Multiligament stifle injury, a multicenter retrospective study in 26 dogs

Objectives To describe multiligament stifle injury in dogs and report complications and long‐term outcomes. Methods Medical records of dogs surgically treated for multiligament stifle injury were reviewed from six veterinary hospitals. Long‐term follow‐up was collected from referring veterinarians. Results Twenty‐six client‐owned dogs and 26 stifles were included. Road traffic accidents and limb entrapment were the most common causes of injury. Cranial cruciate and lateral collateral ligament rupture was the most common combination of injury (10 cases). The caudal cruciate ligament was damaged in 12/23 cases but was surgically addressed in only 2 cases. Cranial cruciate ligament rupture was present in all cases and was managed using TPLO (6 cases), extracapsular suture (15 cases) and TTA (2 cases). Postoperative immobilisation with a transarticular external skeletal fixator was used in 4/26 cases. Intraoperative complications were reported in 2/23 cases, short‐term complications in 17/25 cases, of which eight were major, and long‐term complications in 7/18, of which two were major. Patella luxation was seen in one case and is a previously unreported complication. The overall outcome was excellent in 9/24 cases, good in 5/24 cases, fair in 7/24 cases and poor in 3/24 cases. Follow‐up time ranged from 1.5 months to 9 years with the median (IQR) of 9.5 (4.0 to 28.5) months. Conclusions Multiligament stifle injury in dogs is associated with a high rate of major complications. The overall outcome was good to excellent in just over half of the dogs. Multiligament stifle injuries in dogs were studied using medical records from six veterinary hospitals. The most common cause of injury was road traffic accidents and limb entrapment and cranial cruciate and lateral collateral ligament rupture was the most common combination of injuries. The overall outcome was good to excellent in just over half of the dogs, but the study found a high rate of major complications.