Partial CCL - bracing?

[AgileBeagle]

Patient is a 40lb Aussie which is missing a rear foot (mid metatarsal). Normally the dog will use the stump about half the time, usually when at a slow pace. At a faster gait she primarily holds up the stump leg and hops on the good leg. Overall the dog is in fairly good condition, and even participates in low level agility.

After woods walking and a slip on the ice, she now has a presumptive partial CCL tear on the good leg. We have begun conservative management. The dog cannot hop on the stump leg, but is using it full time now that the good leg is injured.

I know there is much debate about using stifle bracing, but I'm concerned of this becoming a complete tear. Would love to hear others opinions.

Laurie- I saw in previous posts you mentioned the A-Trac brace. Would bracing in this case be beneficial in preventing further damage?

[lehughes]

Hey Jan!

Oh my gosh! This poor dog!

So, yes, likely some kind of support would be good, and while it's never my 1st suggestion, the A-Trac brace (www.woundwear.com) might do the trick. To be honest, it won't stop drawer or a cranial displacement force... but it can provide proprioceptive feedback that MIGHT improve use and function of the injured leg. I don't think I'd want to put on anything more rigid at this point.
Now, that being said... if you can control pain and swelling and get the dog using the leg again, you might not need a brace. I'd say that if the dog is using the leg within a week or two, that you can likely rehab without it.

Do you think the stump leg might break down at all? If yes, then perhaps a custom cushioned bootie might be in order. I'd e-mail Therapaw.com to ask. They have cushy paws for indoor use (hmm for a foot), and might be able to create an outdoor boot to help protect the stump... Okay, maybe there's a need for a custom stump protector for indoor & outdoor.

Okay... I guess those are my thoughts (always a few "if this, then that").

Best of luck!
Laurie

[AgileBeagle]

Thanks Laurie! A stump protector is a fabulous idea! I do worry that the stump could become painful from the increased use. And probably not a bad idea even when she is back to "normal".

I'll post an update in a few weeks if you like.

[lehughes]

Please do update. And if you have a chance to take a picture, that would be interesting I think.
Best of luck!

Laurie