Cranial cuciate ligament (CCL) rupture in dogs

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Introduction

Cranial Cruciate Ligament (CCL) rupture in dogs often requires surgical intervention. Explore the extracapsular suture and TPLO techniques to restore their mobility.

Dog owners may find themselves facing a CCL (cranial cruciate ligament) rupture, a common injury among our four-legged companions. This condition is particularly prevalent in active dogs, large breeds, or animals that are overweight.

This often painful condition generally requires surgical intervention to restore normal knee function in the dog and to prevent long-term complications such as osteoarthritis.

Understanding Cruciate Ligament Rupture in Dogs

The cruciate ligament, located in the dog's knee, is essential for stabilizing the joint and supporting body weight during movement. When it ruptures, often due to intense activity, a jump, or a sudden movement, it results in significant joint instability and acute pain for the animal.

The symptoms of a cruciate ligament rupture can include sudden lameness, difficulty rising, and sometimes swelling of the knee joint. Since the anatomy of a dog's knee differs from that of humans, wearing a brace is generally ineffective in stabilizing the affected joint.

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Two surgical techniques: Extra-capsular stabilizing suture and TPLO

To treat cruciate ligament rupture, two commonly used surgical techniques are Extra-capsular stabilizing suture and TPLO (Tibial Plateau Leveling Osteotomy). Each of these techniques aims to restore knee joint stability, but they differ in their approach and long-term outcomes.

1. Extra-capsular stabilizing suture

The extracapsular stabilizing suture technique aims to replicate the function of the ruptured anterior cruciate ligament by using a suture placed similarly to the ligament's natural orientation. In the long term, it promotes the formation of scar tissue to stabilize the joint, despite the possibility of suture stretching or rupture.

Potential complications include suture failure and the development of progressive osteoarthritis, especially in larger and younger dogs. This method is often reserved for small, elderly, or less active dogs due to these risks.

Its advantages include lower cost and the absence of the need for an osteotomy. Careful evaluation is required for each patient based on their specific needs.

2. TPLO (Tibial Plateau Leveling Osteotomy)

TPLO is a more advanced technique that alters the geometry of the knee joint to reduce the strain on the damaged cruciate ligament when the dog bears weight. In this procedure, the tibial plateau is cut and realigned to stabilize the joint independently of the cruciate ligament. This allows for quicker recovery and better long-term joint function. TPLO is often recommended for large or very active dogs, where maximum stability is essential to maintain an optimal quality of life.

While the first technique may be suitable for certain cases, TPLO is generally preferred for its superior long-term results and its ability to more reliably restore joint function.

Conclusion: A rapid and appropriate intervention

In the event of a cruciate ligament rupture in a dog, it is crucial to promptly consult a veterinarian for an accurate diagnosis and an appropriate treatment plan. The choice of surgical technique depends on various factors, including the dog's size, activity level, and the severity of the injury.

Effective management of cruciate ligament rupture is essential for ensuring your dog's long-term well-being and mobility. With proper care and an appropriate surgical intervention, many dogs can return to normal exercise after this debilitating injury.

For more information or to schedule a consultation at Hôpital Vétérinaire 640, visit the following link: https://veterinaire640.ca/contact/

Our experts are here to help you every step of the way towards your loyal companion's recovery!


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Mélissa Pelletier
Mélissa Pelletier

Révisé par Mélissa Pelletier, Technicienne en santé animale

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