image8

Cruciate Ligament Repair; CBLO

Dr. Rammell specializes in cruciate ligament repair in canines. 


This new surgery is more anatomically correct then all other techniques, and dogs often return to full function in a 6 week time period. 



WHAT IS CBLO SURGERY?

image9

CBLO is a procedure that is done on canines when they have injured their ACL.


CBLO has become one of the most popular orthopedic surgeries performed on dogs who have torn their cranial cruciate ligament, also commonly referred to as a torn ACL.  


Every time the dogs goes to stand or put weight on the leg, the femur slides/rubs on the back of the tibia. This rubbing causes pain and inflammation, which is very uncomfortable. This is why most dogs with a torn ACL will not even put any weight on the leg, or if they do, they will just toe touch the leg to the ground

ACL DISCOMFORT OR INJURY INDICATION

image10

THE "LAZY SIT" is common for canines with ACL discomfort or injury.

image11

Normal sit test: note flexion of stifle and tarsus

image12

Dog with early ACL will not flex tarsal joint completely

cranial cruciate ligament (ACL) INJURY IMAGES

image13

Cruciate ligament injuries are common in man, but even more common in canines due to a steep slope of the tibial plateau

image14

Cruciate (ACL) injuries with stifle instability are part of a cascade of events that include progressive osteoarthritis and medial meniscus injury..

BEFORE AND AFTER CBLO SURGERY IMAGES

image15

BEFORE SURGERY

Before CBLO surgery. Notice the steep slope of the tibial plateau

image16

AFTER SURGERY

After CBLO surgery. Notice the decreased slope of the tibial plateau. CBLO surgery changes the mechanics of the knee to take pressure off the anterior or cranial cruciate ligament. Recovery time is about six weeks.