Cinder's Cruciate Ligament Diary
(Traditional Repair)


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10/13/04
After 3 days of on and off favoring of her rear left leg, Cinder was taken to Maple River Clinic to be diagnosed with a torn cruciate ligament. I am partially blaming myself (okay mostly) and learning how genetics may play a role in this. For the past year I have noticed a weakness in Cinder's rear and almost constant shaking of her back legs. Cinder is also very bowlegged. Has been since she was a puppy. I was also passed along this information about limb alignment, bowleggedness and a predisposition to Cruciate injury.

Limb Alignment
Now I blame myself for not looking into it further then and maybe preventing it. I am  not sure. Maybe this last run of agility class was NOT the right thing to do and pushed it over the edge.
She is spending the next few weeks on confined rest and scheduled for surgery November 15th.

11/02/04
We got the surgery moved up to November the 10th. The day is closing in on me and I am starting to get worried. We are pretty much prepared though. I will bring the x-pen up this weekend and setting up her recovery area.
Cinder is off her Prednisone (she takes for her allergies) and getting ready to start her Deramaxx. They day is closing in.

***as a side note I am really relieved at how well Cinder has done on the Deramaxx. She has shown almost no side effects that I can tell as of yet. In the past she has not tolerated Rimadyl and had to be pulled off it in a matter a 2 days.***

11/10/04
Dropped Cinder off at 8:30 this Wednesday morning. Waited and finally heard from the Vet after 1:30 that the surgery went really well and that she was waking up nicely. She said there was no arthritis in the knee but it was extremely loose. She will be coming home tomorrow at around 9:30 am. It is going to be such a long quiet night without my Cinder around, but hopefully I will get a good nights rest because I don't think I will have many of those for a while now. I will be up and worried all night.

Her ramp is finished and her recovery area awaits her. Giving it a test run.
 

11/11/04
She returned home from the clinic in true Cinder fashion. Smile on her face and tail waggin' away. She is wearing a soft cast and will continue on Deramaxx and also take Cephalexin for the next ten days. She can eat her normal diet, she is going to the bathroom normally and she is being a wonderful patient. She returns in 10 days for removal of her cast and stitches.
   If all goes well in a couple of day when I know boredom will set in and the itching from being off her prednisone, she has a freezer full of raw femur bones and a couple stuffed Kong goodies!!
 

11/12/04
Well the night was certainly harder on me!!! Constantly waking up thinking I heard her and that she needed something. But she was great. She did need one potty break at 2:45am and she did whine a bit after that, I think she just wanted to come in our bedroom and take her place in our bed like usual. But in all it was an uneventful night.

One exception - Kramer is now headed to the Vet clinic. Apparently he is not to be outdone by his sister.

11/17/04
Well its one week post op and things are just "okay". Being off the prednisone is taking its toll and boredom has really set in. I hardly sleep night and neither does Cinder because she is crying and whining so much. She wants so badly to be in bed with us that it is killing us all around here. I feel terrible. I am going to go to the store tonight to see what other goodies I can get her to keep her occupied.
I think her cast needs to be rewrapped. Waiting for a call back from the Vet.
 

11/18/04
We got the go-ahead to cut Cinders bandages off from the Vet. As soon as I pulled away the last bit of wrap absolute feelings of guilt washed over me. Don't know where it came from, or why??!! I started to panic - Should she stand? What if she has to potty? How much weight can/should she put on it? Should I start using the harness to take her out to ease off some of the weight?

Oh man what did I do to this poor girl?! Did we do the right thing? I mean, really not like I had any other options. *sigh* This sucks!!!!

Keep in mind of course she was a happy and sweet patient the entire time I cut it off and was even wagging her tail. She seems comfortable. Cinder is NEVER unhappy really. I am sure if she had her way she would be out running right now.

She seems thrilled to have it off and really enjoyed when I gave her shaved leg a little scratch! You can see she looks to have a bit of a rash. Right now she is enjoying another bone.

UPDATE Later this evening I this is what happened to Cinder's foot!

That sucker swelled up three times the normal size, was grossly inflamed and sore. We called emergency services and she said to put a sock on it and watch it closely and to bring her in first thing in the morning. If any changes and it gets worse to call back any time.

11/19/04
The swelling is down some, but the redness and inflammation remains.
Took her to the clinic and they put some ointment on it and bandaged it up to keep her from licking it. We go back in tomorrow morning for removal of her stitches and we will recheck that foot.
They think the foot irritation is a combination of Cinder's allergies, licking her toes, moisture, etc.

11/20/04
Cinder's foot looked GREAT today. But no sooner that tech took of the bandage that little brat when right for the foot again to start chewing and licking. So we put on more ointment and wrapped it back up. We will keep this up daily for the next few days so she sent me home with a "care package".
Stitches came out and everything else looks great. She is putting some weight on her leg but she still needs to take things SLOW and EASY.
Since Cinder is still taking Deramaxx we cannot put her back on her prednisone yet so we are doing every  other day Deramaxx and Benadryl twice a day.

11/27/04
Well so far all is going very well other than she has an ear infection and we had to run to the clinic to pick up some meds this morning. Cinder is putting weight on her leg and using it much more. We still leash walk her - you see it has snowed here and Labs LOVE snow. It is the only way to keep her from running her foolish head off out there. She spends more time with us and not confined to her x-pen as much any more.
The scarring is hardly noticeable.

