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Procedure

Extracapsular Fixation for Cranial Cruciate Ligament Rupture

Procedure Introduction
1. Follow the medial incision surgical approach of the stifle joint, exposing the cortical bone of the medial femoral condyle.

2. Perform a preoperative drawer test to observe the displacement caused by CrCL rupture.

3. Insert the Kirschner wire at a 45-60° angle upward from 2mm anterior to the posterior edge of the lateral condyle.

4. Use the appropriate hollow drill to create the femoral tunnel.

5. Insert the Kirschner wire at a 45-60° angle downward from the caudal ridge of the tibial extensor groove.

6. Use the appropriate hollow drill to create the tibial tunnel.

7. Pass the guidewire through the tibial tunnel from medial to lateral and through the femoral tunnel from lateral to medial.

8. Flip the small titanium plate on the femoral side, adjust the suture length, and tighten the large titanium plate.

9. Place two strands of the same color into the tensioner, adjust the tension to about 45N, and perform an ROM check.

10. With the stifle at a weight-bearing angle (approximately 140°), tie 4-5 knots outside the tensioner.

11. Leave a 6mm tail and cut off excess sutures.

12. Remove the tensioner, tie another 4-5 knots with the remaining sutures, leave a 6mm tail, and cut off excess sutures.

13. Perform a postoperative drawer test for comparison.
Video demonstration

CrCL Extracapsular Fixation

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