Question: We have a 10 year German Shepherd, in good health, other than what has been diagnosed as a partial ACL tear in one rear knee. We both work and we also have a second, younger and very playful german shepherd. This makes it seem impossible to me to make it through a post surgery recovery period. I am leaning towards trying a brace option as it seems more “appropriate” or a better fit for our situation. Obviously you can’t comment based on the extent of the injury. Is there a general comment you could make about recovery processes and or braces?
Answer: This is a challenging problem! The recovery period is an important strategic challenge with any patient undergoing a cruciate surgery. Practical considerations such as the layout of your home, the temperament of your pets and the ability to restrict activity are important factors. Most clients faced with these challenges have figured out temporary solutions to optimize their pet’s recovery such as ramps, sedatives, kennels to limit activity, separating other pets, etc.
With respect to the orthopedic braces, they may help stabilize the joint in the short term and in theory could help recovery if there truly is a partial cruciate. Most partial cruciate injuries progress with time and I question the long term return on a brace with respect to stabilizing the joint and minimizing the inflammation associated with chronic instability. Osteoarthritis will develop quicker and with more severity if the instability is not eliminated 100% of the time. If your shepherd has torn its meniscus (50-75% of cases) the brace will do nothing for recovery. In my opinion, the long term benefits obtained from surgery far outweigh the short term inconveniences of setting the proper stage for recovery. I am also not aware of any legitimate studies showing braces are an effective alternative to surgery.
Dr. Mortimer earned his degree from Iowa State University. He received a B.A. in Biology from Baylor University, and completed an internship in Small Animal Emergency Medicine and Surgery in Rochester, New York. His interests include internal medicine and surgery, including minimally invasive surgery (endoscopy and laparoscopy).
“Above all, I have a strong interest in people and animals. The relationship between my patients and their owners is the reason I am in this profession.”
When away from the practice, he spends most of his time having fun with his family (his wife Kristie, three children, three cats and one “Labrador non-retriever”. Personal interests include fly-fishing, hiking, gardening and travel.