The surgery itself is the easy part, the challenging part will fall on you to keep your dog somewhat quiet and still for 6 – 8 weeks post- op. You simply have to assume a slightly higher risk and work a little harder at keeping your pet calm and quiet. If you have a large, active dog and cannot afford the TPLO or TTA, the lateral suture will still work very well. So if you have that large, super active pup that will not slow down, or you simply want to reduce the risk of them re injuring themselves and tearing the false implant, then the TPLO or TTA may be the way to go. The younger the dog, the more active it is likely to be. The larger the dog, the more weight is being put on the cranial cruciate ligament. The implant may tear if they move in a way that caused the original one to tear, thus needing a second surgery.
So, with the lateral suture technique, you have to be willing to assume a slightly higher risk that your pet could re-injure themselves.
However, steel plates are very expensive and take more time to implant, thus part of the reason for the huge difference in price. The TPLO and TTA are performed with steel plates that are stronger than a false ligament. The TPLO and the TTA techniques were developed somewhat recently as a stronger repair because, quite simply, if dogs can tear the ligament they were born with, then there is a risk of tearing the new one we put in. It is performed by replacing the torn ligament with a false ligament on the outside of the joint. It can be performed on all sizes and ages of dogs. Until the last decade or so, it was the only way to repair an ACL tear in dogs. We only offer the lateral suture technique at Helping Hands. The good news is, they all work and have good success rates as long as you follow proper post op care. Anytime there are three different ways to do anything, it is because not one of them is the best or the best way would be the only way. The lateral suture technique, the TPLO or the TTA. Dog ACL Surgery Options – Lateral Suture, TPLO & TTAĬurrently, there are three different procedures to repair an ACL tear. This knee repair technique is also sometimes called the tightrope or extracapsular repair. Here at Helping Hands, we fix the torn ACL in dogs by simply replacing the ligament with a new one, which we call the lateral suture technique. This is called a cranial drawer motion, as it mimics opening a drawer. Tearing this ligament causes instability in the knee joint that allows an abnormal motion leading to debilitating arthritis over time. Pet’s stand with their knees slightly bent, so there is more constant strain on the cruciate ligament then in human knees. ACL Injury in DogsĬruciate ligamant tears in a dog’s knee are quite common. ACL is short for anterior cruciate ligament (Technically a CCL in dogs – cranial cruciate ligament, because dogs walk on four legs instead of two).
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