{"id":9755,"date":"2024-09-04T14:19:30","date_gmt":"2024-09-04T14:19:30","guid":{"rendered":"https:\/\/aercmn.com\/?p=9755"},"modified":"2024-09-04T14:19:30","modified_gmt":"2024-09-04T14:19:30","slug":"cranial-cruciate-ligament-injuries-in-dogs","status":"publish","type":"post","link":"https:\/\/www.aercmn.com\/blog\/cranial-cruciate-ligament-injuries-in-dogs\/","title":{"rendered":"Cranial Cruciate Ligament Injuries in Dogs"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9758 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2024\/09\/7.png\" alt=\"A Rottweiler walking through the grass.\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/7.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/7-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<p><strong><span style=\"color: #ed1b2f;\">If your pet collapses, is unable to walk or get up, or experiences severe trauma, these are considered \u201cRED\u201d \u2013 or true emergencies \u2013 on our Fast Track Triage system. We advise you to seek immediate veterinary care. Please call ahead of your arrival so the veterinary team knows to expect you! <\/span><\/strong><\/p>\n<p><strong><span style=\"color: #ffcb05;\"> If your pet is limping, has a small wound\/laceration, or has a broken toenail, these are considered \u201cYELLOW\u201d \u2013 or semi-urgent cases \u2013 on our Fast Track Triage system. We recommend having your pet evaluated by your family veterinarian or local animal emergency hospital within 24 hours. Call ahead of your arrival so the veterinary team knows to expect you, and if your pet\u2019s condition worsens, call the team back to inform them of the status change. <\/span><\/strong><\/p>\n<hr style=\"width: 100%;\" size=\"3\" \/>\n<p><span class=\"TextRun SCXW43394628 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW43394628 BCX8\">Damage to the cranial cruciate ligament is one of the most common orthopedic injuries we see in dogs.<\/span><\/span><strong><span class=\"TextRun SCXW43394628 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"> <span class=\"NormalTextRun SCXW43394628 BCX8\">The cranial cruciate ligament (<\/span><span class=\"NormalTextRun SCXW43394628 BCX8\">CCL<\/span><span class=\"NormalTextRun SCXW43394628 BCX8\">,<\/span><span class=\"NormalTextRun SCXW43394628 BCX8\"> also known as ACL) is one of the major stabilizers of the knee joint<\/span><\/span><span class=\"TextRun SCXW43394628 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW43394628 BCX8\">.<\/span><span class=\"NormalTextRun SCXW43394628 BCX8\">\u00a0<\/span> <\/span><\/strong><span class=\"TextRun SCXW43394628 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW43394628 BCX8\">When the CCL is injured, it can lead to varying degrees of lameness in dogs, making it crucial for pet parents to recognize this type of injury and seek veterinary care if they notice any changes in their pet\u2019s mobility.<\/span><\/span><span class=\"EOP SCXW43394628 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9763 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2024\/09\/5.png\" alt=\"A sad dog lying on the ground next to a soccer ball. \" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/5.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/5-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<h2><span class=\"TextRun SCXW236967066 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW236967066 BCX8\">Causes<\/span><\/span><span class=\"EOP SCXW236967066 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/h2>\n<p><span class=\"TextRun SCXW38721266 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW38721266 BCX8\">CCL injuries are common in young to middle-aged large breed dogs, but they can occur in dogs of any size. While less common, cats can also suffer from CCL injuries.<\/span><span class=\"NormalTextRun SCXW38721266 BCX8\">\u00a0<\/span><\/span><span class=\"EOP SCXW38721266 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p>\n<p><span class=\"TextRun SCXW228520194 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW228520194 BCX8\">While trauma, <\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">like <\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">falling off the couch or jumping from the bed, can result in CCL injuries in pets, other <\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">variable<\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">s also play a role. Genetics (with certain breeds like <\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">Labradors, German <\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">s<\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">hepherds, Rottweilers, and <\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">g<\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">olden <\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">r<\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">etrievers <\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">being more prone) and ligament degeneration due to age or obesity can increase the risk. <\/span><\/span><strong><span class=\"TextRun SCXW228520194 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"auto\"><span class=\"NormalTextRun SCXW228520194 BCX8\">Due to these genetic and degenerative factors, 50-60% of dogs with a CCL injury in one knee are likely to suffer <\/span><span class=\"NormalTextRun SCXW228520194 BCX8\">the same<\/span><span class=\"NormalTextRun SCXW228520194 BCX8\"> injury in the other knee.