TPLO (Cruciate Surgery)
Cranial cruciate ligament (CCL) injuries are the most common orthopaedic problem in dogs. At Vet Marlborough, we provide expert diagnosis, advanced surgical treatment, and post-operative care to ensure the best recovery for your pet.
FAQ's
What is Cruciate Disease?
Cruciate disease is the most common orthopaedic injury in dogs, caused by a tear or rupture of the cranial cruciate ligament (CCL) in the knee. Similar to a human ACL, a damaged CCL leads to pain, instability, and difficulty walking, and may be linked to osteoarthritis. At Vet Marlborough, we specialise in diagnosing and treating CCL injuries to restore your dog’s mobility.
What is TPLO?
TPLO surgery is the gold standard for treating cranial cruciate ligament (CCL) injuries in dogs, offering faster recovery and long-term joint stability. At Vet Marlborough, we use the OssAbility guided TPLO system to precisely plan tibial rotation and implant placement, based on detailed pre-operative X-rays. Unlike traditional repairs, TPLO changes the mechanics of the knee so the ligament is no longer needed for stability. Most dogs begin weight-bearing within days and quickly return to normal mobility, helping them get back to the activities they love.
Are There Alternatives to TPLO Surgery?
Several surgical techniques exist for treating cruciate ligament disease, and the best choice depends on your dog’s age, size, weight, activity level, joint disease, and budget.
We offer MMP (Modified Maquet Procedure) and the traditional extracapsular lateral suture technique. MMP uses a titanium OrthoFoam implant to redirect forces from the quadriceps, compensating for the damaged ligament. It is quicker, less complex, and more affordable than TPLO, suitable for dogs up to 30kg, and has also been used in larger breeds. More information is available at www.orthomed.co.uk.
The traditional lateral suture technique is now mainly reserved for very small dogs when cost is a concern.
Regardless of the surgical technique used, the key to long-term success relies on the aftercare of your pet.
Muscles in the injured leg waste away very quickly following the injury through lack of use. A full recovery usually takes up to six months.
Comprehensive written post-op instructions are sent home at the time of discharge following surgery, together with a step-by-step guide to physical therapies and exercises that can be carried out at home to speed recovery, with regular check ups with your vet to monitor progress.
The first six weeks are the most critical, as the bone begins to heal. Confinement to a small area, such as a crate, is essential for the first six weeks after surgery. Short, controlled walks on a lead for toileting are allowed during the first two weeks, after which time they can be slowly increased, while following the programme of physio and rehab exercises. Your commitment to following the aftercare instructions will greatly influence both the speed of your pet’s recovery, and the success of the surgery.
Complications are uncommon but can occur with any surgical procedure.
The most common complication is post-op infection but can also include fracture, kneecap dislocation, injury to the meniscus (“cartilage”) after surgery and anaesthetic related problems.
If a complication occurs, your vet can usually resolve it. Occasionally a second surgery is required, but this is uncommon.
There can be no unrestricted activity in the house or backyard and no jumping or play with other dogs during this period. Slippery flooring surfaces are to be avoided.
If your dog suddenly becomes lame during the recovery period, you should visit your vet, as this is not normal.
Pre-Op Planning X-Rays
Post-Op X-Rays
