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Companion Animal Practice
Decision making in the management of cranial cruciate ligament rupture
  1. Andrew Miller

    Andrew Miller graduated from the University of Glasgow in 1983. He was employed as a house surgeon there for one year, followed by four years in a small animal practice on the south coast of England. In 1988, he returned to Glasgow, as resident and then lecturer in orthopaedics. He holds the diploma in small animal orthopaedics and is an RCVS Specialist in Small Animal Surgery (Orthopaedics). He currently works at Willows Referral Service in Solihull, where his areas of special interest include the surgical treatment of joint diseases and fractures.


RUPTURE of the cranial cruciate ligament is one of the most common causes of chronic hindlimb lameness in dogs and accounts for a significant fraction of the case load of many referral surgeons, practices and teaching institutions. Difficulty in diagnosis and uncertainty as to the best method of treatment appear to be the main factors contributing to the high case load. This article describes the diagnostic signs and tests that the author finds most helpful and discusses the various treatment options.

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