<\/span><\/span><\/strong><span class=\"EOP SCXW228520194 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p>\n<h2><span class=\"TextRun SCXW249667115 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW249667115 BCX8\">Signs<\/span><span class=\"NormalTextRun SCXW249667115 BCX8\"> of a CCL Injury<\/span><\/span><span class=\"EOP SCXW249667115 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/h2>\n<p><span class=\"TextRun SCXW130811012 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW130811012 BCX8\">Pets with CCL injuries often show signs of pain<\/span><span class=\"NormalTextRun SCXW130811012 BCX8\"> and discomfort<\/span><span class=\"NormalTextRun SCXW130811012 BCX8\">, including:<\/span><\/span><span class=\"EOP SCXW130811012 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Sudden lameness or <\/span><a href=\"https:\/\/www.aercmn.com\/blog\/why-is-my-pet-limping\/\"><span data-contrast=\"none\">limping<\/span><\/a><span data-contrast=\"none\"> (Some pets will avoid putting any weight on the affected leg while others might only limp after exercise)<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Struggling to rise, sit, or climb stairs<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Decreased activity<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"none\">Swelling around the knee joint<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9762 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2024\/09\/4.png\" alt=\"Two veterinary technicians safely restraining a dog for x-rays at Animal Emergency &amp; Referral Center of Minnesota.\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/4.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/4-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<h2><span class=\"TextRun SCXW220809884 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW220809884 BCX8\">Diagnosis<\/span><\/span><span class=\"EOP SCXW220809884 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/h2>\n<p><span class=\"TextRun SCXW193428422 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW193428422 BCX8\">Diagnosis of a CCL injury is usually based on<\/span><span class=\"NormalTextRun SCXW193428422 BCX8\">:<\/span><\/span><span class=\"EOP SCXW193428422 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"none\">Physical examination<\/span><\/li>\n<li><span data-contrast=\"none\"><span class=\"TextRun SCXW101579281 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW101579281 BCX8\">X<\/span><span class=\"NormalTextRun SCXW101579281 BCX8\">-rays<\/span><\/span><span class=\"EOP SCXW101579281 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/span>\n<ul>\n<li><span data-contrast=\"none\"><span class=\"TextRun SCXW61257677 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW61257677 BCX8\">X-rays<\/span> <span class=\"NormalTextRun SCXW61257677 BCX8\">don\u2019t<\/span><span class=\"NormalTextRun SCXW61257677 BCX8\"> show soft tissue injuries like a CCL tear; however, <\/span><span class=\"NormalTextRun SCXW61257677 BCX8\">changes to the knee<\/span><span class=\"NormalTextRun SCXW61257677 BCX8\">,<\/span><span class=\"NormalTextRun SCXW61257677 BCX8\"> such as fluid within the joint and<\/span><span class=\"NormalTextRun SCXW61257677 BCX8\">\/or<\/span><span class=\"NormalTextRun SCXW61257677 BCX8\"> secondary arthritis<\/span><span class=\"NormalTextRun SCXW61257677 BCX8\">, can be seen. These changes<\/span><span class=\"NormalTextRun SCXW61257677 BCX8\"> support<\/span><span class=\"NormalTextRun SCXW61257677 BCX8\"> a diagnosis of<\/span><span class=\"NormalTextRun SCXW61257677 BCX8\"> damage to the CCL.<\/span><\/span><span class=\"EOP SCXW61257677 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><span data-contrast=\"none\"><strong><span class=\"TextRun SCXW196469243 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW196469243 BCX8\">Confirmation of a tear is <\/span><span class=\"NormalTextRun SCXW196469243 BCX8\">ultimately made<\/span><span class=\"NormalTextRun SCXW196469243 BCX8\"> during surgery<\/span><\/span><\/strong><span class=\"TextRun SCXW196469243 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW196469243 BCX8\"> by direct visualization of the ligament either <\/span><span class=\"NormalTextRun SCXW196469243 BCX8\">via<\/span><span class=\"NormalTextRun SCXW196469243 BCX8\"> camera (arthroscopy) or <\/span><span class=\"NormalTextRun SCXW196469243 BCX8\">the surgeon\u2019s own eyes in the <\/span><span class=\"NormalTextRun SCXW196469243 BCX8\">open approach (arthrotomy). <\/span><span class=\"NormalTextRun SCXW196469243 BCX8\">The other structures in the joint are also evaluated, such as the <\/span><span class=\"NormalTextRun SCXW196469243 BCX8\">cartilage within the knee or <\/span><\/span><span class=\"TextRun SCXW196469243 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW196469243 BCX8\">menisci<\/span><\/span><span class=\"TextRun SCXW196469243 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW196469243 BCX8\">, to ensure there is no concurrent damage.