Extracapsular Techniques
for CCL Injury
AKA “Ex-Cap Suture,” “Lateral Fabellar Suture Stabilization,” and “Fishing Line Technique.”
Reliable Technique
Patient Selection
For best results, we focus on this technique for dogs and cats with a CCL injury that are
< 30 lbs in weight.
Patient age, body condition, lifestyle, and concurrent diseases may help determine whether an extracapsular technique or osteotomy procedure would be a better option for pets weighing 15-30lbs.
Recovery
Extracapsular repairs depend on the body’s healing and fibrosis to occur around the synthetic over time.
This technique generally requires 6-8 weeks of recovery at home.
Success Rates for This Procedure are Reported Around 85%
Complications
- General Surgery Risks
- Implant Failure (Synthetic Material Stretching or Breaking)
- Implant or Bone Infection (Osteomyelitis)
- Bone Fracture
- Subsequent Meniscal Injury
- Patellar Ligament Desmitis (Inflammation)
- Risk Contralateral CCL Rupture Within 1-2 Years
Rehabilitation
Rehabilitation protocols have been found to be beneficial in the recovery following knee surgery.
These protocols. are tailored to each specific patient and can be discussed with your veterinary team. General exercises to consider include:
- "Sit" & "Stand" Commands
- Eating While on an Elevated Surface
- Short Flights of Stairs
- "Dancing" Exercises
- Incline Walking
- Balancing & Weight Shifting to the Affected Leg
