Rex the kelpie was suffering from a suspected cruciate ligament rupture. He was suddenly non weight bearing lame and the knee joint was warm to touch. He also had instability between the femur and the tibia, or a positive ‘drawer sign’.
The ‘drawer sign’ occurs when the cruciate ligament in the knee is no longer stabilising the joint. It can sometimes be demonstrated when the dog is conscious but in the majority of cases, the dog requires sedation or general anaesthesia to allow proper examination of the joint.
X-rays also assist in identifying arthritic changes and evidence of swelling within and around the knee joint. Further examination confirmed Rex had ruptured his CrCl.
Surgery to stabilise the knee joint is the best option for treatment. When the joint is unstable for a period of time, arthritic changes will begin that cannot be reversed. Some small dogs may respond to conservative treatment, such as rest and non-steroidal anti-inflammatory medication for 6-8 weeks but the risk of developing degenerative joint disease is very high.
There are a few different surgical techniques for cruciate ligament repair and new procedures are continually being developed. If your dog ruptures his cruciate ligament, we will be able to give you more information on these techniques.
It is important to realise that arthritis can still develop in the affected joint following surgery, but will be to a significantly lesser extent than if no surgery were performed.
As for Rex, he underwent surgery to stabilise his knee joint. He is currently adjusting to restricted leash walking (for a minimum of 6-8 weeks) and is undergoing supervised rehabilitation to ensure he is back at the park with his friends ASAP!
|