​​​

The lateral suture

This is an older technique and except for very small patients with very unstable joints we rarely perform this procedure. The advantages are that it is the least invasive, potential complications can normally be easily dealt with and it requires minimal instrumentation to perform. The disadvantages are that dogs are generally very uncomfortable afterwards and the mechanism of action is just to create scarring around the joint.

The more recent methods using osteotomies (bone cuts) produce far superior results. The goal of these procedures is to accurately change the geometry of the knee joint so that the cruciate ligament is no longer required. In the vast majority of cases we achieve a rapid improvement in comfort and function with many dogs weight bearing the day following surgery (healing though does take up to 8 weeks and with off lead exercise at 12 weeks) The disadvantages are that they all require far more experience and considerable instrumentation. Complications which are fortunately rare can be more serious.

​

TPLO

These procedures require far greater experience and more instrumentation. For a radial cut TPLO we have invested over £12k on a dedicated saw alone and also carry a considerable stock of implants. Studies show that these surgeries create a much more stable joint.

Cranial closing wedge TPLO

This is the original version and involves removing a precise wedge of bone from the tibia to reduce the tibial plateau angle to 3-5 degrees. The tibia is then stabilsed with a locking plate and 6-9 screws. Sometimes an additional pin and wire are used.

This method is especially suited for smaller dogs, dogs with steep plateaus and can be performed in any size. For immature patients that are still growing this is the most suitable method.

We have performed this procedure in dogs ranging from 5-50 kg

Radial cut TPLO

This method involves making a precise curved cut below the tibial plateau. This piece of bone then is precisely rotated and then secured with a locking plated and 6-9 screws. The goal is to again reduce the plateau angle to 3-5 degrees. This method is especially suited for larger dogs over 20kg. This is the most common of the advanced procedures to be performed in the UK.

​

​

​

​