Short-term and long-term outcomes for overweight dogs with cranial cruciate ligament rupture treated surgically or nonsurgically

Abstract

Overweight dogs with CCLR treated via surgical and nonsurgical methods had better outcomes than dogs treated via nonsurgical methods alone. However, almost two-thirds of the dogs in the nonsurgical treatment group had a successful outcome at the 52-week evaluation time.

The Use of Canine Stifle Orthotics for Cranial Cruciate Ligament Insufficiency

“…The (6). Future study should assess the outcome and level of return to function of patients with cranial cruciate ligament insufficiency treated with rehabilitation therapy and a custom stifle orthotic.…”

“…Many recent studies have shown surgical stabilization to be effective in managing cranial cruciate ligament insufficiency (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12). While there are numerous options for surgical management, surgery is not always an option.…”

“…Concurrent medical problems, financial concerns, or staging procedures for bilateral CCL insufficiency are all reasons for either forgoing or delaying surgical treatment. One recent study reported that dogs treated surgically and with non-surgical methods (weight loss, administration of NSAIDs, and rehabilitation therapy) had better overall outcomes compared with dogs that were treated via non-surgical methods alone (6). Recently, the use of canine stifle orthotics has also emerged as a means to non-surgically manage patients with cranial cruciate ligament insufficiency.…”

Evaluation of the Effect of a Single Intra-articular Injection of Allogeneic Neonatal Mesenchymal Stromal Cells Compared to Oral Non-Steroidal Anti-inflammatory Treatment on the Postoperative Musculoskeletal Status and Gait of Dogs over a 6-Month Period after Tibial Plateau Leveling Osteotomy: A Pilot Study

“…Treatment involves surgical joint stabilization and the medical management of pain and inflammation. To restore joint stability, tibial plateau leveling osteotomy (TPLO) is one of the most common surgical procedures performed worldwide (4–6), delivering quick and good clinical outcomes for a majority of the treated dogs (7–11). The biomechanical purpose of TPLO is to decrease the tibial slope angle through radial proximal tibial osteotomy, so the joint stability during gait no longer relies on the integrity of the cranial cruciate ligament.…”

“…Immediate postoperative management includes non-steroidal anti-inflammatory drugs (NSAIDs) to alleviate pain and inflammation resulting from both preoperative CrCLR-related arthritis and the surgical procedure (11, 12). …”