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TPLO-Tibial Plateau Leveling Osteotomy: Everything You Need To Know About This Advanced Knee Surgery

Are you dealing with a dog that has a torn ACL or other knee injuries? If so, then TPLO-Tibial Plateau Leveling Osteotomy may be the solution for your furry friend. This advanced knee surgery is becoming increasingly popular because of its success rate in restoring mobility and improving quality of life for dogs. However, before deciding on this procedure, it's important to know everything about it - from how it's done to the risks involved. In this blog post, we'll cover all aspects of TPLO surgery and help you make an informed decision about your pet's health. So sit back, relax and let’s dive into the world of TPLO!

What is TPLO-Tibial Plateau Leveling Osteotomy?

TPLO, which stands for Tibial Plateau Leveling Osteotomy, is a surgical procedure used to treat knee injuries in dogs. Specifically, it is most commonly used to repair torn cranial cruciate ligaments (CCLs) in the knee joint. The CCL is similar to the ACL in humans and can be damaged by trauma or degeneration over time. The TPLO surgery works by altering the angle of the tibial plateau – the top surface of the shinbone – so that it no longer slopes downwards as much as it did before. This helps eliminate the need for a healthy CCL altogether and enables scar tissue to form between bone structures, creating stability. The procedure involves cutting through and reshaping bones within your dog's knee joint. The surgeon will make an incision near your pet’s knee and use special instruments to cut through one of these bones - usually at a 90-degree angle - then rotate it until its surface becomes level with other parts around that area. While TPLO surgery may seem complex and daunting at first glance, it has proven successful in treating many dogs’ orthopedic conditions when performed correctly by experienced veterinarians specializing in orthopedics.

How is TPLO Performed?

TPLO surgery is a complex and advanced procedure that requires extensive knowledge and experience of the veterinarian. It involves cutting the tibia bone to change its angle, which will ultimately lead to a better weight distribution across the knee joint. To perform TPLO surgery, your pet will first undergo general anesthesia. The veterinarian will then make an incision in your dog's leg to access the knee joint. Once they reach the affected area, they will remove any damaged cartilage or meniscus before assessing how much correction needs to be made. The next step is creating a semi-circular cut in your dog's tibia bone using specialized equipment like saws and drills. This technique allows for precise control over the level of correction needed while preserving as much healthy bone tissue as possible. Once the cut has been made, a metal plate designed specifically for TPLO surgery is attached with screws onto your dog's tibia bone to stabilize it during healing. Your pet may also require additional stitches or bandages on their leg after surgery. TPLO surgery can take approximately 1-2 hours depending on various factors such as age and size of your pet, severity of injury and other underlying health conditions. After completion of this intricate process, you can expect your furry friend to remain under observation until fully conscious before being sent home with specific care instructions from their veterinarian.

What are the Risks and Complications Associated with TPLO surgery?

As with any surgical procedure, TPLO surgery comes with potential risks and complications. It's important to understand these risks before deciding if the procedure is right for you and your pet. One common complication is infection at the surgical site. While rare, it can occur and may require additional treatment such as antibiotics or even a second surgery to correct. Another possible risk is damage to nearby nerves or blood vessels during the surgery. This could result in temporary or permanent damage to mobility or sensation in the affected limb. Some dogs may experience pain, swelling, or stiffness following TPLO surgery. This typically subsides over time but can be managed with medication prescribed by your veterinarian. In some cases, there may be an issue with implant failure where screws or plates used during the procedure come loose or break. If this occurs, further surgery may be required to fix it. It's essential to have a thorough discussion with your veterinarian about all of these potential risks and complications before making a decision on whether TPLO surgery is right for you and your furry friend.

How Long Does it Take to Recover from TPLO Surgery?

Recovery time after TPLO surgery can vary depending on several factors, such as the age and health of the dog, the severity of the injury, and how strictly post-operative care instructions are followed. However, most dogs will require a minimum of 12 weeks to fully recover from TPLO surgery. During this recovery period, your dog's activity level will need to be severely restricted. This means no running, jumping or playing for at least eight weeks following surgery. Your vet will likely recommend short leash walks only during this time. Medications may also be prescribed to manage pain and inflammation during recovery. It is important that these medications are taken as directed by your veterinarian. Physical rehabilitation exercises may also be recommended to help strengthen and stabilize the knee joint as it heals. These exercises should only be performed under the guidance of a veterinary professional trained in canine physical therapy. It is crucial that owners follow all post-operative care instructions provided by their veterinarian to ensure optimal healing and reduce the risk of complications during recovery.

Is TPLO surgery Successful?

TPLO surgery has been proven to be highly successful in the treatment of cruciate ligament injuries in dogs. This is due to the fact that it addresses the underlying cause of the injury by altering the angle at which forces act on the knee joint. By doing so, TPLO surgery reduces pain and inflammation while restoring stability and function to the affected limb. Studies have shown that over 90% of dogs who undergo TPLO surgery experience significant improvement in their quality of life within a few months following surgery. In many cases, they are able to return to their normal activities without any restrictions or limitations. However, as with any surgical procedure, there are no guarantees when it comes to outcomes. Factors such as age, size, and overall health may impact a dog's ability to fully recover from TPLO surgery. Additionally, proper post-operative care is essential for ensuring long-term success. While success rates may vary depending on individual circumstances, TPLO surgery remains one of the most effective treatments available for cruciate ligament injuries in dogs.

What are the Alternatives to TPLO Surgery?

There are several alternatives to TPLO surgery that pet owners can consider. One option is a tibial tuberosity advancement (TTA) procedure, which involves making a cut in the front of the tibia bone and repositioning it with a metal implant. This method is similar to TPLO but may be less invasive and have a shorter recovery time. Another alternative is extracapsular repair, also known as lateral suture stabilization. This procedure involves using strong suture material to stabilize the knee joint and support healing of damaged ligaments. It's typically recommended for dogs under 50 pounds or those with low activity levels. In some cases, conservative management may also be an option for certain pets. This approach involves managing symptoms through rest, medication, physical therapy, weight loss, and other non-surgical means. It's important to note that each case is unique and should be evaluated by a veterinary professional before deciding on any course of treatment. Your veterinarian will work with you to determine which treatment option best fits your pet's individual needs and lifestyle requirements.

Conclusion

TPLO surgery may seem like a daunting procedure for pets and their owners, but with the right veterinary team and proper care during recovery, it can greatly improve your pet's quality of life. It is important to weigh all options and discuss them thoroughly with your veterinarian before deciding on any treatment plan. While TPLO may be the preferred surgical option for many cases of ACL injuries in dogs, there are also alternative treatments such as conservative management or other types of surgeries that may be suitable depending on the specific case. Ultimately, consulting with a trusted veterinarian who specializes in orthopedic procedures will ensure that you make an informed decision regarding your pet's health and well-being.


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