Understanding Cranial Cruciate Ligament Injuries in Dogs

Cranial cruciate ligament (CCL) tears are among the most common orthopedic injuries in dogs, leading to pain, lameness, and potential long-term joint issues if left untreated. Noah Vet in Derry, Northern Ireland, offers specialized surgical treatments for this condition, aiming to restore mobility and alleviate discomfort in affected dogs.

The CCL in dogs functions similarly to the anterior cruciate ligament (ACL) in humans, stabilizing the knee joint by preventing excessive forward movement of the tibia relative to the femur. Injury to this ligament can result from acute trauma or, more commonly, from a degenerative process leading to gradual weakening and eventual rupture. This instability can cause pain, lameness, and, if untreated, can damage the cartilage and surrounding bones, potentially leading to osteoarthritis (Noah Veterinary Clinic).

Surgical Treatment Options at Noah Vet

Noah Vet, located at 76 Duke Street, Londonderry, BT47 6DQ, is equipped to perform advanced surgical procedures for dogs with CCL injuries. The clinic is led by Dr. William McCartney, a Royal College of Veterinary Surgeons (RCVS) recognized specialist in small animal orthopaedics with over 30 years of experience in referral orthopaedics, soft tissue, and neurology (Noah Veterinary Clinic).

1. Tibial Plateau Leveling Osteotomy (TPLO)

The TPLO procedure involves reshaping the tibial plateau to eliminate the need for the CCL by altering the biomechanics of the knee joint. This technique is commonly used in dogs weighing over 15 kg and is known for its effectiveness in restoring joint stability and function.

2. Tibial Tuberosity Advancement (TTA)

The TTA procedure involves repositioning the tibial tuberosity to change the angle of the patellar tendon, thereby stabilizing the knee joint. This method is often preferred for smaller dogs and those with specific anatomical considerations.

3. Extracapsular Repair

In cases where the dog is small or the injury is less severe, an extracapsular repair may be performed. This technique involves placing a synthetic ligament outside the joint to stabilize the knee.


Diagnostic Approach

Accurate diagnosis is crucial for determining the appropriate surgical intervention. At Noah Vet, the diagnostic process includes:

  • Physical Examination: Assessing the dog’s gait and palpating the knee joint to identify signs of instability.
  • Imaging: Utilizing Xrays or advanced imaging techniques such as CT scans to evaluate the extent of the injury and plan the surgical approach.
  • Arthroscopy: In some cases, minimally invasive arthroscopy may be used to visualize the joint and assess damage to the meniscus and other structures.

Post-Surgical Care and Rehabilitation

Post-operative care is vital for the success of the surgery and the dog’s recovery. Noah Vet emphasizes the importance of:

  • Rest and Restricted Activity: Limiting the dog’s movement to prevent strain on the healing joint.
  • Physical Rehabilitation: Engaging in controlled exercises and therapies to strengthen the muscles around the knee and restore mobility.

Why Choose Noah Vet?

Noah Vet stands out for its specialized expertise and commitment to advanced veterinary care:

  • Specialized Expertise: Led by Dr. William McCartney, the clinic offers specialized orthopedic care with a focus on CCL injuries.
  • Advanced Facilities: Equipped with state-of-the-art diagnostic and surgical tools, including CT scanning capabilities.
  • Comprehensive Care: Providing a full spectrum of services from diagnosis to post-operative rehabilitation.

Contact Information

To consult with Noah Vet regarding your dog’s condition or to schedule an appointment:

  • Phone: 028 7134 1800
  • Email: info@noahvet.co.uk
  • Address: 76 Duke Street, Londonderry, BT47 6DQ

For more information or to book an appointment, visit their official website: www.noahvet.co.uk.


Note: This information is based on available data as of October 2025. For the most current details, please contact Noah Vet directly.