A tibial tuberosity advancement (TTA) is used to treat a torn cranial cruciate ligament (CCL). In this procedure, a linear cut is made along the length of the tibial tuberosity, which is the front part of the tibia (shin bone). This cut bone is then advanced forward, and a specialiaed bone spacer is placed in the open space between the tibia and the tibial tuberosity. Finally, a stainless-steel metal plate is applied in order to secure the bone in place. Because the patellar tendon attaches to this tibial tuberosity, once it is advanced, the tendon keeps the femur from sliding back and forth and therefore stabilises the knee joint and eliminates the need for an intact cranial cruciate ligament.
This surgery is performed at our clinic by Dr. Peter Young - Bachelor of Veterinary Science BVSc (Honours) MANZCVS (Small Animal Surgery).
We accept referrals from other local and regional practices for this procedure.
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. TPLO surgery has particular application in working dogs, active dogs, large and giant breeds and dogs with abnormal conformation.
This surgery is performed at our clinic by Dr. Adrian Wallace BVSC (Hons) MANZCVS (Small Animal Surgery), Diplomate ECVS - Registered Specialist in Small Animal Surgery.
When this surgery is performed, an artificial ligament (usually a special strong type of stitching material) is placed to stop the abnormal movement of the animal’s knee. This artificial ligament does not go in the place of the pet’s original but damaged ligament, rather it is placed through a tunnel in the shin bone (tibia) and anchored in place so that it prevents the shin bone from sliding forwards. For the purpose of this surgical procedure, the word “extracapsular” means “outside the joint capsule.” Eventually over months and years we are also relying on scar tissue formation so that the tibia cannot move abnormally.
This surgery is performed at our clinic by Dr. Peter Young - Bachelor of Veterinary Science BVSc (Honours) MANZCVS (Small Animal Surgery) or by our other veterinarians on request.
An important part of the recovery of a patient after surgery such as a knee operation is the rehabilitation they receive. With the addition of an appropriate and thorough rehabilitation schedule, their recovery times can be decreased significantly.
Nurse Kim has completed further study in pet rehabilitation, and as such can design a specific exercise program for recovery from all types of orthopaedic surgeries such as knee, hip or elbow surgery. These programs will typically involve certain exercises to help decrease swelling at the surgery site, ensure the muscles in the limb build back their strength, and will also involve massage and stretching to keep the limb healthy and functioning well. Ice and heat are also important factors in rehabilitation and if used appropriately can aid recovery.
Post-operative physiotherapy sessions are included in all of our cruciate operations.
Tibial Plateau Levelling Osteotomy (TPLO) Surgery for Cruciate Rupture in Dogs at Townsend Veterinary Clinic
Adrian Wallace BVSC (Hons) MANZCVS (Small Animal Surgery), Diplomate ECVS - Registered Specialist in Small Animal 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!
TPLO package – what’s included:
TPLO surgery performed by specialist surgeon Dr. Adrian Wallace
General anaesthesia with advanced monitoring
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
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
Note that a similar package is offered for TTA surgery with Dr. Peter Young.
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: https://www.mobilesurgicalsolutions.com/