12/14/04
I have to apologize for such a delay in my updating. I've gotten emails from a few online friends wanting to know her progress. Sorry I have neglected making updates. But I am sure you can understand.
It has been very time consuming caring for Cinder and I have not had time to sit and just type for a while. We have had several bumps in the road over the past couple weeks. Cinder's allergies took over with a vengeance from being of her prednisone and was/is losing hair every time she blinks. She got an ear infection and we had to pick up some drops to put in her ears to clear that up.

We finally got her off her pain meds and she started some minor limping again. I was told this was normal and will probably continue off and on over the next couple months. We started her back on Prednisone on 12/10/04 and the itching has let up!!

Last night at about two thirty in the morning she was crying to go outside. I took her out and noticed there was blood in her urine. I call the vet today and I had to collect a urine sample and we are going in at 3:00 to see Dr. Holly.

I am SO burnt out. Not from caring for Cinder, I would do anything for her. But just seeing her go through so much. So undeserving!! I had myself one good cry this afternoon. Hit me like a ton of bricks.
Hasn't this girl been through enough!! She so misses running in the snow you can see that in her eyes every time she goes out, and does not  understand why she can't run and romp with the other two.

*UPDATE* Indeed a UTI and she is taking Baytril 

12/21/04
Not much has changed. Cinder is been taking her Baytril and seems to be doing much better. Still on limited movement around the house and leash walks outside. Doc said to keep this up for another 2 months.

12/28/04
Well I just cannot believe the luck!!! Cinder's surgery knee was making some obnoxious popping sounds so I took in into the clinic at 4:15 Monday 12-27-04 and she re-injured the knee. Dr. Holly said she should have put a second suture in from the start and seemed pretty upset by it and blamed herself. She had really thought the one suture would do it. So we return on January 10th for that leg to be redone. Oh Cinder what ever will we do!!???


01/10/05
And here we are, back were we started. I dropped Cinder off at the clinic at 8 a.m. this morning and they just called a 11:55 a.m.
She is waking up and doing great. They also removed a cyst from just above her eye and she certain that it was nothing. So she will come home with a few stitches thrown in there as well. My poor pin cushion!! I pick her up tomorrow at 9 in the morning, so now it is the long wait until then.

01/19/05
With just one day to go before the bandage and sutures come out Cinder really did a number on herself! I jumped into the shower and was not in there for even 10 minutes. As soon as I jumped out I do as I always have, that is creep down the hall and check up on her.
WELL in that time she managed to push the bandage down her leg and expose the incision. Removed about 4 sutures. AAHHHHHHHHHHHHH!!!!
The bandage now was pinching pretty tight to I quickly grabbed my scissors and cut it completely off her leg. This revealed much worse, and probably why she so badly wanted that thing off. She had several moist, red puss spots on her leg.
I semi-bandaged it back up just to protect it and drove to the vet clinic. In that short drive she managed to chew her leg even more where it was now bleeding. Her foot had also swelled much like it did the first time around.

They cleaned her up and said her remaining sutures must stay in for another 5 days. They applied some nfx puffer for those wounds on her leg and said to keep the leg unwrapped so that it can dry up. Moisture, bandage tape and gosh knows what else seem to be the enemy with Cinder. I think she is allergic to herself at times!
She was also "crowned" with an E-collar so she gets to walk around looking like a lampshade.

If looks could kill!! Don't you feel sorry for me???????

This photo is a bit graphic but looks worse that what it is. She is much more swollen this time around because of making two cuts in the same area in 2 months time. She also has some weeping out of that incision (normal) so along with that puffer powder it has created a green tint and makes it look more disgusting. You can see where she pulled out those sutures and you can also see some of those red sores on her leg. The worse is actually down on her toes and her hock where there was more contact with the tape.

01/24/05
Sutures came out and all is okay.

02/05/05
She is in ruff shape. Losing hair in huge patches. Itchy, gunk in ears. She is no longer on pain meds and gimping around the house a bit. Taking Atarax for her allergies but not doing us any good. I so badly want her back on Prednisone!!!! Still wearing her head gear and maneuvering well with it...can even manage a back foot in her mouth! SNOT!
Every night we sit on the sofa and watch TV. Blair carries her out there and lays her on the sofa and she curls up between us. I just want my old Cinder back.

02/17/05
The Atarax is doing us no good but we are keeping things under control as best we can for now. To keep her from itching and licking herself into one giant walking sore she just keeps her cone on. She is spending more time outside the crate and enjoys evenings out in the living room with us and snuggle time with Gryphon.
She is using the leg a bit more and some days she does not use it at all. I think things are just healing slower than before with having two surgeries on that same spot so close together. I am trying to be optimistic!!

Snuggle time with Gryphon Pouting becaues she cannot walk down the stairs

It became quite hard keeping up with work, caring for Cinder and updating her Diary. It has been one long process. Cinder was diagnosed with a pretty bad case of arthritis in her injured leg and she may possibly have some in her good leg. Since her second surgery Cinder has gotten grey in the face and she no long gets around so well. She has her moments when she is feeling great and wants to run and play, but for the most part she has a very hard time going up and down stairs and it is almost painful to watch her get into a sit position comfortably.

Right now I am trying do find what I can to make her comfortable. The glucosamine/chondroitin supplements just don't seem do be doing the trick these last couple months.

Thanks to everyone who wrote and gave us encouragement during those long winter months.


The scar left behind

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