Johnson et al: Outcome of cranial cruciate ligament replacement with an enhanced polyethylene terephthalate implant in the dog: A pilot clinical trial
Veterinary Surgery 8, 2022

🔍 Key Findings

  • Only 2 of 10 PET implants were fully intact and functional at 6 months post-op.
  • Owner-reported function (LOAD scores) improved by 51.7% (p = .008) over 6 months.
  • Gait asymmetry improved by 86% (p = .002) postoperatively.
  • Implant failure occurred in the midbody of the PET device, suggesting fatigue as a failure mechanism.
  • One dog (10%) developed implant infection, necessitating implant removal.
  • Implant fixation method (screws + washers + interference screw) was mechanically adequate and technically simple.
  • Partially intact implants (4/10) still showed improved clinical outcomes, despite structural compromise.
  • Midbody tearing and lack of long-term integrity prohibit continued use of this PET implant in CCL repair.

Simini Surgery Review Podcast

How critical is this paper for crushing the Boards?

🚨 Must-know. I’d bet on seeing this.

📚 Useful background, not must-know.

💤 Skip it. Doubt it’ll ever show up.

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