Case 22: Cruciate repair
publication date: Aug 8, 2008
‘Poppy' Bearded Collie x , Female (n), 8 ½ years
Previous History;
27/12/07; Lame 8/10 Left hind, stifle, probable cruciate rupture.
28/12/07; Sedate to x-ray, +ve cruciate rupture Left stifle.
10/01/08; GA, OTT repair of ruptured cruciate ligament, hospitalised overnight, discharged, rimadyl & rest.
14/01/08; Re/exam, toe touching!
20/01/08; Too much energy, seroma formed over joint.
21/01/08; Sedate to drain seroma.
25/01/08; Inject Cartrophen 0.8ml, stop rimadyl, onto flexadin.
01/02/08; Inject cartrophen 0.8ml.
Treadmill work;
| DATE |
SESSION NUMBER |
SPEED
(k/h) |
DURATION
(MINUTES) |
NOTES |
| 04/02/08 |
1 |
1.6 |
6 |
22.8kg, approx 85% weight bearing,
Tends to ‘dot and carry' left hind, tried to increase speed, but lifts leg completely! |
| 06/02/08 |
2 |
1.6 |
4 |
Still ‘dot and carry', I lifted good leg and took most of weight & Poppy started to use leg properly, nervous of treadmill sensation therefore guarding. Hopefully has now gained confidence to use. |
| 08/02/08 |
3 |
1.6 |
10 |
Just about uses most of the time. |
| 11/02/08 |
4 |
2.0 |
10 |
Just about using all time. |
| 13/02/08 |
5 |
1.8
2.0 |
2
8 |
Used ALL time! |
| 15/02/08 |
6 |
1.8
2.0
2.1
2.2
2.4 |
1
2
4
2
1 |
|
| 18/02/08 |
7 |
1.8
2.0
2.2
2.4
2.5 |
1
2
2
3
2 |
| 20/02/08 |
8 |
2.2
2.4
2.6
2.6 |
2
2
2
3 -5% incline |
| 22/02/08 |
9 |
2.2
2.4
2.6
2.8
2.6 |
1
1
2
4
2 -5% incline |
| 25/02/08 |
10 |
2.2
2.4
2.6
2.7
2.8
2.6 |
1
1
1
1
5
2 -5% incline |
| 29/02/08 |
11 |
2.4
2.6
2.8
3.0
2.8
2.8 |
1
1
3
2
2
2 -5% incline |
Owner reported let off lead in field at weekend to run, no lameness at time or later. |
| 04/03/08 |
12 |
2.4
2.6
2.8
3.0
2.8
2.6 |
1
1
2
4
1
2 -5% incline |
|
| 07/03/08 |
13 |
2.6
2.8
3.0 |
1
2
7 |
| 11/03/08 |
14 |
3.0
3.2 |
6
4 |
Can take weight on left hind leg, (wobble test), but chooses not to, thus muscle is not returning as it should, (catch 22 - if used leg, muscle would return, without muscle, doesn't want to use leg!)
Stifle has excellent range of movement - flexion & extension, there is no swelling of the joint and no heat, and Poppy is happy for me to move it.
So; challenge is to get her to use the leg as I know she can- Dressing applied to RIGHT hind paw- her good leg!
With the dressing on the opposing foot, Poppy was forced to take more weight on her left leg & proved that she can!
I have supplied her owner with some cohesive dressing to be applied daily for 10-15 minutes at a time. |
| 14/03/08 |
15 |
3.0
3.2 |
6
4 |
Dressing applied to right hind foot. |
| 17/03/08 |
16 |
3.0
3.2
3.4
3.6 |
3
3
2
2 |
Dressing applied to right foot. |
| 19/03/08 |
17 |
2.0 |
11 minutes -10% incline |
Can definitely see on high incline that Poppy is capable of using her leg to push forward. |
Still on going on treadmill......................................
