Fabello-tibial suture with tunneling of the plate treat rupture of the cranial cruise ligament in a dog

Anamnesis. Canine, whole, male, mixed race, with 10 years of age and 7.3 kilograms of weight. Consult motive. Bilateral lower limb claudication since four months ago with progressive worsening of the signs, that are accentuated by walking, with no response to previous treatments. Clinical and radiological findings. The patient refuses to forced walking and has abnormal movement, xyphosis with weight shifting towards the lower limbs, posterior train wobble with flight arch modification, craneal displacement of the right tibia with use, atrophy of the femoral cuadriceps and deformity of the tibial bone columns, pain on both knees to the forced movements and positive bilateral box sign. Radiologically, it presents cranial displacement of the tibia, capsular enthesophytes and articular osteophytes, subchondral sclerosis and cranial displacement of the infra-patellar fat. Definitive diagnosis. Craneal cruciate ligament rupture with bilateral medial meniscus lesion. Surgical approach. It was decided to use a modified surgical technique, titled fabelo-tibial suture with tunneling of the plate, which achieved stability of both affected knees. Conclusions. The favorable evolution, weight support during ambulation with clinical recovery after 90 days, allow us to say that the technique is efficient and effective as an alternative to treat CrCLR in dogs.