<\/span><\/span><span class=\"EOP SCXW196469243 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559685&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span>\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9759 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2024\/09\/1.png\" alt=\"Three x-ray images. The first one is of a dog's CCL injury prior to surgery and the second two images are x-rays of the CCL injury post-surgery.\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/1.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/1-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<h2><span class=\"TextRun SCXW35076044 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW35076044 BCX8\">Treatment<\/span><\/span><span class=\"EOP SCXW35076044 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/h2>\n<p><span class=\"TextRun SCXW162263120 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW162263120 BCX8\">Treatment options include<\/span><span class=\"NormalTextRun SCXW162263120 BCX8\"> medical management and surgery.<\/span><\/span><span class=\"EOP SCXW162263120 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/p>\n<ul>\n<li><span class=\"TextRun SCXW245155705 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW245155705 BCX8\"><strong>Medical management<\/strong> <\/span><\/span><span class=\"TextRun SCXW245155705 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW245155705 BCX8\">usually includes 8-<\/span><span class=\"NormalTextRun AdvancedProofingIssueV2Themed SCXW245155705 BCX8\">12 weeks<\/span><span class=\"NormalTextRun SCXW245155705 BCX8\"> of activity restriction, pain medication<\/span><span class=\"NormalTextRun SCXW245155705 BCX8\">,<\/span><span class=\"NormalTextRun SCXW245155705 BCX8\"> and physical therapy. The goal is for the body to develop scar tissue outside the knee<\/span><span class=\"NormalTextRun SCXW245155705 BCX8\">,<\/span><span class=\"NormalTextRun SCXW245155705 BCX8\"> thus stabilizing the joint<\/span><span class=\"NormalTextRun SCXW245155705 BCX8\"> without surgical intervention<\/span><span class=\"NormalTextRun SCXW245155705 BCX8\">.<\/span><\/span><span class=\"EOP SCXW245155705 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span>\n<ul>\n<li><span class=\"TextRun SCXW251006692 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW251006692 BCX8\">This approach can have a good prognosis for dogs that are <\/span><\/span><strong><span class=\"TextRun SCXW251006692 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW251006692 BCX8\">less than thirty pounds<\/span><\/span><\/strong><span class=\"TextRun SCXW251006692 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW251006692 BCX8\">. Surgery is usually recommended in dogs that are larger or have a high-energy level.<\/span><\/span><span class=\"EOP SCXW251006692 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<li><span class=\"NormalTextRun SCXW118743619 BCX8\">There are a variety of different surgical options to address a cranial cruciate ligament injury. <\/span><span class=\"NormalTextRun SCXW118743619 BCX8\">Which procedure is recommended depends on the age and size of the pet, as well as the surgeon\u2019s preference. <\/span><span class=\"NormalTextRun SCXW118743619 BCX8\">These factors will be discussed at your consultation \u2013 prior to surgery.<\/span>\n<ul>\n<li><span class=\"TextRun SCXW61298661 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW61298661 BCX8\">The procedure typically performed at AERC for a CCL injury is a <\/span><\/span><strong><span class=\"TextRun SCXW61298661 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW61298661 BCX8\">Tibial Plateau Leveling Osteotomy (TPLO)<\/span><\/span><\/strong><span class=\"TextRun SCXW61298661 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW61298661 BCX8\">.