Extracapsular ligament replacement

Extracapsular ligament replacement is often used for cruciate ligament tears in small dogs (as is the TTA method ). Here, a plastic band is attached outside the joint in the direction of the anterior cruciate ligament. The type of fixation differs for the respective extracapsular ligament replacement methods.

The following extracapsular ligament replacement methods are available:

Lateral thread reins according to Meutstege

An alternative method – very similar to the one mentioned above. You can find a comparison of both methods here:

https://www.tieraugen.com/wp-content/uploads/2017/09/Zwei-intra-extraartikul%C3%A4re-Stabilisationverfahren-zur-therapie-der-Ruptu.pdf

Tight rope (Arthrex)

Here the ligament replacement is attached with drill holes in the thigh and shinbone.

Ruby

Here the attachment takes place with bone anchors in the thigh and shinbone (Ruby)

Swivelock (Arthrex) 

Here an extracapsular cruciate ligament replacement is attached using a bone anchor.