Cranial Cruciate Ligament (CCL) Rupture / Disease
Tearing or fraying of the cranial cruciate ligament in the knee
The cranial cruciate ligament (CCL) is a key stabiliser in a dog’s knee (stifle) joint, similar to the ACL in humans. Injury or overuse can lead to the ligament becoming damaged or ruptured, resulting in pain, instability, swelling, and lameness.
This ligament provides joint stability, therefore damage to this means the tibia (shin bone) slides forward from the femur (thigh bone). This constant movement can create pain, inflammation and degenerative changes.
CCL disease often develops gradually due to wear and tear, but it can also occur suddenly during activity. If this happens in one knee it is also likely it will happen to the other one.
Physiotherapy plays a vital role in both surgical and non-surgical management. Targeted rehab can help:
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Reduce pain and inflammation
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Improve joint stability and mobility
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Build strength in surrounding muscles to support the joint
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Prevent compensation injuries in other limb
A tailored programme often includes controlled exercise, muscle strengthening, balance work, manual therapy, and advanced techniques like laser or hydrotherapy—depending on your dog’s needs and stage of recovery.
Fill out the contact form below if you need help for your dog with cruciate disease.
Physiotherapy Intervention
Common Surgeries:
The most common surgery is a TPLO:
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Tibial Plateau Leveling Osteotomy (TPLO)
The angle between the femur (thigh bone) and tibia (shin bone) is altered to reduce the amount of movement in the knee joint. Metal plates are used to allow the bone to heal in the correct position.
But other surgeries include:
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Tibial Tuberosity Advancement (TTA)
Alters the mechanics of the joint to reduce strain on the ligament.
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Lateral Suture / Extracapsular Repair
Synthetic ligament used to stabilise the joint (smaller dogs).
Think your animal would benefit?
Get in touch to find out more.
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