A ruptured anterior cruciate ligament (ACL) is a common injury in dogs and can lead to serious problems. One of the most frequent consequences is internal rotation of the knee, which disrupts the biomechanics of the knee joint and leads to excessive stress on the joint structures. As a result, secondary osteoarthritis due to cartilage wear can develop, as well as potential damage to the posterior horn of the medial meniscus. To allow the knee joint to heal naturally, the Meutstege procedure is used.
What is the Meutstege Operation?
The Meutstege procedure is a specialized technique for tightening the structures surrounding the knee joint (capsule and fascia) to correct knee misalignment and promote natural healing. The procedure is performed using self-dissolving sutures, so that once the sutures are absorbed, no foreign body remains in the knee joint.
Success rate and complications
The Meutstege procedure is performed on dogs weighing between 5 kg and approximately 15 kg. The success rate of this surgical technique ranges from 841 to 921, according to scientific studies by Allgoewer in 2000, Meutstege in 2002, and Conzemius in 2005., Berger 2014 We have shown that the complication rate is approximately 16%. However, in our experience, it is unfortunately not well-suited for heavier dogs.
Additional measures to improve recovery
To improve recovery after surgery, hyaluronic acid can be injected intra-articularly to promote joint metabolism. Additionally, bilateral gold acupuncture of the knee joints can be offered postoperatively to reduce the risk of osteoarthritis and a possible tear of the contralateral anterior cruciate ligament.
Conclusion
The Meutstege procedure is a successful treatment method for anterior cruciate ligament (ACL) ruptures in dogs. With a high success rate and low complication rate, the surgery can help heal the knee joint and improve the quality of life for small dogs. With enhanced recovery through additional measures to promote joint metabolism and reduce osteoarthritis and potential ruptures of the contralateral ACL, the Meutstege procedure is a suitable option for dog owners seeking a fast and successful treatment for an ACL rupture.
Overall, the Meutstege procedure is a promising alternative to other surgical methods. With its high success rate, low complication rate, and implant-independent technique, the Meutstege procedure can help heal the knee joint of dogs and improve their quality of life.