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The TPLO (Tibial Plateau Leveling Osteotomy) surgery has become one of the most popular orthopedic surgeries performed on dogs who have torn their cranial cruciate ligament, also commonly referred to as a dogs torn ACL. In fact, in most cases, thedogs are weight-bearing literally the day of surgery if not the next day. Hello Eden, It is my understanding that when one leg goes, the other leg usually does too due to the extra weight etc. My dog was 53 kg at the time. She has been doing great but now is limping on the rear right leg, almost toe touch weight bearing only. What is TPLO Surgery? MSPCA-Angell It is possible though! Last time he was almost normal after 6 weeks and never seemed to be shut down by overall body pain. Is this normal? Since activity will be limited for a while, feed your dog less than normal to avoid weight gain (which would put additional stress on those joints). She is also dribbling urine on our way outside. They can assess Miltons mobility and offer you the best exercises and ways to get his recovery back on track. 6 months post-opMost dogs should be walking and trotting normally (i.e. I took my girl to the vet today and he said he thinks she tore the ACL in the past and the lump we found is a cartilage build-up and arthritis. Im just hoping that his not standing on his own is a confidence issue and that one day soon hell realize he doesnt need to be so dramatic and can actually do it without assistance! Text: (843) 781-6430. Hi Don, There are ways to exercise and engage your dogs brain so that he or she remains content with less physical exercise. For potty he goes straight down the ramp into a 610 pen no running in the yard or anything. If you disguise the pain too much, she may try to do more than she is ready for, and re-injure herself, so be careful with that. I have seen screws break before due to over activity of the dog, but this doesnt have to be the case. Let us know how shes doing. Sounds hard with your weather conditions but you could help with physio moving his legs while she is lying on her side. My dog hates the raft-like collar around her neck but getting used to it. After surgery. Additionally, a dog can develop a joint or bone infection in the weeks or months after surgery. The only guarantee a surgeon has, is if you perform a procedure enough to be proficient at it, then eventually something will go wrong. I am sorry your dog is having issues with his TPLO surgical site. My husband said he has noticed a positive difference. This really isnt an expense we can afford. First, the vet will remove the torn CCL and examine the cartilage between the bones for additional damage. As a word of caution, this one isnt good for reactive dogs who would get worked up or start running around. All you can really do is try your best and it sounds like you are doing very well! Our vet said her right knee does have some degenerative changes and will likely require a TPLO on that knee as well Moderate swelling can be normal in the first five to seven days after surgery. They recommend another surgery to try to fix it before it becomes a fracture, and of course another large amount of money to do it. She doesnt seem to be in pain, but is not willing to let me massage her leg. Hi Caitlin, A dogs CCL helps connect the shin bone and thigh bone to the knee. Over the years, I have fielded many questions from my readers and clients about recovery from a TPLO (or other similar surgery). I hope you can find some answers for this acute lameness your dog is struggling with. My 100# Doberman had TPLO 4 weeks ago. Recently she ruptured both CCLs, jumping up on our deck. Weve now scheduled another appointment for later this month, but Im curious if slow healing could pose any permanent issues. If no issues were found on x-ray, the muscle weakness explanation makes sense. If you do decide to get some sort of sling for TPLO recovery, I highly recommend you size it to your dog ahead of time and do some practice sessions. Is delayed healing (and therefore delayed second surgery) the only problem, or could there be long-term issues with too much activity during recovery? HELP! He walks with his right leg sticking out a little bit but overall, no issues. Hes now doing this about every 15 minutes. Have your heard about any success with this modality? She has also been placed on Phycox a joint supplement, as she will certainly develops post traumatic arthritis in her knees This surgery is expensive, it was $5k, these days not many people have that much just sitting around somewhere waiting to be spent, and i didnt either.but Ellie, is family, you love them, dont want to see them in pain, so you bite the bullet, tighten the wallet and do itive always had labs, and Ellie is my second lab to have this injury. With two kids in college and one graduating HS, she is the baby of our family. TopDog Animal Health and Rehabilitation document.write(new Date().getFullYear());. If it were to fail, a TPLO procedure can still be performed. I would also suggest asking about laser treatments if pain is still a problem. Every time the antibiotics would reduce all of that and then boom all of a sudden back after 5 days off the antibiotics. ankle beginning to swell like a golf ball. I am very grateful for your time and care. Hi Cindy, Thanks Kim. We have also made a lot of