Canine Cruciate Ligament Repairs Can be Performed in a Number of Different ways
There are many people who think that there is just one approach to repairing a damaged or torn cruciate ligament. But this is not the case at all.
The fact is, there are a number of different approaches to Canine Cruciate Ligament repair and they’re based on:
- The nature and extent of the damage
- Your dog’s size and weight
- Your budget
Each of these factors play an important role in determining which surgical technique will produce the best outcome. If your dog has been diagnosed with a cruciate ligament injury, your vet should be able to go through all the different surgical options with you and make a specific recommendation based on the criteria listed above.
Be aware that not all vets may be able to offer the full spectrum of techniques so you may be referred to a surgical specialist to have your choice of procedure performed.
Now while it’s not the aim of this blog post to go into lengthy details of the different repair methods (that’s far too long to cover) – we do want people to be aware that there’s more to cruciate surgery than just a single approach.
If you’re going to do some shopping around for prices, make sure you compare the same procedure and be specific about which technique you’re asking about.
In addition, when comparing costs, always ask what level of post operative care and follow up is included in the total fee. It’s quite common for some post operative follow care to be included in the overall price package of a surgical procedure but once again, this can vary between providers.
Should your choice be based on price?
The answer – that’s up to you. After all, all the different techniques come with their own individual price tag and post operative care commitments.
In making your choice however, bear in mind that the cheapest approach at this time may not provide the best long term solution for your dog.
Different techniques are more than just fancy names. They are all individually appropriate under specific conditions and the price will vary according to the complexity of the surgery as well as surgical skills and equipment involved.
Your final choice should be made after a complete discussion with your vet about all the techniques available and which is best suited to your dog’s condition – regardless of whether they can perform this procedure or not.
Once you’re made aware of the pro’s and cons of each technique, it’s easier to weigh them up against price.
Different Names for Different Methods
The different techniques are classified into 2 main groups:
- Geometric Modification and
- Non Geometric – extra capsular repair
Geometric Modification Group Guide
With these methods the angles of different structures are modfied to compensate for the damaged ligament.
Recommended for dogs over 20kg
- TPLO – (Tibial Plateau Levelling Osteotomy) Performed by specific veterinary specialists who are licenced to perform the procedure
- TPLWO – (Tibial Plateau Levelling Wedge Osteotomy) Variation of above method – Can be performed by an experienced general veterinary surgeon
- TTA – (Tibial Tuberosity Advancement) – Can be perfomed by general practice vets who have been trained in the procedure.
- TTO – (Triple Tibial Osteotomy) – Can be performed by general practice vets who have been trained in this procedure
Non geometric Modification – Extra Capsular Techniques
Generally limited to small dogs
- X-GEN CCR System – (using PROS and BOSS implants)
- Extra Capsular Repair – ( De Angelis method) – Can be performed by most general practice vets.
For Techniques available through our practice – please contact us.