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Cranial Cruciate Ligament Part 2 - Repair

There are three different surgical techniques commonly used to repair ruptured Cranial Cruciate Ligaments. The Extracapsular Repair, TPLO and TTA. Your veterinarian can advise you on which would be the best procedure for your pet.

Extracapsular Repair
In this procedure a strong nylon line is placed to hold the stifle in place. The suture will eventually break, but by that time the dog has formed scar tissue enough to hold the knee in place without the extra support of the line. During the surgery the knee joint is opened and inspected and the torn cruiciate ligament removed. After the procedure your dog will require at least 12 to 16 weeks of restricted exercise and rehabilitation. This procedure is typically considered in small to medium sized dogs or geriatric/older patients.

TPLO (Tibial Plateau Leveling Osteotomy)
In this procedure the biomechanics of the joint are changed. The knee joint is again opened and the damaged meniscus and cruciate ligament inspected and removed as needed. Then a section of the tibia bone is cut and rotated to change the angle of the joint and create greater stabilization. Special metal hardware is placed to hold everything in place. Typically these dogs are toe-touching by 10 days post surgery, but again restricted activity and rehabilitation exercises are required for12 to 16 weeks. Most patients are back to normal activity 6 months after surgery. This procedure is typically considered in young, very active and large breed dogs.

TTA (Tibial Tuberosity Advancement)
Similar to the TPLO, in this surgery the tibial crest where the patellar ligament attaches is cut and repositioned using titanium implants and bone grafts to stabilize the new angle. The recovery is similar to that of the TPLO and it is also recommended for young, large and very active dogs. Which of these two surgeries is better? Whichever one your surgeon is more comfortable performing. Studies have shown that the results at one year post-operative seem to be the same regardless of which procedure is performed.
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Kevin, a 6 month old B&W kitty; Breeze, a sweet 3.5 yrs Pit Bull, and lovely Katie, a 9.5 yr old Nova Scotia Duck Toller
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Shaking Paws With Dogs

Our blog entry for January 2012-

Happy New Year!

Shaking paws with Dogs

henry and shelby

Greeting dogs the dog-friendly way

Greeting dogs walking with their owners

  • ASK if you can interact first and approach slowly at a relaxed walk
  • if the answer is ‘no’, respect their space and move along
  • Check this out! There are MANY reasons some dogs shouldn’t interact with other dogs – watch this video to find out more: http://notesfromadogwalker.com/
  • With permission granted, approach sideways without giving direct eye-contact
  • Avoid looming over them (this is intimidating!)
  • Give the dog a little space (avoid reaching into their personal space) allowing them to approach you at their own rate
  • it’s OK to gently pet them if they are relaxed and asking for your attention by rubbing against you and wanting to be near you
  • Check this out! “How to Greet a Dog” poster by Dr Sophia Yin

http://info.drsophiayin.com/how-to-correctly-greet-a-dog-free-poster

  • If they are excitedly jumping up at you, stand like a tree and turn around – wait until they are calm before petting them

Greeting dogs on the loose (stray dogs)

  • NEVER approach a dog you are unsure of – watch their body language (are they relaxed and wanting to come to you? Or are they nervous and avoiding you or showing signs of aggression or fear?)
  • Check this out! “Body Language of Fear and Aggression” Poster by Dr Sophia Yin

http://drsophiayin.com/blog/entry/dog-bite-prevention-week-poster-on-the-body-language-of-fear-and-aggression

  • If they seem receptive, make sure to follow the above steps – moving slowly, avoid direct eye-contact, approach sideways, allow them to come to you
  • If possible, gently get hold of their collar or fasten a leash
  • Call the SPCA if they are unapproachable – give them a detailed description, including time and location
  • Do not chase a dog at large – they can become frightened or cornered and feel they need to defend themselves or they could get hit by a car!

Greeting our dogs when returning home (Does your dog jump all over you with excitement when you get home? Follow these steps!)

  • Enter the home calmly and give NO attention or affection (this includes eye contact, petting, kneeling down etc)
  • If they are jumping at you, stand like a tree and turn the other way – IGNORE the behaviour – do not reprimand them for this as they will perceive this as attention and will likely increase the problem behaviour!
  • WAIT until they have calmed down and are sitting before giving ANY attention – you should expect this to take approx. 10-20 minutes for the first couple of weeks
  • If your canine spends alone time in their crate – wait until they are calmly sitting before letting them out AND once out of the crate – wait again until they have calmed down before giving any affection
  • By waiting until our dogs are calm and sitting before giving ANY affection we are rewarding them for being calm – if we give any affection while they are hyper and jumping on us then we are rewarding unwanted behaviour!
  • If you practice this ritual every day, you’ll witness your jumpy fido turn into a polite pup
  • This will also help reinforce how we want our dogs to greet guests in our home and will help to decrease separation anxiety
  • Be sure that ALL family members are on board with the new greeting ritual to increase your chances for success!
  • Check this out! Training ‘sit for petting’ video by Dr Sophia Yin http://drsophiayin.com/resources/video_full/stellah_sits_for_excited_petting

By

Laura McCredie

Shelby with canine pal “Henry” in photo above