changes to our home to make it easier for him to get around. If they lick or chew on their incision, it could cause infection. Hi! Question: What percentage of large dogs require long term antiinflammatories for arthritis within 1-2 years after TPLO? Thank you! She walked out of the vet office the day after surgery using the leg just fine. RETURN TO TOP, The cost of TPLO surgery can vary dramatically depending on who is doing the surgery, where the surgery is being performed, and what part of the country you live in. Had it removed and he was good as new. Daisys surgery went very well. It will take time for them to heal. Harry now has a happy life thanks to the vet, Harry weighs 52kg. Physical therapy is always a great option. shin bone) from shifting forward relative to the femur (i.e. The trained professionals have advanced training in the aftercare of surgery that is critical to long-term success. Hi Geri, All Rights Reserved. She seems to be doing well overal and is bearing weight on the leg and is able to do a slow 10 mins walk twice a day (as recommended by our vet). Cat and dog ACL(CCL) surgery cost and financing. A typical TPLO surgery will cost between $2500 and $3500. I highly recommend you have your dog evaluated by your vet. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. Daisy is a 4yr old GoldenDoodle. Dr. Julie Buzby June 20, 2022 102 Comments. The surgical hospital at West Toronto Veterinary was exceptional. The cost for 1 is astronomical ($6,000-$8,000). Crated though seemed to be the best for us. Without examining her myself, I cant say for sure what the cause could be. It sounds like you are doing the right thing by taking her outside and giving her the opportunity to potty. I understand your concern about this new rear limb weakness in your dog after just having surgery a couple weeks ago. Since I havent examined him myself, it is hard to make specific conclusions. As you learned from some of the FAQs, you do need to keep a close eye on your dog as he or she recovers. Thinking of you! As much as weve tried to keep her contained she did jump once on the sofa in the office where were keeping her and found a way to go over a short box that was in front of her once. I am so sorry you are in this frustrating situation. We discussed the surgeries you are considering and he said that there are pros and cons but one needed to put a lot of thought into the decision. Without examining her myself, it is hard to make specific conclusions. Please seek medical advice before starting, changing or terminating any medical treatment. You get to explore new activities together like tricks and brain games. His own office is about 5 hours away and has rehab facilities, including an under water treadmill where she can exercise without all the weight of her size. My dog had left TPLO October 13, 2022. The procedure is unfortunately not new to us. Hi Marie, Maybe you want to teach your dog to balance treats on his or her nose. I pray your boy will continue to heal and have many happy days ahead. Use a warm semi-moist hand cloth to remove dried blood and any drainage. Encore Mobility combines the powers of green lipped mussel for dogs and New Zealand deer antler velvet for dogs. My 130 pound Anatolian Shepherd had bilateral TPLO surgery 5 weeks ago. So, 3 days ago, I had taken my eyes off him for a few minutes while he was playing and when I called him, he came back with him not being able to put any weight on his left leg and when he did try to walk on it, it would make a popping sound from time to time. First, in order to understand how to help your dog recover from a TPLO, you need to know a bit about the surgery itself. Also, here is a link to another article all about braces for dogs: The Dog ACL Brace: 5 Surprising Answers to the Question To Brace or Not to Brace When a tear happens, a dog cant walk on their injured leg. How did the recheck go? Let your dog snuggle up to you. My Female Lab tore her Tplo 3 weeks ago, She came down with a UTIi because she held her urine in. These little rubber rings go around a dogs toenails to help give added traction on slippery floors. TPLO surgery corrects the slope and the sliding. We treated her for that, then had the surgery done. I am just concerned that we struggle to do any of the daily PROM exercises due to her being a grumpy old thing and growling at us when we move her leg. Each surgeon is different. It is puzzling to me what this problem could be since it started 2 years after the surgery. And, while it may not be your favorite solution, your vet can also prescribe your dog some medications to help take the edge off if needed. Is this normal? They can let you know what to expect during the recovery phase and what symptoms to be on the lookout for. Or work on the leave it command. Were keeping him quiet and hes not running or jumping, its just the lack of grip he has on the floor. Day 2Sleep, ice incision (I kept sticky bandage on incision to keep area clean). Both of you will do fine dont panic, its a frightening thought and a lot of work (Domino had the worst complications my vet has ever seen and hes doing pretty darn good right now), so hang in there! Thank you! Its MUCH less traumatic for them to only go thru the surgery one time, and if he switches all his weight to a non-surgical leg, trust me it will probably take it out. Feel free to leave an