Vet World Vol.18 January-2025 Article - 23
Research Article
Veterinary World, 18(1): 210-219
https://doi.org/10.14202/vetworld.2025.210-219
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
2. Department of Mathematics and Statistics, Faculty of Science and Arts, Jordan University of Science and Technology. P.O. Box 3030, Irbid, 22110, Jordan.
3. Deparment of General Surgery, Faculty of Medicine, The University of Jordan.P.O.Box 13857, Amman, 11942, 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.
Keywords: canine, cranial cruciate ligament, PRP, tendon graft, tissue healing.
How to cite this article: Daradka MH, Malkawi MA, Ismail ZB, Hammouri HM, Abu-Abeeleh MA, and Rihani SA (2025) A n ovel 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, 18(1): 210–219.
Received: 2024-10-07 Accepted: 2024-12-23 Published online: 2025-01-30
Corresponding author: E-mail:
DOI: 10.14202/vetworld.2025.210-219
Copyright: Daradka, et al. This article is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/ by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/ publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
