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Tibial plateau leveling osteotomy (TPLO)This means the dog returns to normal or near-normal performance with the affected leg. In the dogs knee, the thing that prevents this shifting of the two bones from happening is the cranial cruciate ligament. Breakage of screws holding the plate can result in delayed bone healing or the bone not healing at all. Below I am describing the TPLO, what it is, how it works, complications, and recovery. We suspect that this leads to early degeneration of the ligament over time and is why a majority of dogs get cruciate ligament tears without having a traumatic injury to the joint like people require. There are many different ways of treating cruciate ligament injury in the dog and there is, unfortunately, no "right" way of treating it. With the TPLO surgery, the outcome in a majority of cases (90%+) is good to excellent function on the leg. The tibial plateau is the top part of the tibia which comes in contact with the condyles of the femur. Subsequent meniscal damage after the surgery can occur which would require a second surgery to remove the damaged meniscus. The most common complications involve the bone plate and screws that are placed to hold the bone still while it heals. Plate infection can occur and if it does, can be very difficult to completely eliminate. Recovery from TPLO surgeries varies depending on the veterinarian performing the surgery. What research has found is that when the muscles around the dogs knee contract, such as during any weight-bearing activity like walking or running, the effect of the muscles working against this slant in the tibial plateau, causes the femur to want to slide back and down the slant in the plateau, thus making the femur and tibia want to shift compared to one another. TPLO surgeries tend to be reserved for the medium, large, and giant breed dogs and the very active dogs. This is a complication of every procedure that is done to repair cruciate ligament tears and occurs in about 10% of dogs. Finally, the most common complication is infection or opening of the skin incision, both of which can be treated relatively easily. Complications with the TPLO can occur and range from 10-20% depending on what you read. Other things during the recovery like physical therapy are also sometimes advocated to speed up the recovery. By doing this, when the muscles around the knee contract against the now almost flat tibial plateau, the two bones are neutral and there is no desire for the femur to shift on the tibia. If you would like to learn more about cruciate ligament disease or other surgical diseases in dogs and cats, or if you would like a more detailed desc In people, the tibial plateau is a flat surface. This process has been termed cranial tibial translation in our field. Tibial plateau leveling osteotomy (TPLO) is a very commonly performed surgery to treat dog cruciate ligament injury. Tibial plateau leveling osteotomy (TPLO)In the dogs knee, the thing that prevents this shifting of the two bones from happening is the cranial cruciate ligament. In people, the tibial plateau is a flat surface. The plateau is then stabilized in this new position with a specially designed bone plate and bone screws while it heals back together in this abnormal position. Recovery from TPLO surgeries varies depending on the veterinarian performing the surgery. These leash walks should be gradually increased over the full three months. We suspect that this leads to early degeneration of the ligament over time and is why a majority of dogs get cruciate ligament tears without having a traumatic injury to the joint like people require. This is usually a temporary problem that resolves over a few weeks on its own. The tibial plateau is the top part of the tibia which comes in contact with the condyles of the femur. This is a complication of every procedure that is done to repair cruciate ligament tears and occurs in about 10% of dogs. The TPLO procedure involves cutting straight across the top part of the tibia with a semi-circular or biradial saw blade to free up the tibial plateau then turning the plateau so that the slant goes from around 25 degrees on average to 5 degrees. By doing this, when the muscles around the knee contract against the now almost flat tibial plateau, the two bones are neutral and there is no desire for the femur to shift on the tibia. After 3 months, if the bone has healed radiographically and the dog has not had any set-backs, they can return to normal, off-leash activity. Decisions about which surgery is the best for your dog should be made in consultation with your veterinarian who will give you their recommendations. The tibial plateau leveling osteotomy is a procedure that involves cutting the top part of the weight-bearing surface of the tibia, rotating or turning it to remove the slant or angle to it, then allowing it to heal in this abnormal position. The end result of this process is that it puts the knee in a neutral position during weight-bearing and effectively eliminates the need for the dog to have a cruciate ligament. With the TPLO surgery, the outcome in a majority of cases (90%+) is good to excellent function on the leg. The plateau is where both cruciate ligaments orginate from and is also where the two menisci sit. Breakage of screws holding the plate can result in delayed bone healing or the bone not healing at all. The most common complications involve the bone plate and screws that are placed to hold the bone still while it heals. There are many different ways of treating cruciate ligament injury in the dog and there is, unfortunately, no "right" way of treating it. Complications with the TPLO can occur and range from 10-20% depending on what you read. Effectively, this eliminates the need for the dog to have its cruciate ligament. Cruciate ligament tears in dogs are by far the most common orthopedic injury that veterinarians see. Breakage of the bone screws holding the plate in place occurs more frequently than breakage of the plate. In general, dogs are limited for 3 months to on-leash activity only. Subsequent meniscal damage after the surgery can occur which would require a second surgery to remove the damaged meniscus. This means the dog returns to normal or near-normal performance with the affected leg. It is technically the "weight-bearing surface" of the tibia. This is to prevent running, jumping, twisting and turning motions that could damage the repair or the other hind leg. This will require long term antibiotic treatment and may ultimately require that the plate and screws be removed once the bone has healed, usually around 3 months. Tibial plateau leveling osteotomy (TPLO) is a very commonly performed surgery to treat dog cruciate ligament injury. Finally, the most common complication is infection or opening of the skin incision, both of which can be treated relatively easily. This process has been termed cranial tibial translation in our field. Below I am describing the TPLO, what it is, how it works, complications, and recovery. Fracture of the tibia or fibula can occur but is also rare. Dogs are encouraged to use the leg when they are willing so once they are putting it down with each step and no longer holding it up, they can start leash walks. If you would like to learn more about cruciate ligament disease or other surgical diseases in dogs and cats, or if you would like a more detailed desc Therefore, every time the dog takes a step, it is stressing its cruciate ligament. TPLO surgeries can be performed on any size dog except maybe the very tiny, teacup-size dogs like Teacup Poodles and Chihuahuas. Fortunately, both of these are rare. What research has found is that when the muscles around the dogs knee contract, such as during any weight-bearing activity like walking or running, the effect of the muscles working against this slant in the tibial plateau, causes the femur to want to slide back and down the slant in the plateau, thus making the femur and tibia want to shift compared to one another. He spends most days performing TPLO surgeries to repair cranial cruciate ligament injuries in dogs. Inflammation of the patellar tendon can occur during the recovery leading to pain. To understand how this works, you need to understand the dog's anatomy within the knee or stifle. This does sound like a very radical approach to fixing a torn ligament, but it has been shown over many years and hundreds of thousands of dogs to be very effective. So, which dogs require TPLO surgeries? Unfortunately, there are no hard and fast rules when it comes to cruciate ligament repair in dogs. 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