Alternatives to surgery for dog ACL tears? Prolotherapy or cold lazer?

I work in human health insurance. Prolotherapy is generally not covered under human insurance since it really is not a proven procedure.
I had looked into having it done on my back about 10 years ago and ran from the doctor because he gave me the heeby jeebies. About a year ago we got an educational memo from one of our medical review vendors debunking prolotherapy.

It is not something I would consider for one of my pets. It has been around long enough that if it really worked it has had time to be proven and covered by the majority of insurance companies.

[QUOTE=Lizrd;7485767]
Six months ago I was completely pro-surgery for cruciate repair. Now, having a young Boxer experiencing complications in the repair of her second knee, I would encourage anyone to really consider the pros and cons of surgery. The end of our tunnel is not in sight and the ultimate result may be a second surgery to go in and remove her implant. Not any particular thing to blame - she developed an infection at the surgical site. Yes, we were religious about oral antibiotics and no, she did not lick, chew, or otherwise investigate her incision. Somehow a “bug” got in there. This procedure was done by an orthopedic vet who only does knees and he is also a family friend. I don’t question his protocols in any way and she even had a platelet rich plasma procedure to aide healing. The surgeon is as frustrated as I am that this happened.

Lesson learned: out of our four repaired knees, one had complications. You know the waiver you sign prior to surgery that talks about rare instances that probably won’t happen but you have to sign it anyway? Yeah. Those rare instances do happen to someone sometimes - just ask my dog![/QUOTE]

Its a common side effect of the surgery for the patient to reject the implant. However, after 12 weeks the implant is no longer needed so removing it will leave you with the benefits from changing the bone angle (helping the cruciate ligament). Some of our clients actually want the implant removed regardless if the pet is rejecting it or not, as some people believe it can cause cancer.

Wendy - not all dogs are candidates for tightrope repairs, depending on the tibial angle. However, yes this repair is FAR superior to the lateral suture in larger dogs. Unfortunatley it is not an option for every dog with cruciate disease. There is also bone drilling in this procedure.