ACL injuries are very common in dogs and can be very painful. Our Mooresville vets will explain what an ACL injury is and what possible treatment options are there to fix it.
ACL / CCL
In people, the anterior cruciate ligament (ACL) is a thin connective tissue in the middle of our knees.
This connective tissue in dogs is called the cranial cruciate ligament (CCL) and it connects your dog's tibia (bone below the knee) to its femur (bone above the knee). So, although there are differences, the cranial cruciate ligament (CCL) is your dog's ACL.
One main difference between a person's ACL and your dog's CCL is that for a dog this ligament is always load-bearing since your pet's knee is always bent when standing.
Differences Between ACL Injuries in People and CCL Injuries in Dogs
ACL injuries in people are particularly common in athletes. These injuries tend to occur due to an acute trauma stemming from a sudden movement such as a jump or change of direction (think of basketball players in action). In dogs, CCL injuries tend to come on gradually, becoming progressively worse with the activity until a tear occurs.
Signs of ACL Injuries in Dogs
The most common signs of a CCL injury in dogs are:
- Stiffness (typically most noticeable after rest, following exercise).
- Difficulty rising and jumping.
- Hind leg lameness and limping.
Continued activity on a mildly injured leg will cause the injury to worsen and symptoms to become more pronounced.
Dogs suffering from a single torn CCL will typically begin favoring the non-injured leg during the activity which commonly leads to the injury of the second knee. Approximately 60% of dogs with a single CCL injury will go on to injure the other knee soon afterward.
Treating Injuries of ACL in Dogs
If your dog has been diagnosed with a cruciate injury, there are several treatment options available from knee braces to surgery. When determining the best treatment for your dog's injury, your vet will take your dog's age, size, and weight into consideration as well as your dog's lifestyle and energy level.
Treating a CCL injury with a knee brace is a non-surgical option that may help to stabilize the knee joint in some dogs. The support provided by a knee brace gives the ligament time to scar over and repair itself. Treating CCL injuries through the use of a knee brace may be successful in some dogs when combined with restricted activity.
Extracapsular Repair - Lateral Suture
This surgery involves replacing the torn cruciate ligament with an artificial ligament on the outside of the joint. This ACL surgery for dogs is typically recommended for small to medium-sized breeds weighing less than 50lbs.
Tibial Plateau Leveling Osteotomy - TPLO
TPLO is a popular and very successful surgery that works to eliminate the need for the cranial cruciate ligament (CCL) by cutting and flattening the tibial plateau, then stabilizing it in a new position with a plate and screws.
Tibial Tuberosity Advancement - TTA
TTA surgery also eliminates the need for the CCL ligament by cutting the top of the tibia, moving it forward, and then stabilizing it in its new position with a stainless steel metal plate.
Recovery from ACL Surgery
Regardless of which treatment you decide is best for your dog, recovery from a dog ACL injury is a slow process. Expect your dog to require 16 weeks or longer to have complete healing and return to normal function. A year after surgery your dog will be running and jumping like its old self again.
To speed your dog's recovery from an ACL injury be sure to follow your vet's advice and never force your dog to do exercises if they resist. To avoid re-injury be sure to follow your vet's instructions closely and attend regular follow-up appointments so that your veterinarian can monitor your pet's recovery.
Note: The advice provided in this post is intended for informational purposes and does not constitute medical advice regarding pets. For an accurate diagnosis of your pet's condition, please make an appointment with your vet.