update if you have a chance. Each case is different and the goals for the recovery period can vairy greatly between dogs. I did take her to the surgeon today and he said the implant feels perfect and she has good range of motion. Foraminotomy Bilateral (after neurological investigation) Surgery and drugs + Up to 3 nights hospitalisation + Discharge with up to weeks analgesia + Follow up examination at 4 weeks if required. Since I havent examined your dog myself, I cant make specific conclusions. Many times, a popping or clicking sound in the knee can be an indication of a torn meniscus (cartilage that cushions the knee joint). I have discussed this with my vet and they just gave me more pain killers but I do feel something is more seriously wrong. I understand your concern with trying to increase Miltons exercise since having his TPLO surgery. Best wishes! If there are any complications such as reinjury or infection this process can take longer. Because of his age, we waited about a year before having the other knee done (it blew a week after his first surgery). Many thanks to my vet Dr. Gordon Corfield Gold Coast AUSTRALIA a tremendous surgeon. crossing my fingers!!!! I guess time will tell. I have a 4 year old German Shorthair Pointer that was just diagnosed with the same issue and the vet is recommending that we do both legs at the same time. Wishing you all the best of luck! Be sure to stay in contact with your veterinarian. Once your vet finishes the surgery, your dog will be allowed to rest and recover from the anesthesia. He rarely runs and is wiped out after a 1 mile walk. TPLO surgery is a surgical method of correcting a damaged cruciate ligament in the knee. Your veterinarian should be able to help you figure out how to make those adjustments. I hope your baby has had better luck. And, we followed the surgeons instructions and did not let him off the leash until the middle of March, 3 1/2+ months post op. I have contacted the vet and I dont think they are understanding what Im trying to communicate. We took her back to the vet and upon examination she had a torn cruciate and meniscus that went un-noticed which required TPLOwhen the vet said this, I thought I was going to vomitafter everything and it wasnt even noticed, grr!, this was 2 years ago, she is almost 4 now. Since I havent examined your pup myself, it is hard to make specific conclusions about why her leg trembles during and after exercise. With this in mind, some folks opt for bilateral TPLO, where the TPLO surgery is done on both legs at the same time. Should there be a surgical failure or infection it needs to be addressed promptly. Best wishes and good luck! Hello! You can download your free TPLO Home Therapy Guidehere. She cannot run at this point. Sirius had bilateral TPLO - both knees operated on at the same time. Since having an appreciation for what the surgery entails and making preparations ahead of time are also critical to a successful recovery, I have included some questions on those topics as well as questions about the actual post-operative period. Hi Eliza, Sometimes these therapeutic modalities can also be helpful prior to surgery. An orthopaedic department with experience of over 4,000 TPLO surgeries. If your dog isnt crate trained, I strongly recommend working on it before surgery. Keep your dog on a short (four to six foot) leash right by your side and only stay out long enough for your dog to eliminate. They will be able to determine how well your pup recovers and when all restrictions can be lifted. The vet said it is most likely a pressure sore or infection of the plate. How was the recheck with your vet? One thing I would suggest for anyone whose dog is having more problems then normal is to get an MRI sooner, rather then later. It is also possible there could be a muscle strain or aggravated nerve. My dog just tore both CCLs a week apart his surgery was October 26th and we could only get one done at a time. I have read that sometimes braces can be used in lieu of surgery. Our lab mix had bilateral TPLO surgery 9 months ago and still seems to be struggling to scratch her ears. However, it does work well for dogs who are interested in the world but calm about it. Her leg is looking great and her incision has healed really nicely! I have researched on the internet and this is the only thread I have been able to find! They can even get a urine sample to evaluate just to rule out the possibility of a UTI. It is a good sign that your girl doesnt seem to be in any pain. He only got it for the first four days after each surgery, but he wasnt doing well on the Deramaxx alone. But, animals, like us, get older and often have mobility challenges. In addition, he will be walking, and will suddenly lift his leg up, and is unable to bear amy weight on it. So glad/relieved to hear you had a positive outcome with it. They can let you know if this is normal or if more investigation is needed. Not only do overweight dogs tend to have a shorter lifespan, but the excess weight also puts more strain on your dogs joints. Or make sure your girl is pain free and has full function? Praying you received good news, and all is well. I understand your concern with this skin irritation since surgery. TPLO surgery for dogs has become the gold-standard treatment for this kind of knee injury, especially in very large, strong, young, athletic