
TIBIAL PLATEAU LEVELING OSTEOTOMY (TPLO)
For Cruciate Ligament Rupture
What is a TPLO?
A Tibial Plateau Leveling Osteotomy (TPLO) is a surgical procedure used to treat a cranial cruciate ligament (CCL) rupture in dogs.The cranial cruciate ligament is an important stabilising ligament in the knee (stifle joint). When it tears, the knee becomes unstable, painful, and can lead to arthritis. Similar to ACL injury in humans.Instead of replacing the ligament, a TPLO changes the biomechanics of the knee so it can function without the ligament. This gives a longer lasting repair in dogs that should last the life time of your pet.
Why do we perform a TPLO?
Dogs with a torn CCL often show:
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Limping or lameness in a hind leg
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Difficulty rising, jumping, or playing
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Reduced activity levels
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Pain and stiffness, especially after rest
Without surgery:
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The joint remains unstable
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Arthritis progresses over time
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Long-term pain and reduced quality of life can occur
A TPLO is recommended because it provides a reliable return to function, especially in active, medium to large breed, or working dogs.
What are the benefits of a TPLO?
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Excellent return to normal or near-normal function
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Improved stability of the knee joint
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Reduced pain
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Slows progression of arthritis
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Earlier and more controlled return to activity compared to some other techniques
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High success rate in most dogs
What are the risks?
All surgeries carry some risks.
With TPLO, potential complications include:
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Infection
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Swelling or bruising
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Delayed bone healing
Less common risks:
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Implant (plate or screw) complications
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Meniscal injury within the joint
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Persistent lameness
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Need for additional surgery
We do everything we can to mitigate these risks.
What is the recovery period like?
Recovery from a TPLO is structured and very important for a successful outcome.
First 2 weeks:
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Strict rest (crate or small room confinement)
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Short leash walks for toileting only
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Pain relief and anti-inflammatory medications
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Monitor the incision for redness, swelling, or discharge
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Use of an Elizabethan collar to prevent licking
Weeks 2 to 8:
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Gradual increase in controlled leash walking
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Continued restriction (no running, jumping, or playing)Introduction of physiotherapy exercises if advised
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Joint Supplements
Weeks 8 to 12:
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X-rays to assess bone healing
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Gradual increase in activity if healing is progressing well
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More structured rehabilitation may begin
After 12 weeks:
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Gradual return to normal activity
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Continued strengthening and conditioning
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Full recovery typically takes 3 to 4 months, sometimes longer
Longer-term outlook
Most dogs regain excellent limb function after a TPLO.
Some arthritis will still develop over time, but surgery helps slow this process. Maintaining a healthy weight and regular controlled exercise is very important.
We are here to assist you,
if you would like to book a consultation with our orthopaedic surgeon or have any questions,
our team is here to guide you through every step.
Please don't hesitate to give us a call.