<\/span><\/span><span class=\"EOP SCXW61298661 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span>\n<ul>\n<li><span class=\"TextRun SCXW137495216 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW137495216 BCX8\">The surgeon <\/span><span class=\"NormalTextRun SCXW137495216 BCX8\">makes<\/span><span class=\"NormalTextRun SCXW137495216 BCX8\"> a cut in the s<\/span><span class=\"NormalTextRun SCXW137495216 BCX8\">h<\/span><span class=\"NormalTextRun SCXW137495216 BCX8\">in bone (tibia), <\/span><span class=\"NormalTextRun SCXW137495216 BCX8\">rotates<\/span><span class=\"NormalTextRun SCXW137495216 BCX8\"> it, and <\/span><span class=\"NormalTextRun SCXW137495216 BCX8\">stabilizes<\/span><span class=\"NormalTextRun SCXW137495216 BCX8\"> the new position with a bone plate and screws. <\/span><span class=\"NormalTextRun SCXW137495216 BCX8\">This alters the biomechanics of the knee so that the limb can be functional without the <\/span><span class=\"NormalTextRun SCXW137495216 BCX8\">CCL.<\/span><\/span><span class=\"EOP SCXW137495216 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:2160,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279,&quot;335559991&quot;:360}\">\u00a0<\/span><\/li>\n<li><span class=\"TextRun SCXW246580249 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW246580249 BCX8\">The post-operative period requires activity restriction <\/span><span class=\"NormalTextRun SCXW246580249 BCX8\">for<\/span><span class=\"NormalTextRun SCXW246580249 BCX8\"> 8-<\/span><span class=\"NormalTextRun SCXW246580249 BCX8\">10 weeks<\/span><span class=\"NormalTextRun SCXW246580249 BCX8\">, <\/span><span class=\"NormalTextRun SCXW246580249 BCX8\">an <\/span><span class=\"NormalTextRun SCXW246580249 BCX8\">E-collar, pain medication<\/span><span class=\"NormalTextRun SCXW246580249 BCX8\">,<\/span><span class=\"NormalTextRun SCXW246580249 BCX8\"> and general and incisional monitoring.\u00a0<\/span><\/span><span class=\"EOP SCXW246580249 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:2160,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279,&quot;335559991&quot;:360}\">\u00a0<\/span>\n<ul>\n<li><span class=\"TextRun SCXW4226837 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW4226837 BCX8\">Sutures along the incision are removed 10-<\/span><span class=\"NormalTextRun SCXW4226837 BCX8\">14 days<\/span><span class=\"NormalTextRun SCXW4226837 BCX8\"> after surger<\/span><span class=\"NormalTextRun SCXW4226837 BCX8\">y.<\/span><\/span><span class=\"EOP SCXW4226837 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li>\n<li><span class=\"TextRun SCXW224389639 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW224389639 BCX8\">Re<\/span><span class=\"NormalTextRun SCXW224389639 BCX8\">check radiographs are performed <\/span><span class=\"NormalTextRun SCXW224389639 BCX8\">8 weeks<\/span><span class=\"NormalTextRun SCXW224389639 BCX8\"> after surgery to ensure the bone is healing well before returning to normal activity.<\/span><\/span><span class=\"EOP SCXW224389639 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li>\n<li><span class=\"TextRun SCXW140946328 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW140946328 BCX8\">While<\/span><span class=\"NormalTextRun SCXW140946328 BCX8\"> TPLO<\/span><span class=\"NormalTextRun SCXW140946328 BCX8\"> may seem like a big procedure and <\/span><\/span><a class=\"Hyperlink SCXW140946328 BCX8\" href=\"https:\/\/www.aercmn.com\/blog\/general-post-operative-care-for-pets\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW140946328 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW140946328 BCX8\" data-ccp-charstyle=\"Hyperlink\">recovery<\/span><\/span><\/a><span class=\"TextRun SCXW140946328 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW140946328 BCX8\">, <\/span><span class=\"NormalTextRun SCXW140946328 BCX8\">most dogs tolerate it well. The<\/span><span class=\"NormalTextRun SCXW140946328 BCX8\"> long-term<\/span> <span class=\"NormalTextRun SCXW140946328 BCX8\">goal<\/span><span class=\"NormalTextRun SCXW140946328 BCX8\"> is to get <\/span><span class=\"NormalTextRun SCXW140946328 BCX8\">your dog<\/span><span class=\"NormalTextRun SCXW140946328 BCX8\"> back to running around and playing like nothing <\/span><span class=\"NormalTextRun SCXW140946328 BCX8\">ever <\/span><span class=\"NormalTextRun SCXW140946328 BCX8\">happened!<\/span><\/span><span class=\"EOP SCXW140946328 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279}\">\u00a0<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-9760 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2024\/09\/2.png\" alt=\"A dog running at the park.\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/2.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2024\/09\/2-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<p><span class=\"TextRun SCXW17753540 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW17753540 BCX8\">If you have any questions or concerns about your pet\u2019s sudden lameness, limping, or other mobility changes, contact your family veterinarian.