TPLO Surgery

TPLO Surgery

TPLO Surgery

TPLO Surgery

When you call for pricing on the TPLO procedure, we make it simple: $3,500 for dogs between 30 and 80 lbs, and $3,800 for dogs over 80 lbs.

Dr. Matt Peuser has advanced training in cruciate ligament repair. Not only TPLO surgery, but also fracture repair, luxating patella repair, femoral head ostectomy and others.

Tibial Plateau Leveling Osteotomy (TPLO)

The TPLO is an advanced technique for repair of the torn cranial cruciate ligament (CCL – the same as the ACL in humans). Rupture of the cruciate ligament is the most common orthopedic injury of dogs of all breeds and especially large breeds such as Labrador Retrievers and Rottweilers

When the cruciate ligament is torn, the femur slides backward, pushing the tibia forward. The figure above shows the function of the cruciate ligament. When it’s torn, the wagon (your dog’s femur) slides forward. TPLO surgery flattens the tibial slope (as seen in the second part of the image), eliminating the need for the cruciate ligament.

How do we do flatten the slope? First, we take measurements from the pre-operative radiographs to plan the surgery. In surgery, a curved cut is made into the tibia. This piece is then rotated a pre-determined distance to flatten the slope. A plate and screws are placed to hold the two pieces of bone together to allow the bone to heal, which typically takes around eight weeks.

​​​​​​​The radiograph below shows an immediate post-op TPLO patient. The curved cut can be seen, along with the plate and screws. Skin staples are also evident. These are removed two weeks later. Additional x-rays are taken at eight weeks post-op to assess healing.

Pain control and Recovery

Preventing pain is of the utmost importance to us. All TPLO patients a femoral and sciatic nerve block to block the pain before it starts, a constant rate infusion (CRI) of IV pain medications including opioids, an NSAID, and Nocita. Nocita is a local anesthestic that is injected around the incision site and lasts for 72 hours. All patients are sent home on oral pain medications as well. Post op laser therapy is performed to help reduce pain and inflammation.

TPLO patients go home the same day. Most pets are walking within days, some even the same day. However, it’s critical to limit their activity until the bone is healed (8 weeks). Antibiotics are administered daily, and all pets MUST wear an E-collar for the first two weeks to prevent infection.

Half of the work for your pet’s recovery from a torn ACL is at our hospital with Dr. Peuser doing the surgery; the other half is the rehab/recovery period at home. Physical therapy needs to start immediately. We provide rehab instructions for the eight-week post-op period for exercises to do at home including passive range of motion exercises. A local Certified Canine Rehabilitation Practitioner is also available for referral, and our therapy laser can be used frequently in the first two weeks after surgery.

TPLO surgery has become the number one surgical choice to repair ruptured cruciate ligaments in dogs. At Advanced Veterinary Care, we’ve been doing orthopedic surgery for nearly 20 years and have taken advanced training in the TPLO technique. Call us today or book a consultation online!

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