OBJECTIVE: To compare efficacy of four techniques used for medial meniscal release by medial caudal meniscotibial ligament transection and evaluate associated iatrogenic damage to the medial meniscus, caudal cruciate ligament (CdCL), and articular cartilage of the canine stifle joint. STUDY DESIGN: Twenty-four pairs of canine cadaveric pelvic limbs were randomly assigned to groups by methods of approach, cranial tibial translation, and meniscal release. I: arthrotomy, Hohmann, #11 scalpel blade
II: arthrotomy, Hohmann, #64 Beaver blade
III: arthroscopy, Hohmann, meniscal hook knife
IV: arthroscopy, no joint translation, meniscal hook knife. Post-procedure stifle dissection and evaluation of meniscal release success rate and presence of iatrogenic damage were performed. Fisher's exact tests were performed for meniscal release and damage comparisons. Iatrogenic damage to the CdCL and articular cartilage were compared using generalized linear mixed effects model and linear mixed effects models (G/LMM) respectively. RESULTS: Incomplete meniscal release was identified in 0/12 (0%) stifles in group I, 1/12 (8.3%) stifles in group II, 2/12 (16.7%) stifles in group III, and 1/12 (8.3%) stifles in group IV ( CONCLUSION: Arthroscopy and arthrotomy were equally effective for performing medial meniscal release by transection of the medial caudal meniscotibial ligament. Arthroscopic evaluation and medial meniscal release without joint translation was minimally advantageous in preventing iatrogenic damage to the CdCL.