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02/23/08

Possible risk factor for canine knee problems is identified
Dr. Eric Barchas, DVM

Dogs sometimes injure a structure in the knee known as the cruciate ligament. The purpose of the cruciate ligament is to hold the joint steady when the dog walks, runs, or jumps. Trauma to the ligament results in pain and limping, and often requires major corrective surgery. Later in life, arthritis almost always develops in the knee that was injured.

Dogs commonly injure their cruciate ligaments by landing wrong while playing fetch, or falling down stairs, or by being tackled by another dog. Large-breed dogs are at increased risk. So are overweight dogs.

And a study published in the December 1, 2007 issue of the Journal of the American Veterinary Medical Association (JAVMA) suggests that the timing of surgical neutering may be a risk factor as well.

The paper is titled “Risk factors for excessive tibial plateau angle in large-breed dogs with cranial cruciate ligament disease.” Here is a quote from its abstract.

Conclusions and Clinical Relevance — Results suggested that early neutering was a significant risk factor for development of excessive [tibial plateau angle] in large-breed dogs with [cruciate ligament disease]. (J Am Vet Med Assoc 2007; 231:1688 – 1691)

Translated into English, the authors suggest that early neutering may be a risk factor for knee injuries in large dogs. Early neutering (at less than six months of age) appears to affect the growth patterns and orientation of bones in the knee. This may increase the risk of knee injury later in life.

Does this mean that large dogs should not be neutered at less than six months of age? It’s too soon to tell. The appropriate timing of neutering is a complex issue. This study adds another piece to the puzzle.

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There are 8 Comments

  1. Jade P/ Buddah posted a comment on February 23rd, 2008 at 9:53 am

    This is great information! My dog was just diagnosed with a cruciate ligament tear…he’s a bullmastiff. He was neutered right at 6 months.

    This is so common that when Buddah was diagnosed yesterday, my vet was taking care of 2 brothers that are rotties that same day that did the same thing! And her own 2 malamutes did the same thing 1 year apart.

    I know my dog is not overweight at all, but I wonder if waiting a little longer than 6 months to get larger breeds neutered, if it would be beneficial to their bones??

    thanks!

    Jade P
    Buddah
    Chicago
    PS I left you a question about my bullie.

  2. Eric Barchas, DVM posted a comment on February 23rd, 2008 at 8:54 pm

    Based on the information I’ve seen, it may make sense to pospone neutering beyond 6 months in some large-breed dogs. However, as doctors love to say, more research will be needed to know for sure.

    Remember as well that there are disadvantages to delaying the surgery. For instance, there are higher rates of surgical complications when neutering and spaying older dogs.

    Your best bet is to have a long talk with your vet about your dog’s particular circumstances before spaying or neutering.

    Cruciate ligament injuries can occur in any dog (and, rarely, cats), regardless of size, age, weight, or breed. However, they are most common in large dogs and in overweight dogs.

  3. Trooper posted a comment on February 25th, 2008 at 12:01 pm

    I (Trooper) recently had a knee problem, however, my knee cap had been dislocated, and the vet put it back into position. I may require surgery within the next year. They X-Rayed (Yes, that primitive technology before Star Trek: Voyager’s era) my knees when I was under general anesthetic when I had my teeth cleaned, and the vet noticed a small growth. He said it was nothing to worry about, but is his somehow related to the above condition?

  4. Jean D / Emma posted a comment on February 25th, 2008 at 6:27 pm

    Emma had surgery on both her knees for torn CL’s. She is a very active golden/lab mix who was at an ideal weight at that time.The first operation was on her left knee in Feb. 2006 and than her right knee in June 2006. It took her about a year and a half to get back to 90% with lots of swimming and low impact walks. Although she is not 100% she is doing so much better! Emma was spayed late at age 8 months after we adopted her. I think it was her constant chasing of tennis balls that did her in.

  5. Discussion on the optimal time to spay or neuter posted a comment on March 1st, 2008 at 6:04 am

    [...] that they do not). As well, dogs that undergo surgery early in life may be at increased risk of knee injury and hip [...]

  6. John Studniarz posted a comment on March 5th, 2008 at 7:44 pm

    Could anyone describe a dog’s gait when they have an cruciate ligament tear?

    We have a St. Bernard, she’s just going to be 9 mths old next week. She was spayed shortly after 6 mths.

    Last night we noticed her hind legs sort of “popping out” at the knee. that is, moving from pointing back like usual to “popping” foreward toward her front legs at the end of a stride.

    it seems to be more pronounced when she’s strolling slowly, less so when she’s moving quickly.

    She doesn’t seem to be uncomfortable. We of course have an appointment scheduled to have our vet see her, but any info in the meantime might shed some light and would be greatly appreciated.

    thanks,
    john

  7. Judy posted a comment on September 3rd, 2008 at 9:32 am

    How long after cruciate ligament tear surgery does it take for a small dog to recover fully? Indy in on week 8 and seems to be doing pretty good, he can trot and walk. I haven’t let him go up or down stairs yet and I am crating him or tieing him to things so he can’t take off. This is driving me and him crazy. Some vets say 10 weeks, some say 6 months. I can’t seem to get a straight answer. I also don’t ever want to go through this again, so I don’t want to let him run around too soon.
    Any help would be appreciated.

    Judy

  8. Rena posted a comment on September 14th, 2008 at 5:28 am

    Judy – For a little over six months now, my black lab has been limping. My husband and I could not figure out why and when we first noticed the limp, we immediately took her to the vet. They wanted to make sure that this limp had nothing to do with her hips considering at the time, she was just shy of being a little over a year old. We did an x-ray comparison and came to the conclusion that her hips are in great condition. Thank God! BUT, now we agreed to have surgery done because we have decided that it must be a cruciate ligament tear. We are going to be having this done soon and with talking with the vet, he said recovery takes 6-8 weeks. Activities that help them to recover would be something like swimming if you have any kind of access to a lake or doggie pool. I know when I have taken my dog for a swim, she doesn’t limp afterwards and I believe it helps to stretch out her bad leg. The full recovery should only be about 6 months. I had torn my ACL before and I was back to doing everything as I normally would at about 6 months.
    I don’t know if any of this helps, but I hope it puts some light in your tunnel for you and your dog:)

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