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Don’t be shy… Post on our NEW Dog Knee Injury Forum!

In response to the high volume of comments a lot of the post have been getting, I’ve opened up the forums as a way for dog owners to connect and discuss their dog’s orthopedic issues with one another.

How to post on the Dog Knee Injury Forum:

1) You must register for a user name to post on the forum.

2) After you’ve registered and retrieved your password from your email, log in (I recommend changing the password to something you’ll remember) and start posting!

3) Keep the comments on topic, and be nice. If anyone encounters any issues on the forum please post in the comments on this page/use the contact form, and I will look into it.

CCL Repair Forum for Dogs is a post from: Dog Knee Injury

To say I panicked would be an understatement. I started crying hysterically and worrying about having to put him down. Well come to find out he had a stomach ulcer which was caused by the increased aspirin regimen which was prescribed by his old vet! I was so irate. But our new vet quickly calmed me down. She prescribed Tramadol for pain, Famotidine as an antacid, Flagyl as an antibiotic, and Sulcrafate to coat his ulcer.

Beau was now officially an old man. Within the next few days Beau started to smile at me again. He began eating again, however his leg was still bothering him. I knew it was something other than the hip dysplasia. So we went back to the vet a week later. She sedated him and x-rayed his hips and legs. That when we found out he had a torn ACL (or CCL, cranial cruciate ligament in dog knees).

Surgery isn’t an option because I don’t have that kind of money and Beau is too old. I would hate for him not to wake back up. I am switching him over to the raw food diet, which he loves. He is still on Tramadol. We are going to switch him to a NSAID once his tummy has had enough time to heal. Today (June 9th) he used his hurt leg for the first time in almost 3 weeks. My baby boy my never be able to walk normally again but I will do everything in my power to help him become as “normal” as possible.

Conservative Management for CCL Tear – Beau is a post from: Dog Knee Injury

One way I found to save some cash when Tucker had his CCL repair was to order his medication and other pre and post surgery needs (like Kong toys, bully sticks, and pet bedding) online.  I purchased his collar, glucosamine and chondrointin supplements, pet pads, and special treats using PetCareRx.  My veterinarian even ok-ed his antibiotic orders through their site, easily saving us a couple hundred dollars!  Their web interface is really simple to use, and there was not a single product I needed that I could not find on their site.  I highly recommend using them if your dog is going into surgery or is recovering from surgery, their prices are absolutely unbeatable.  Plus, any order over $35 qualifies for free shipping – I have NEVER seen that on any of the other pet sites out there.

Ordering Pet Medication Online is a post from: Dog Knee Injury

Not surprisingly, surgery is almost always advocated by surgeons . It is likely that surgery does help reduce the amount of arthritis that occurs, but in a long term study of cruciate ligament surgery in dogs in Australia, about 50% still had detectable arthritis in surgically repaired joints and about 10% of dogs were persistently lame despite attempts to surgically stabilize the joint. Tibial plateau leveling osteotomy (TPLO) has become the top choice for surgical CCL repair among many orthopedic veterinarians, and it can be done in both large and small dogs. Supporters of TPLO will say its good choice for the situation in which there is a bilateral cruciate rupture since it seems to be a strong repair procedure, but there are many instances where dogs have done equally as well with either TTA or a traditional repair.

One benefit of doing a traditional extracapsular repair, in addition to saving a few thousand dollars, is that you still have other options for repair if for some reason the traditional repair fails. If you are choosing surgery for a dog with a double CCL rupture, make sure to research each procedure carefully before blindly going along with a procedure you know nothing about. TPLO, TTA and traditional repairs are all very different procedures, and each carry their own set of risks vs. rewards. The best way to find out what is right for your pet is to do as much research as you can and find a veterinarian that is willing to discuss your many options for surgical intervention.

If surgery absolutely isn’t an option, there is a very good chance that in a few weeks, to a few months, you will find that your dog is doing OK without any type of surgical intervention -especially if you can manage the weight loss. There are a number of great resources both on this website and the web with instructions on how to succeed with CM.

