Case 22: Cruciate repair

publication date: Aug 8, 2008
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‘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......................................

 

 


 
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