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During some point of the healing process?

Asked by motorbearings on 10/11/2017 at 9:17 PM

The diagnosis is partial tear or complete rupture of your dog's anterior cruciate ligament in the knee. Nobody likes to hear this because it can entail a long recovery period and worst of all surgery. All breeds are susceptible to this injury and it is becoming very commonplace. Many of us are questioning why this is occurring? What is the reason that dogs of all breeds are rupturing their cruciate ligaments more often? Questions abound and we search for answers. We need to prod deeper into this injury and have some insight.Acute ruptures occur usually from trauma, but nearly all cases happen as a result of a slow degenerative process of the fibers within the ligament.

This is much more frequent in medium to large breed dogs, due to the force that is applied onto the knee. Spayed females between the ages of 4 to 8 years also report a higher incidence of CCL (cranial cruciate ligament) changes.The support structure within the knee is the ACL (anterior cruciate ligament) or commonly also referred to as the CCL (cranial cruciate ligament). Degenerative changes will take place and it is inevitable that osteoarthritis will set in. Conservative management works for smaller breed dogs, permitting them to avoid surgery, but nevertheless, atrophy and arthritic changes will occur.50 different techniques have been devised to treat ACL injuries. The preferred methods are the extra capsular, intra capsular and the TPLO (tibial plateau leveling osteotomy). Included in these stabilization techniques is the debridement of any loose or torn menisci parts and any fragments of ligament. The caudal horn of the medial meniscus has to be tidied up and clean.The extra capsular stabilization method uses nylon or stainless steel suture material to mimic the support of the intact CCL. This is passed around the lateral fabella and into a tunnel drilled into the proximal tibial crest. This allows early rehabilitation, minimal cranial drawer and immediate stabilization of the stifle. During some point of the healing process, the prosthetic material used will fatigue and break, but the fibrosis that develops over 8 to 10 weeks is what will stabilize the knee for their life.NSAIDs and cryotherapy. Most concerns are self-limiting as the joint heals from the new tissue remodeling. From altering the stresses on the cartilage and the bone of the joint, there has to be adequate healing time or bone implant failure is a possibility. One of the most remarkable therapies for all of this is aquatic therapy, which reduces weight-bearing stress on the limb.As a result of the TPLO procedure which creates an over rotation of the tibial plateau, and in addition to the extra stress placed on the CdCL, a caudal cruciate injury can occur.

It is very important that physical rehabilitation starts within 24 hours and the use of the limb is promoted. Aqua therapy should start one week post surgery provided the incision has healed.CCL injuries in dogs usually involves a meniscal injury. This is whether the injury is a complete or partial tear of the cruciate ligament. Approximately 50% of all CCL injuries in dogs have coexisting medial menisci damage. It is almost writing on the wall that if a medial meniscus is normal at the time of CCL surgery, it will become damaged at some time in the future. The rehabilitation and physiotherapy protocol is the same as the ACL regime.Individual patient characteristics must be considered when laying out a protocol for them. Included in this is an established baseline data of the dog prior to surgery to establish a suitable rehabilitation regime for them post surgery. It is very imperative that the dog be as comfortable and pain free as possible during the rehabilitation process. Their success counts on it.