Cranial cruciate ligament failure is a common cause of hindlimb lameness in dogs. Some small dogs can improve with appropriate pain relief and physiotherapy, but the majority of dogs require surgery in order to help them return to their normal activity levels and comfort. There are several available surgeries commonly used to treat cruciate disease in dogs.
The Modified Maquet Procedure (MMP) is a surgery we can now offer at Chestnuts. The aim of this surgery is to reduce the lameness and pain caused by cruciate disease. Studies have shown that over 75% of dogs will fully return to previous levels of function of the limb by 12 weeks after their MMP surgery.
The MMP technique is a minimally invasive surgical procedure where a titanium foam implant is inserted into the tibia bone, behind the point of the knee, surgically advancing the tibia and adjusting the forces placed on the knee joint. This helps to reduce instability of the knee (caused when the cruciate ligament is damaged) and improves the dog's comfort when standing and using the leg. A recovery period of restricted lead-only exercise is required for 6-8 weeks after the surgery. X-rays are performed 6 weeks after the procedure to ensure bone healing is adequate, and exercise levels can then be increased gradually back to normal off-lead activity.