CCL Injury in Both Back Legs is a post from: Dog Knee Injury

1. Get your dog used to his new place well before the surgery date. If you are crating a dog that is not used to being crated or confining a dog that is used to having run of the home, it is important to get them used to this change prior to bringing them home from surgery. I recommend starting this transition as soon as you are aware of the upcoming surgery.
2. Cover your floors with non-skid carpeting; this is especially important if you do not already have carpeted floors. You will want to do everything possible to ensure your dog has no chance of slipping or sliding on an uncovered floor.
3. Disconnect the doorbell and place a sign on your door advising people not to knock; the more quiet you can keep your home, the better for your dog.
4. Have leashes hanging on the doorknobs everywhere in the home where your dog may go outside for bathroom breaks; there is nothing worse than searching for a leash to let your dog out when they are in pain, or getting them all riled up because you can not find their leash.
5. Have chicken stock, rice, boiled meat, and pumpkin on hand in case your dog is refusing his regular food after surgery.
6. Prepare the area your dog will sleep the first night home by covering the bottom layer with plastic. If your dog is not staying overnight at your veterinary clinic the day of surgery, there is a good chance that he may wet himself during the night due to the high volume of IV fluids they are giving during surgery.
7. Have ice or ice packs to help reduce swelling for the first few days after surgery. You may also want to have hot compresses available for the 3rd day on – it is best to follow your veterinarian’s advice with regard to the use of hot and cold compresses.
8. Cover the windows to prevent your dog from getting overly excited by outdoor creatures and excitement. Again, do everything possible to keep your dog’s recovery area safe and quiet.
9. Make sure you understand the dosing instructions and have the proper medications for your dog upon leaving the clinic. Everyone has their own way of managing medication administration, some make charts, others record the times given, and some people will tailor medications around meal time. We found that the easiest way for us was to set up a web-based calendar (we use Google Calendar) to send us an SMS text message whenever a dose was due.



10. If you have steps, make sure your dog does not have access to them; use a gate or barricade to prevent any premature stair climbing.
11. Boredom usually sets in pretty quickly for dogs during the post operative period, and having indestructible toys on hand can help to alleviate some of this stress. Frozen Kongs and bones can provide hours of distraction, which is a must for an owner that is unable to be with their pet at all times.
12. Make arrangements to take time off from work or have someone check in with your dog throughout the day for at least the first few weeks post op.

Preparing Your Home for a Post Operative Dog is a post from: Dog Knee Injury

NSAID stands for non-steroidal anti inflammatory drugs. These medications are most often prescribed to dogs for pain, inflammation and to aid in fever reduction. NSAIDs are most commonly used for the symptomatic relief of arthritic pain in geriatric pets. Aspirin and ibuprofen are well-recognized human NSAIDs, and the Food and Drug Administration’s (FDA) Center for Veterinary Medicine (CVM) has approved specific NSAIDs for use in pets with osteoarthritis. NSAIDs work by blocking the production of prostaglandins, the body chemicals that cause inflammation, and can be highly effective for controlling discomfort in arthritic and post op pets.

The FDA considers NSAIDs to be “safe and effective when used according to the label and when pet owners are informed about common NSAID adverse reactions.” According to the American Veterinary Medical Association (AVMA), the NSAIDs are available today are much safer than they have ever been in the past and cause far fewer side effects. The FDA also notes that “duration of use makes a difference in the safety” of NSAIDs as the risk of side effects can increase the longer a pet is given an NSAID. The FDA considers approved NSAIDs to be safe and effective when used according to the label and when dog owners are informed about common NSAID adverse reactions.

What are possible adverse reactions/side effects to NSAID use?

• Change in appetite
• Vomiting
• Change in bowel movements
• Change in behavior
• Seizures
• Yellowing of gums, skin or whites of the eyes
• Change in drinking habits
• Change in urination habits
• Change in skin – redness, scabs or scratching
• Lethargy and/or depression

More serious side effects included gastro-
intestinal bleeding, ulcers, perforations, and in
rare cases, kidney and liver damage, and death.

What NSAIDs are approved for use in my dog?

