Ex Vivo Evaluation of Intra-Articular Cranial Cruciate Ligament Repair Using an Ultra-High Molecular Weight Polyethylene Graft in the Cats

Vet Comp Orthop Traumatol. 2026 Mar 7. doi: 10.1055/a-2819-0853. Online ahead of print.

Abstract

This aim of this study was to determine feline stifle joint stability and muscle force ratios after cranial cruciate ligament transection and intra-articular reconstruction, and assess the feasibility of this reconstruction in cats.Ten feline hindlimbs were tested in an axial limb press with 30% body weight load. Femoral angles were set to 60 degrees, and stifle and hock angles to 120 degrees. The cranial cruciate ligament was transected, and testing was repeated. Intra-articular reconstruction was performed using a 16-strand ultra-high molecular weight polyethylene graft and four 3 mm interference screws. Friedman's repeated-measures analysis of variance compared angles, forces, and tibial translation.Tibial translation increased significantly after cranial cruciate ligament transection (p = 0.02) but did not differ from intact joints post-reconstruction (p = 0.5). Forces (p = 0.72, p = 0.74) and bone/joint angles (p = 0.12) did not differ across test situations. Mean quadriceps force was twice the gastrocnemius force. Measurement repeatability was good, with a within-subject standard deviation for distance at 0.4 mm and for angles at 0.4 to 1.1 degrees.Limb press positioning was consistent and repeatable, and muscle forces approached in vivo values. Intra-articular reconstruction restored joint stability under static load and appeared feasible for use in cats.