Tibial Plateau Levelling Osteotomy (TPLO) Surgery for Cruciate Rupture in Dogs at Townsend Veterinary Clinic

Performed by:   

Adrian Wallace BVSC (Hons) MANZCVS (Small Animal Surgery), Diplomate ECVS - Registered Specialist in Small Animal Surgery 

There are numerous repair techniques available for cranial cruciate ligament rupture. None of them has a 100% success rate. The more basic suture technique (extracapsular repair or DeAngelis) is working on the principle of trying to replace the function of the ligament, and it is successful in returning the dog to normal function in about 85% of cases. In some cases, the suture fails prematurely and revision surgery is required. This surgery seems to be less reliable in larger dogs. TPLO on the other hand, has particular application in working dogs, active dogs, large and giant breeds and dogs with abnormal conformation. Dogs following TPLO surgery recover more quickly, with less scar tissue, meniscal injuries are less likely (compared with suture techniques) and the procedure is more reliable with a smaller percentage of dogs requiring a second surgery.

Tibial Plateau Levelling Osteotomy (TPLO) surgery is an operation that is designed to reduce the tibial plateau angle to approximately 6 degrees so that the hamstring muscle group can provide stability of the knee joint whilst walking and running. The TPLO surgery is a technically difficult operation that involves cutting the bone near the knee joint with a radial saw and then rotating it and securing it in a new position with a bone plate and screws. Dogs recover surprisingly quickly from this surgery. Patients will often use the leg within a few days of the operation. Typically the lameness has completely resolved by 6 weeks post surgery. Use of the leg should continue to gradually improve after surgery with a complete return to normal function by approximately 3 months post surgery. 

The team at Townsend Veterinary Clinic work closely with Dr Adrian Wallace – Registered Specialist in Small Animal Surgery. If your pet has a condition requiring specialist treatment, Townsend Veterinary Clinic can facilitate the surgery to be completed in our clinic by Dr Wallace! 

Dr Wallace grew up in Yackandandah in North East Victoria and attended Wodonga High School. He graduated from the University of Melbourne with Honours in 1995. After a period in general practice, Adrian completed an internship in Small Animal Surgery at the Northern Sydney Veterinary Specialist Centre. In 2004 he was awarded membership to the Australia and New Zealand College of Veterinary Scientists (Small Animal Surgery). In 2005 Adrian gained entry into a residency training program in Small Animal Surgery at the University of Cambridge in the UK. The training program encompassed Soft Tissue Surgery, Orthopaedics and Neurosurgery. Adrian became a Diplomate of the European College of Veterinary Surgeons in 2009 following successful written, oral and practical examinations. Following residency training Adrian worked at the University of Cambridge as a Staff Surgeon in Soft Tissue Surgery then the University of Bristol as a Staff Surgeon in Orthopaedics and Neurosurgery, eventually being promoted to the role of Clinical Lead in Small Animal Surgery at Bristol. Adrian returned to Australia in 2012 to take up a position as Lecturer in Small Animal Surgery at the University of Melbourne. Following a two year stint at the University, Adrian has worked in private referral practice in Melbourne at Animal Accident and Emergency and the Centre for Animal Referral and Emergency. Since returning from the UK, Adrian has also performed    

some consultancy work in Adelaide and China. 

TPLO package – what’s included:

TPLO surgery performed by specialist surgeon Dr. Adrian Wallace

General anaesthesia with advanced monitoring

Intravenous fluids 

Red blood cell and platelet check 

Epidural for pain relief 

Additional injectable and transdermal pain relief 

Injectable and take-home antibiotics 

Immediate post-operative radiographs

Hospital care

Post-operative checks & rehabilitation:

- Post-op check at day 3, and then weekly for up to 6 weeks 

- Rehabilitation with nurse Kim at each weekly check for up to 6 weeks 

Please don’t hesitate to call with any questions regarding TPLO surgery on (02) 6046 9846. We are happy to email you additional information on cruciate rupture and TPLO surgery at your request. 

More information can be found at: