Chronic CCL with severe arthritis

[Guest guest]

Hi all,

I'm new to the rehab stuff, so wanted to get some advise on a patient that has a

very old CCL tear that was repaired (4+ yrs) with a lateral extracapsular

suture. The dog is a 70 pound Dobe who's weight is excellent for her. She is

10 years old. The repair was done by an experienced surgeon who saw a normal

meniscus. The securos system with 80# nylon was sued. The dog (belongs to my

associate) failed to improve post op and the surgeon thought that perhaps the

securos line was over tightened and therefore removed it.

Now 2 years later the dog is still favoring the leg (grade 2-3 lameness). She

has a decreased range of motion in bothe extension (165 degrees) and flexion (52

degrees). Radiographs show severe degenerative joint disease with the lateral

fabella being enlarged and sclerotic, the lateral and medial capsule have

calcification and there is alot of osteophytes and sclerotic changes. I do not

get any tibial thrust or clicking, thought the joint is so stiff, I am not sure

I would hear it.

I am looking for help and suggestions to help improve this if at all even

possible. The dog is on meloxicam and tramadol, glucosamine and I started her

on vit E today. Thankfully she is an otherwise healthy dog. I appreciate your

inputs--

, DVM

pdljmper@...