dogs. In the beginning I was worried about keeping her calm, as she is highly spirited..my vet sent her home on Composure Pro which supports calm behavior, and IT WORKS!!! It could be the knee, hip, or ankle joint. An infected incision may be swollen, red, hot to the touch, and/or oozing pinkish red or yellow liquid. Please let me know how your dog is doing. Then, on top of that, you might be adding in extra treats. Limping is usually greatly decreased, but all activity should still be restricted. They did X-rays and saw no movement of the hardware and no noticeable infection. If this occurs, surgery might be needed to fix it. Almost 3 weeks into antibiotics and the cyst like looking sore is gone but there is still a noticeable lump left. Should I be concerned she has injured her plate or bone site? Thanks so much. Sometimes a dog will develop a seroma. Also, they might be able to use ultrasound to get some different images of the affected area. The QLF Method - Canine Cruciate Center of New England Your dogs leg will be sore, so expect hesitant walking. He never really stayed calm except for the trazadone in the beginning. Including a dog bed can give your dog a nice cushy place to lay. Wishing you both the best! Do you think hydrotherapy would help this late post surgery/is there a chance the hardware in her leg is bad? Cost to do one knee is $4800.00 or $6000.00 to do both. Finally, a dog may also shake because he or she is feeling a bit chilled. The vet and I both chose to have a bilateral repair done on Daisy because she was lame in both legs and unable to stand. My best advice is to talk to your vet or schedule a consultation with a veterinary rehabilitation professional. Hi Jen, I did call his vet but was told to just watch him. He or she focuses more on the environment than on the sore leg so the limping disappears. We are just over one year post surgery and couldnt be happier with the results! We are 4 1/2 months post bilateral TPLO. In the short period of time from when your dog injures themselves to when they finally have surgery to correct the injury, it is astonishing just how fast they begin to lose muscle mass and range of motion in the knee. And you can slow down and spend more time just hanging out together. Make sure that when you are discussing with your veterinarian or surgeon you bring up these considerations. Should I go back to medication to keep him calm. Unfortunately between timing and his complications, he managed to run his rehab right into winter, so he is weaker than he should be, but we are working on it now. They have since grown back. Hi Brandon, Your email address will not be published. But, life happens and we have to make decisions that are for the greater good, nomatter what. This rubbing causes pain and inflammation, which is very uncomfortable. They can evaluate your dog and let you know if there are exercises or therapies that could help with her specific issue. Daisy is now 5 weeks post op from her bilateral TPLO and doing amazing!! Our bishop had ACL surgery recently. I have a 5 year old Standard Poodle who pulled up lame. She is walking on her leg most of the time, occasionally lifting it when standing. Best wishes to you both! Without examining your dog, myself, it is hard to know if this will go away on its own or is something more serious that needs immediate attention. When we are healing, we want a warm, soothing environment. Hi Fatima, Orthopedic braces to stabilize the leg. So far, we have had such great results from the TPLO so I know it works. Of course if they cant be there for the dog having any surgery isnt a good idea imo. She has over the last week or so developed a cyst on the inside of her TPLO leg . Developed by Dr. Barclay Slocum, the TPLO surgery was originally considered a radical procedure for addressing canine ACL injuries. Feel free to leave an update if you have a chance. Day 5Using warm moist heat packs on both legs, and started passive range of motion (which she hates). Best wishes to you both. Assist her via sling to backyard for pee, she could not stand and chose to pee laying down (broke my heart). I am not sure there is specific data to answer your question. . Is it common to be knuckling 6 days post op? Cruciate ligament injury in dogs. Hi Stephanie, Shes still not standing on her own. Feel free to leave an update letting us know what you decided. Question Hoping all is well and the recovery process is progressing as expected. The fact of the matter is Playing games that mentally stimulate dogs can be a very effective way of turning boredom around. In the last week he has started planting his post surgical foot on the ground and 90% of the time plants his surgical foot correctly. Can you tell me if this is similar to your dogs rejection symptoms? How are things today? Since I havent examined her myself, it is hard to know what normal is. She stayed overnight because of the bilateral repair. If there arent any complications, the bone typically heals in about 8 weeks. Our dog came from a breeder there. To the point now she has what looks like hives. Good Luck, He actually was reacting to the hardware! We walked 4 blocks yesterday, with no problem, no limp, nothing, completely normal! Cranial Cruciate Ligament Repair: Tibial Plateau Leveling Osteotomy (TPLO) A word of caution about warming your dog up. She is having TPLO today on both knees! We