Cranial Cruciate ligament repair surgical techniques
At Mercer Street Veterinary Hospital, we offer various affordable surgical options based on the breed, weight, size, type and intensity of damage and any other concurrent disease (patellar luxation).
Extra-capsular cruciate repair
There are various kinds of techniques under this category and a couple of common ones are:
- Lateral fabella to tibia suture: With this surgical technique we basically create an artificial ligament support to the knee joining by passing a strong monofilament suture around the lateral fabella to the tibial tuberosity. This technique is one of the oldest, most affordable and has decent success rate for dogs under 30 lbs.
- Isometric cruciate repair (or Tightrope technique): The isometric technique is actually an improvement over the simple extra-capsular cruciate repair technique. Being extra-capsular this improved technique involves less invasive procedure than others (like TPLO), reportedly better outcome and faster recovery. This surgery uses a very strong multifilament suture material placed on isometric points on femur and tibia through small bone tunnels resulting in a stable knee joint. This technique is ideal for dogs less than 40 lbs and not too steep tibial plateau angle (TPA).
Tibial Plateau Leveling Oseotomy (TPLO)
Tibial Plateau leveling osteotomy or TPLO is the most successful procedure and now considered as a gold standard way of surgical management of dogs with cruciate deficient dog knees. It is commonly opted for dogs more than 30-40 lbs of body weight or steep tibial slopes which makes patient unfit for the extra-capsular cruciate repair.
In this surgical technique, the top portion of tibia is cut with a circular saw, rotate and secured with specially made TPLO bone plates with locking crews resulting in the slope change of about 5 degrees. This prevents the femur bone from sliding down the slope of tibia bone when the dog puts weight on the knee.
At Mercer Street Veterinary Hospital, we use latest, minimal contact locking plates and hardware for best possible results. This technique requires special training and Dr. Gurm is trained in this technique. Most of the dogs are expected to regain a very active and athletic lifestyle with proper initial exercise restraint and rehabilitation.
Like any other surgical procedures there may be complications in some cases. Even though the complication rate in these surgeries is generally less than 10%, the potential complications may include implant failure, fracture/s of the bones involved and infection. Most of these complications are the direct result of not following up in exercise restrictions as recommended by the surgeon. It is therefore extremely important to religiously follow up on instructions provided at the time of surgical discharge. If the complications do occur for one reason or another our surgeons at Madison Street Animal Hospital are trained to handle them medically and surgically.
Rehabilation process is as important as surgery as well. Please feel free to discuss these option with us so we can provide you with information on what is available around us.
At Mercer Street Veterinary Hospital e use the latest hardware, drugs, pain control and implants to repair cruciate ligament injuries and conditwions in dogs and cats. Dr. Gurm, his associates and clinical team looks forward to answer any or all of the questions that you may have.
Feel free to contact us to schedule a complimentary consult with one of our Veterinarians!