ACL/ Cruciate Ligament Repair- TPLO

Rupture of the CrCL is the most common reason for hind limb lameness, pain, and subsequent knee arthritis.

The tibial plateau leveling osteotomy (TPLO) is  the "gold standard" procedure to address lameness due to cranial cruciate ligament disease in canine patients. It is effective in treating cruciate ligament disease in patients of all shapes and sizes. The geometric modification that the TPLO produces in the knee joint allows most patients to walk on the affected limb quickly, safely and gets them back to chasing that ball! 

This disease in canines is caused by. a plethora of factors including but not limited to:  aging, obesity, genetics, skeletal conformation, and breed. This disease is very different from ACL rupture in humans, which is primarily traumatic. 

* Approximately 50% of canine patients who tear the CCL on one side will tear the other side at some point. 

* Partial tears almost always progress to full tears given time. 

The TPLO is the most common procedure performed by NAVO and as a result, we are equipped and able to effectively treat a wide variety of patient sizes and shapes efficiently, effectively and give you and your baby the results you deserve.  

We know how inconvenient a torn cruciate ligament  is  for you and how painful it is for your pup.  We would like to help you every step of the way, from the initial consultation to the resolution of your dog's pain/ lameness. 

What you can  expect following TPLO surgery: 

Patients will need to be rested for at least 8 weeks following TPLO surgery. Modern TPLO implants are made of steel and are very strong, however, we would strongly recommend keeping your dog from playing/ running/ jumping on the leg until you have had radiographs to confirm the bone has healed. 

*NAVO will dispense medication for energetic pups that will  help them rest following TPLO surgery. This medication is both safe and effective to take daily during the recovery period. 

Most patients who receive a TPLO will be walking on the leg very soon after surgery, sometimes the day of surgery. However, all potty breaks need to be on a leash until the bone is confirmed to be healed via radiograph at 8 weeks. 

Additionally, Patients will be sent home with a cone. This is very important to use until the sutures are removed at 2 weeks. This prevents licking at the incision, which is the primary cause of implant infection. Implant infection generally requires implant removal once the bone has healed. 

You will be sent home with written discharge instructions that are personalized for your dog with instructions regarding medications, activity, rehabilitation and what to expect regarding the recovery timeline. We will work with you and your primary veterinarian to ensure both you and your companion are pleased.