Cranial Cruciate Ligament Part 2 - Repair

There are three different surgical techniques commonly used to repair ruptured Cranial Cruciate Ligaments. The Extracapsular Repair, TPLO and TTA. Your veterinarian can advise you on which would be the best procedure for your pet.

Extracapsular Repair
In this procedure a strong nylon line is placed to hold the stifle in place. The suture will eventually break, but by that time the dog has formed scar tissue enough to hold the knee in place without the extra support of the line. During the surgery the knee joint is opened and inspected and the torn cruiciate ligament removed. After the procedure your dog will require at least 12 to 16 weeks of restricted exercise and rehabilitation. This procedure is typically considered in small to medium sized dogs or geriatric/older patients.

TPLO (Tibial Plateau Leveling Osteotomy)
In this procedure the biomechanics of the joint are changed. The knee joint is again opened and the damaged meniscus and cruciate ligament inspected and removed as needed. Then a section of the tibia bone is cut and rotated to change the angle of the joint and create greater stabilization. Special metal hardware is placed to hold everything in place. Typically these dogs are toe-touching by 10 days post surgery, but again restricted activity and rehabilitation exercises are required for12 to 16 weeks. Most patients are back to normal activity 6 months after surgery. This procedure is typically considered in young, very active and large breed dogs.

TTA (Tibial Tuberosity Advancement)
Similar to the TPLO, in this surgery the tibial crest where the patellar ligament attaches is cut and repositioned using titanium implants and bone grafts to stabilize the new angle. The recovery is similar to that of the TPLO and it is also recommended for young, large and very active dogs. Which of these two surgeries is better? Whichever one your surgeon is more comfortable performing. Studies have shown that the results at one year post-operative seem to be the same regardless of which procedure is performed.

Happy Friday! ...

Trust <3 Practicing a new Doga position!😊❤ By: @my_aussie_gal

Say hello to: Baby, a 13 yr old tortoiseshell beauty; Duffy - a 10 yr old Shih Tsu mix; and Chester, a one year old big beautiful long-haired orange tabby ...

Some of the cuteness we get to see on a daily basis ♥
Kevin, a 6 month old B&W kitty; Breeze, a sweet 3.5 yrs Pit Bull, and lovely Katie, a 9.5 yr old Nova Scotia Duck Toller

A visit today from Nintendo 💙 ...

A Time to Meow

Our blog entry for March 2012

A time to meow:


How to interpret Feline Body Language

In order to understand general body language we need to watch the ears, eyes, tails, posture, and fur.


Relaxed: ears up but not directly focused on any one thing, soft eyes (slightly drooped), tails up and not bristled, and fur lying flat are all signs of a relaxed kitty

Attentive: ears up and focused, wide-open eyes with large pupils, tail up, and fur not necessarily bristled are all signs of an attentive kitty

Fearful: ears flatten against head, eyes fixated, hissing, tails high and bristled, and fur likely bristled over dorsal area are signs of a fearful feline (think Halloween cat!)

Defensive: similar to fearful, however, tail curved down, hair bristled, and body standing tall to appear larger are all signs of being defensive

Aggressive: ears rotate to show the backs of their ears, eyes are wide and pupils large, tail hangs straight down with bristled hair and usually standing tall are all signs of being aggressive



Is Rita Defensive? Aggressive? Fearful??

Actually, none of the above! Note the ears are relaxed and forward, the eyes are soft and pupils are small, her fur is not bristled and she’s sitting down – Rita is simply asking for some lunch with a friendly “meow”.

By: Laura McCredie


"Opal" and “Rita” in photo’s above