherman

Sherman O. Canapp Jr., DVM, MS, CCRT

Diplomate, American College of Veterinary Surgeons

Diplomate, American College of Veterinary Sports Medicine & Rehabilitation

Chief of Staff

Veterinary Orthopedic &

Sports Medicine Group

10975 Guilford Road

polis Junction, MD 20701

Phone:

Fax:

http://www.vosm.com

>

> > **

> >

> >

> > hi, I just had a conversation with a local surgeon about arthroscopic

> > meniscal repairs for dogs. He does not have the capability yet. Someone in

> > CA posted a while back, stating that they have a surgeon who does

> > arthroscopy on stifles. The surgeon said that this is one of the hot

> > topics. Anyone have more info on this? Thanks!

> >

> > Liz Powers, MPT, CCRT

> >

> >

> >

>

[Guest guest]

i am curious, for the surgeons out there....i have several cases arise, that

appear to have a stable stifle, however there is definite meniscal tear. (by

vet diagnosis) i am wondering, are surgeons doing just arthroscopic surgery

only, or does meniscal tear mean that typically when you go into the joint space

you find a partial tear as well?

just curious

Tania

CCRP, Vt, CAAP, CMT

[Guest guest]

Tania,

I am not clear on what you are asking? It is very rare for a stable stifle to

have a meniscal tear unless it is a very chronic stifle and the ACL and meniscus

have been damaged for awhile. a large periarticular fibrotic joint can

sometimes appear stable and if the meniscus is torn and shifted anterior and

fibrosed is a forward position you would not know it unless you looked with a

scope or mini-arthrotomy. What i have found after many years is that the only

true way to tell if a meniscus is torn is by direct visualization. MRI can be

helpful but even in people where it is the standard, they can be missed, case in

point my daughter, DX as an ACL tear only but with scope had 2 MMC tears and 1

LMC tear. In dogs it is not common to have an MMC with out some degree of gross

instability, enough to allow the cranial tibial thrust +/- tibial rotation

necessary to tear the meniscus. Thanks and hope this is helpful,

Mark Parchman, DVM, DACVS, CVA, CCRT

Re: arthroscopic meniscal repair

> i am curious, for the surgeons out there....i have several cases

> arise, that appear to have a stable stifle, however there is

> definite meniscal tear. (by vet diagnosis) i am wondering, are

> surgeons doing just arthroscopic surgery only, or does meniscal

> tear mean that typically when you go into the joint space you find

> a partial tear as well?

>

> just curious

> Tania

> CCRP, Vt, CAAP, CMT

>

[Guest guest]

Taniavet diagnosis via what means-I'd like to see a paper on the incidence of meniscal tear in ther absence of acl injury! Freedman VMD CCRT

 

i am curious, for the surgeons out there....i have several cases arise, that appear to have a stable stifle, however there is definite meniscal tear. (by vet diagnosis) i am wondering, are surgeons doing just arthroscopic surgery only, or does meniscal tear mean that typically when you go into the joint space you find a partial tear as well?

just curious

Tania

CCRP, Vt, CAAP, CMT

-- Regards,