• Etogesic (etodolac)
• Rimadyl (carprofen)
• Metacam (meloxicam)
• Zubrin (tepoxalin)
• Deramaxx (deracoxib)
• Previcox (firocoxib)
• Novox (generic carprofen)

Safety of Anti Inflammatory Medications, NSAIDs is a post from: Dog Knee Injury

Check the incision for signs of infection daily which include swelling, pain, discharge and redness. This is obviously not possible if your dog came home with a modified Robert Jones (or similar) bandage, but the same rule applies – check the area around the cast each day, making sure to check for any swelling, discoloration or infection. When checking the surgical site, a cold compress can be applied to the stifle three times daily, 10 minutes per session for the first 2 days to help reduce the swelling. Starting on the third day after surgery, a warm compress can be applied to the stifle in order to soften the connective tissues. Your veterinarian will instruct you as to whether to also pursue range of motion exercises or physical therapy at this time – this will depend on which procedure your dog underwent.

Just remember to listen to your dog. They will make you aware of their comfort level, and let you know when they are ready to start using the injured limb more. No one is perfect, and we have all had those “oops” moments when our dog tried to do too much too soon, but just stay positive. Your dog has a keen sense of what you are thinking and feeling, and this ultimately will have an effect on their recovery.

What to Expect After CCL Surgery is a post from: Dog Knee Injury

The osteotomy will take 6 to 8 weeks to heal, during which time your pet will need to be kept relatively quiet and only allowed outside on a leash. Your dog will most likely start to feel that they are completely healed within a week of the TTA, but it is important to not let them to do too much too soon as they risk damage, not only to the implant, but a CCL tear in the opposite knee. Many veterinarians will advise pet owners to keep their dogs sedated during this recovery process to assure they remain quiet and only go outdoors to relieve themselves.

All dogs with CCL injuries will go on to develop some level of arthritis. It is a good idea to have your dog’s knees x-rayed during your yearly veterinary visits to examine the presence of arthritis and determine what type of treatment plan would be best for your pet to make them the most comfortable.

TTA Repair Postop Recovery is a post from: Dog Knee Injury

For the next two weeks (which is the duration of time the bandage will remain on if you dog was fitted with one) your dog will not be putting much weight on the injured limb. They may hold the leg up if they do not have the modified Robert Jones bandage in place, while others will exhibit some toe-touching behavior. After the sutures are removed, at about the 2 week mark, you veterinarian will determine the course of therapy for your dog to proceed with. In many cases your vet will recommend exercise restriction until 4 to 8 weeks, at which point short, 2 to 5 minute walks, can be reintroduced to your pet.

After 4 to 6 months your dog will be able to return to normal activities without any restriction. The leader line placed in the knee will break at 2 to 12 months post-op, and your dog’s scar tissue will support the knee on its own. Restriction of movement is absolutely key for the successful healing in patients undergoing extra-capsular imbrication repair surgery. Rest will help to encourage fibrous tissue formation and also prevent the premature breakage of the monofilament suture stabilizing the joint during the healing process.

All dogs with CCL injuries will go on to develop some level of arthritis. It is a good idea to have your dog’s knees x-rayed during your yearly veterinary visits to examine the presence of arthritis and determine what type of treatment plan would be best for your pet to make them the most comfortable.

Extracapsular Repair Postop Recovery is a post from: Dog Knee Injury

Around 6 to 8 weeks your veterinarian may want to take x-rays of your canine to be sure that the leg is healing properly. The radiographs taken during this period should show healing full, or almost complete healing at the osteotomy site. All lameness should disappear from your dog by the 10 week mark, although some intermittent lameness is to be expected when first reintroducing exercise.

Between 4 to 6 months post-op most restrictions of exercise can be lifted. If your pet is a hunting or agility canine they will need to wait until at least 6 months post op to return to their pre-injury activities. Unrestrained activity prior to this period can lead to injuries in the opposite CCL, spraining of the soft tissues or fractures around the surgical site.

Follow up care of the TPLO dog should include yearly rechecks with a veterinarian to evaluate the degree of arthritis in the knee. While the TPLO procedure will help to slow the progression of arthritis in the joint, no surgical procedure can ever completely rid your dog of this degenerative condition. There are a number of veterinary treatments available for dogs with arthritic tissue, and often the best treatment is to catch the disease in its early stages and take action.

TPLO Postop Recovery is a post from: Dog Knee Injury