Canine Cruciate Ligament options for older dog

WiseassWolfOfYoitsu
2023-08-08T18:27:09Z

I have a roughly 23kg/50lb furball who is approaching 12. She had a CCL rupture 4 years ago, but the vet missed it and thought it was just strained; it wasn't until a year later and she was having leg weakness that I brought her to a different vet who assessed the old CCL injury and that as a result, the knee had developed arthritis. Since then, we have been treating it with pain management, weight loss, and joint supplements. I had asked that vet about surgery but their advice was that it's much more effective immediately and less so once the arthritis is settled in. Her right CCL ruptured later in that year since she'd been overexerting that leg (apparently most dogs who injure one will later injure the other); she immediately had the suture surgery and it went fantastically, with her regaining essentially normal use of that leg.

A few years on and the right leg remains strong but the left leg is weakening, with her starting to show some pain reactions to its use, and I'd like to get some opinions on paths forward. Despite her age she is still in excellent physical shape apart from the leg and I want to be sure her hopefully many years are happy and comfortable. Note this is not in lieu of vet advice (I am writing this from the vet waiting room), but more looking for people's experiences who have tried some of these.

So things I have been considering:

Surgery of some kind - suture, TPLO, even artificial knee? Pro, fix the knee weakness. Con, with the recovery and risk, I am not confident it would save her more pain and discomfort long term than the procedure would cause. I also have a feeling a full joint replacement might be exorbitantly expensive.

Physical therapy

Orthopedic brace

Accepting that I have an elder pupper and just trying to manage the symptoms :(

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