Archives for April, 2008

Extracapsular Repair Postop Recovery

My Dog, Tucker, 1 Day Postop Traditional Repair with His Purple Robert Jones BandageYour dog will be in a lot of discomfort upon their arrival home from surgery. This is especially true if their extracapsular repair was an out patient procedure, and they were released back into your care the same day of the surgery. It is important to follow all the instructions your veterinarian has provided for pain management, as well as antibiotic use, to be sure that your pet has the best recovery possible. Within the first 24 hours after traditional repair, it is normal for dogs to not put any weight on their injured leg. Your dog may have a modified Robert Jones bandage on his limb, further restricting movement, and decreasing the possibility your dog will try to do to too much, too soon. Read the rest of this entry »

Apr 30, 2008 | 1 | Recovery, Arthritis, Extracapsular Imbrication Technique, Traditional Repair

Extracapsular CCL Repair Complications

For both humans and animals alike, any surgical procedure carries a risk of complications. You dog should have a full evaluation done, complete with blood work and other baseline testing, prior to surgery to help minimize any risks. Pre-surgical testing can often diminish the risk of death from anesthesia and other preventable complications related to your canine’s health. Overall, complications with cruciate surgery occur in approximately 5 to 10% of patients. Complications can range from mild and easily resolved, to more severe complications requiring additional surgery, expense and disability. While uncommon, complications do arise during and after extracapsular repair procedures, and you should have a discussion with your veterinarian regarding ways to minimize and avoid these risks. Read the rest of this entry »

Apr 30, 2008 | 0 | Complications, Extracapsular Imbrication Technique, Traditional Repair, Surgical Options

Extracapsular Imbrication Surgery, Traditional Repair Procedure

Cognac, Photo Copyright of Mab_DesignIn the extracapsular imbrication, also known as the traditional method and lateral fabellar surgery, your dog will have a strong leader line placed within the knee to provide stabilization. Some veterinarians will only perform this procedure on small dogs and cats, while others will use the technique on dogs of all sizes. There is no definitive study evidence showing that tibial plateau leveling osteotomy, or TPLO, is superior to the extracapsular method in large dogs, in fact, the University of Pennsylvania, one of the nation’s leading veterinary hospitals, will not perform the TPLO procedure as the cost/risk risks do not outweigh the benefits. For more information see the article here - Penn Veterinary Medicine Read the rest of this entry »

Apr 30, 2008 | 0 | Extracapsular Technique vs. TPLO, Surgical Procedures, Extracapsular Imbrication Technique, Traditional Repair, Surgical Options

TPLO Postop Recovery

French Bulldog on LeashWhile it may carry an increased risk of complications, the recovery from TPLO surgery is often more rapid and complete. About half of all dogs undergoing the tibial plateau leveling osteotomy procedure will be able to walk on the injured limb within 24 hours of post operative recovery. Within 5 days post-op, most dogs will begin weight bearing on their injured limb. After 2 weeks a moderate amount of weight-bearing can be expected. Dogs with partial tears heal more quickly than dogs with complete tears and those requiring removal of the meniscus. During this period it is important to keep your dog quiet with no movement other than bathroom breaks, this is the most crucial period for healing and bone growth. Read the rest of this entry »

Apr 29, 2008 | 0 | Recovery, Arthritis, Tibial Plateau Leveling Osteotomy or TPLO

TPLO Complications

2 BoxersFor both humans and animals alike, any surgical procedure carries a risk of complications. You dog should have a full evaluation done, complete with blood work and other baseline testing, prior to surgery to help minimize any risks; this pre-surgical testing can often diminish the risk of death from anesthesia. Overall, complications with cruciate surgery occur in approximately 5 to 10% of patients. Complications can range from mild and easily resolved, to more severe complications requiring additional surgery, expense and disability. While uncommon, complications do arise during and after tibial plateau leveling osteotomy procedures and you should speak with your veterinarian prior to the procedure and find out what procedures are in place to help minimize these risks, as well as what steps would be taken should a complication arise. Read the rest of this entry »

Apr 29, 2008 | 1 | Complications, Tibial Plateau Leveling Osteotomy or TPLO, Surgical Options

TPLO Surgery Procedure

TPLO, also known as Tibial Plateau Leveling Osteotomy, is a surgical procedure in which the head of the tibia is surgically altered and plated to create a new joint angle. A new angle is created in the stifle to prevent the femur from sliding off of the tibia. This is a very invasive procedure, as it involved the surgical cutting and plating of bone, and as with all surgery, there is a risk of both operative and post operative complications which need to be taken into consideration before going forward with a TPLO. Read the rest of this entry »

Apr 29, 2008 | 0 | Surgical Procedures, Tibial Plateau Leveling Osteotomy or TPLO, Surgical Options

What Happens if a CCL Rupture is Not Repaired?

Surgical intervention for cranial cruciate ligament repair can be a costly and time-intensive process. The procedure can range anywhere from $800 to $2500 depending on which surgical technique is used, and your dog will need to be on medications and under strict supervision for a few months to follow the procedure. All of these factors need to be taken into consideration when developing the best treatment plan for your dog. Surgery is not always an option for some animals as there are risks from anesthesia and allergies to which some dogs are particularly sensitive, not to mention the financial burden of a surgical procedure is not always an option for even the most caring owner. Read the rest of this entry »

Apr 29, 2008 | 0 | Osteophytes, Arthritis, Non-Surgical Options, Conservative Management

Anatomy of the Cranial Cruciate Ligament

The cranial cruciate ligament, or CCL, in canines is analogous to anterior cruciate ligament, or ACL, in humans. The CCL is the main supporting ligament within a dog’s knee, or stifle. This ligament bears the weight of a majority of the stifle’s load, which is why instability of the CCL results in lameness, arthritis and other degenerative changes of the knee joint and surrounding tissue. The strength of this ligament will decrease as a dog ages, with larger dogs experiencing an increased rate of degeneration versus smaller breed dogs. Obese dogs are at a higher risk for CCL rupture as obesity places additional stress on the ligament. Ruptures of the cranial cruciate are the most common orthopedic injury for dogs and the leading cause for arthritic tissue in the stifle. Read the rest of this entry »

Apr 26, 2008 | 0 | Arthritis, CCL Function, Anatomy, Drawer Sign Test

Conservative Management in Cranial Cruciate Injuries

Conservative management is a non-surgical option for treating cranial cruciate injuries in dogs. Depending on the size of your dog, the severity of the injury and the duration of time since the onset of the CCL damage, your veterinarian may suggest CM in lieu of surgical intervention. Conservative management is focused around three basic principles:

  1. Weight management
  2. Exercise moderation/rest
  3. Using anti-inflammatory medications

Read the rest of this entry »

Apr 23, 2008 | 1 | Non-Surgical Options, Anti-Inflammatory Medications, Weight Management, Conservative Management

Surgical Repair Options for Cranial Cruciate Ligament Repair

White Coat VeterinarianFor dogs diagnosed with cranial cruciate ligament tears or ruptures there are a number of non-surgical and surgical options available. Each dog is different, and your veterinarian will take into consideration your canine’s weight, size, overall health, severity of injury and the duration since onset when determining what treatment is best for your pet. Non-surgical options are generally referred to as “conservative management” and this treatment involves the use of weight management, prescription non-steroidals and rest to strengthen the joint and begin the healing process. Read the rest of this entry »

Apr 23, 2008 | 0 | Tibial Tuberosity Advancement or TTA, Fibular Head Transposition, Tibial Plateau Leveling Osteotomy or TPLO, Extracapsular Imbrication Technique, Traditional Repair, Surgical Options
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