have also started her on a new kind of joint supplement called Dasuquin. So, no matter what surgical technique/procedure is performed, you are almost guaranteed to have arthritis form in the joint earlier than what would have happened prior to the injury. He is requiring a lot of support on the sling, so I can help his foot go through the motion. We have a 5 yo 95# cane corso with a partial ccl tear.. Hi Katherine, The incision from your dogs surgery needs to be kept clean. Quickly after surgery dogs who have TPLO surgery will begin to use the limb again. I do think it would be a good idea to have this evaluated by your vet prior to the 6 month recheck. Best wishes and good luck! The damage from the torn CCL could worsen their condition. Theyll typically stay at the hospital or clinic until the day after surgery. It is normal for the knee to still have some swelling at this point and could be the cause of the bulkiness you describe. Make sure you cut back on Deramaxx/pain meds as she starts to feel better. 30 feet today. Thank you for the update on your furBaby. What to Expect Before and After TPLO Surgery For Dogs - GoodRx Let him or her know if your dog seems to be in pain constantly or if it tends to be around the time the next dose of non-steroidal anti-inflammatory or other pain medication is due. Hi,our 10yr 15kg mongrel had TPLO surgery 3 weeks ago, and due an xray and check next wek. They can let you know based on your dogs pre- and post-op condition what activity would be acceptable or what should be avoided. Youll have to partner with the specialist to decide what the goal of therapy will be. Hoping the x-rays showed good bone healing and the hardware in the correct placement. Any insight/ advice? Hands down the #1 complication of TPLO surgery isINFECTION. After surgery, youll want to do range-of-motion exercises with your dog, using the leg that was operated on. Please comment below so we can continue to grow our FAQ list. Complications post-op such as draining tracts are not common but still very possible. Your best bet is to have your dog examined by your veterinarian. Trademarks, brands, logos, and copyrights are the property of their respective owners. With only actives, no fillers or binders this is a great solution for dogs that are on a whole food or RAW nutrition diet. If you have other pets in the house I noticed Rosie doesnt want my other bulldog touching her or too close (she got mad at him) but wants him in the same room. Like your dog, he often scoots around on his butt, so any insight would be greatly appreciated! TPLO surgery cost can vary greatly. I understand your concern for Dakota and this worrisome popping sound since her TPLO surgery. If your hospital does not have a canine rehabilitation facility in-house then check our directory of independent facilities in your area. I hope you can find the answers you need to ensure your pup is healthy and happy. Primary healing takes a minimum of 8 weeks. Having a caregiver nearby that we can see and hear is comforting, too. Hi Sara, RETURN TO TOP. But here are two fun tools to get you started: Put on your chef hat and get creative with the foods you use! Its Free. My dog had his second TPLO surgery about 3 months ago. Plus we offer a variety ofresourcesandvideosto support you in whatever you decide. Hi Lisa, thank you for responding so quickly although I was hoping to hear your Anatolian was back to normal by now. Since one ligament degrades and fails, 40-60% of dogs tear the other knee within two years of the first injury. That being said, you the mom, or dad also need to take it upon yourself to get informed on how you can play an active role in helping your dog recover. Your vet can also guide you if youre not sure. Hello my dog had her surgery on Nov 21, 2022. without limping). Hi Amanda, Now, youll enjoy a streamlined experience created specifically for healthcare providers. I do notice that he still doesnt put full weight on the leg, is this to be expected? Other signs your dog is in pain include: If you are seeing signs of pain, please talk to your veterinarian. Learn more about how we ensure our content is accurate, thorough, and unbiased by reading our. Our veterinarian-formulated, research-backed, naturally-occurring compound will have your dog feeling better and playing longer for years to come. Initially, your dog will need an X-Ray, which can cost around $200. I hope you can find the advice you need to get your little guy back to living his best life. Day 6Daisy is still unable to raise herself up from a sitting position but Im sure that will come with time. However, over the last 48 hours weve heard a consistent popping noise from the leg she was operated on when she walks with it. TPLO surgery restores function to a dogs knee by leveling the slope of the shin bone. Thankfully modern-day animal medicine now has physical therapy for animals available. I hope you can find the answers you need to help relieve your dogs discomfort. I understand your concerns about delayed healing after surgery. And then you have to face the prospect of an expensive surgery with a long recovery period. It is not painful for the dog and the area should not be hot or red. However, he continues to knuckle, and it seems like he is unable to control his leg. I am hopeful that with more time your senior guy will be able to make a full recovery.