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Dog's titanium TPLO implant [1]. TPLO, or tibial-plateau-leveling osteotomy, is a surgery performed on dogs to stabilize the stifle joint after ruptures of the cranial cruciate ligament (analogous to the anterior cruciate ligament [ACL] in humans, and sometimes colloquially called the same).
The torn ligament can either be removed from the knee (most common), or preserved (where the graft is passed inside the preserved ruptured native ligament) before reconstruction through an arthroscopic procedure. ACL repair is also a surgical option. This involves repairing the ACL by re-attaching it, instead of performing a reconstruction.
The cranial cruciate ligament (CrCL) stabilizes the dog knee much like the anterior cruciate ligament (ACL) does in humans. There are several modalities currently being used in the treatment of cranial cruciate ligament (CrCL) deficiency, which is a common and costly problem in dogs and sometimes cats.
Knee injury doctors have long thought that a torn ACL required surgery to fix. New research suggests a non-surgical treatment may be as effective. ... Sports Medicine, found that 90% of ACL tears ...
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Some grade IV conditions may require more involved surgery to realign the femur and/or tibia. A therapeutic dosage of glucosamine can be used as a preliminary treatment to strengthen ligaments and the surrounding tissues of the joint and can delay or prevent surgery. [6] Additional help can be given with the use of pet ramps, stairs, or steps.
Treatment could involve anything from rest and physical therapy to surgery to replace the torn ligament, followed by physical therapy. Training programs exist to help reduce the risk of an ACL injury.
Injuries to the ACL are common, 250,000 ACL injuries occur on an annual basis. This corresponds to a 1 in 3,000 chance of an individual sustaining an ACL injury. Ligaments in the ACL or meniscus are usually torn with an external force being applied to the knee joint. The ACL can be torn without an external force being applied [11]
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