\u00a0<\/span><\/span><span class=\"EOP SCXW17753540 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279,&quot;335559991&quot;:0}\">\u00a0<\/span><\/p>\n<p><span class=\"TextRun SCXW255825882 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW255825882 BCX8\">Learn more about Animal Emergency &amp; Referral Center of Minnesota\u2019s Surgery Service <\/span><\/span><a class=\"Hyperlink SCXW255825882 BCX8\" href=\"https:\/\/www.aercmn.com\/blog\/veterinary-services\/pet-surgery\/\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW255825882 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW255825882 BCX8\" data-ccp-charstyle=\"Hyperlink\">here<\/span><\/span><\/a><span class=\"TextRun SCXW255825882 BCX8\" lang=\"EN-US\" xml:lang=\"EN-US\" data-contrast=\"none\"><span class=\"NormalTextRun SCXW255825882 BCX8\">!<\/span><\/span><span class=\"EOP SCXW255825882 BCX8\" data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:279,&quot;335559991&quot;:0}\">\u00a0<\/span><\/p>\n<p><em><strong>More Reading:\u00a0<\/strong><\/em><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.aercmn.com\/blog\/why-is-my-pet-limping\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Why is My Pet Limping?<\/span><\/a><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.aercmn.com\/blog\/general-post-operative-care-for-pets\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">General Post-Operative Care for Pets<\/span><\/a><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.aercmn.com\/blog\/five-most-common-pet-surgeries-at-aerc\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">5 Most Common Pet Surgeries at AERC<\/span><\/a><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.aercmn.com\/blog\/qa-with-a-board-certified-veterinary-surgeon\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Q&amp;A with a Board-Certified Veterinary Surgeon<\/span><\/a><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"7\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><a href=\"https:\/\/www.aercmn.com\/blog\/navigating-your-pets-anesthesia\/\" target=\"_blank\" rel=\"noopener\"><span data-contrast=\"none\">Navigating Your Pet\u2019s Anesthesia<\/span><\/a><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-6547 alignleft\" src=\"\/blog\/wp-content\/uploads\/2021\/12\/BLOG-Author-Block-6.png\" alt=\"Katherine Meyers, VMD, DACVS-SA\" width=\"800\" height=\"400\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2021\/12\/BLOG-Author-Block-6.png 800w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2021\/12\/BLOG-Author-Block-6-768x384.png 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-7548 aligncenter\" src=\"\/blog\/wp-content\/uploads\/2022\/08\/Fast-Track-Triage-for-Clients-Facebook-Post-7.png\" alt=\"Animal Emergency &amp; Referral Center of Minnesota, Fast Track Triage, color-coded triage system, pet emergency, Twin Cities emergency vet, Minnesota emergency vet, Saint Paul emergency vet, Oakdale emergency vet\" width=\"940\" height=\"788\" srcset=\"https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/08\/Fast-Track-Triage-for-Clients-Facebook-Post-7.png 940w, https:\/\/www.aercmn.com\/blog\/wp-content\/uploads\/2022\/08\/Fast-Track-Triage-for-Clients-Facebook-Post-7-768x644.png 768w\" sizes=\"auto, (max-width: 940px) 100vw, 940px\" \/><\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/assets.pinterest.com\/ext\/embed.html?id=386676318024690174\" width=\"345\" height=\"618\" frameborder=\"0\" scrolling=\"no\"><\/iframe> <\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; If your pet collapses, is unable to walk or get up, or experiences severe trauma, these are considered \u201cRED\u201d \u2013 or true emergencies \u2013 on our Fast Track Triage system. We advise you to seek immediate veterinary care. Please call ahead of your arrival so the veterinary team knows to expect you! If your [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9764,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[1509,17,1513,2153,2154,882,66,364,2155,890],"class_list":["post-9755","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-acl","tag-animal-emergency-referral-center-of-minnesota","tag-ccl","tag-cranial-cruciate-ligament","tag-ibial-plateau-leveling-osteotomy","tag-minnesota-veterinary-surgeon","tag-pet-health","tag-pet-surgery","tag-tplo-surgery","tag-twin-cities-veterinary-surgeon"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cranial Cruciate Ligament Injuries in Dogs<\/title>\n<meta name=\"description\" content=\"Discover insights from Dr. Meyers, a board-certified veterinary surgeon, on Cranial Cruciate Ligament (CCL) injuries in dogs.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.aercmn.com\/blog\/cranial-cruciate-ligament-injuries-in-dogs\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cranial Cruciate Ligament Injuries in Dogs\" \/>\n<meta property=\"og:description\" content=\"Discover insights from Dr. Meyers, a board-certified veterinary surgeon, on Cranial Cruciate Ligament (CCL) injuries in dogs.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.aercmn.com\/blog\/cranial-cruciate-ligament-injuries-in-dogs\/\" \/>\n<meta property=\"og:site_name\" content=\"Animal Emergency &amp; 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