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Tibial Plateau Leveling Osteotomy (TPLO) Surgery For Dogs

Tibial Plateau Leveling Osteotomy (TPLO) Surgery For Dogs

Do you think your dog might need a Tibial Plateau Leveling Osteotomy (TPLO), but want to know more? In this post, our Mankato veterinarians explain the procedure and what to expect as your pet recovers.

TPLO Surgery

If your dog has torn their cranial cruciate ligament (the CCL, much like the ACL in humans), TPLO (Tibial Plateau Leveling Osteotomy) surgery could be an effective treatment for your dog. This common orthopedic procedure is a very effective long-term solution for addressing this injury, and its popularity is due to its positive results and quick recovery time.

After this surgery, the dynamics of your dog’s knee will be altered so the torn ligament isn’t required. Because a dog’s knee is constantly bent at about 110 degrees, it takes on load, or tension, leaving it vulnerable to injury. Torn cranial cruciate ligaments are the most common orthopedic injury in dogs.

A torn CCL is extremely painful for dogs because the femur rubs against the back of the tibia, causing discomfort and inflammation. Chances are, your dog will not be eager or able to put any weight on the injured leg.


During the surgery, the bone will be cut so the tibial plateau can be rotated where the tibia and femur work together. Part of the tibia will be removed and repositioned, so the femur won’t be able to slide backward. This procedure performs the important task of stabilizing the knee.

The damaged CCL ligament is no longer needed, and your dog will have use of the stable joint again. If you are considering TPLO surgery, here are some factors to weigh like your dog's:

  • Weight and size
  • Age
  • Health (Any joint problems or diseases?)
  • Activity level (Very active? Calm? In between?)
  • Post-surgery care and recovery

TPLO Surgery Recovery: What To Do & What To Avoid

While every dog will be different, the first 12 weeks after TPLO surgery are critical to their healing process. Be patient – your dog's full recovery may take anywhere from 8 weeks to 6 months. Recovery time may be affected by your dog’s size, age and breed.

Though a bone graft will be secured in place by a plate and screws, your pup will still need healing time following surgery. During this recovery phase, you should:

  • Allow the anesthesia time to wear off
  • Pay diligent attention to surgical areas, keeping them clean, covered and protected from infection
  • Restrict physical activity to allow bones time to heal, but follow any exercise routines recommended by your vet

Remember that preventing infection and restricting physical activity during your dog’s recovery period are vital to their health at this time. Dogs tend to heal quickly (or think they are healing quickly!) and want to get back to physical activity. However, they could be raring to go before their body is fully recovered.

While on-leash walks for a few minutes could be beneficial, be sure to avoid high-intensity activities such as jumping, running and playing with other dogs. You’ll even want to avoid steep stairs.

Though you can likely leave your dog unattended during the day to go to work or school, they will still require bathroom breaks and exercise to prevent stiffness.

Avoid leaving your dog alone around other dogs or animals during the recovery period, as a dog jumped after TPLO surgery may sustain serious injuries, and suffer setbacks in recovery.

By the eighth week, if recovery has progressed sufficiently, the vet may be able to remove the stitches.

Potential Complications & What to Do

Though there are typically no complications involved with recovery from TPLO surgery, you’ll want to contact your veterinarian upon noticing any of these symptoms:

  • Inflammation or infection at the incision site
  • Diarrhea or vomiting
  • Refusing to put any weight on recovering leg
  • Sensitivity to pain medications
  • Widely varying eating and drinking habits
  • Constipation due to medication, healing or change in activity
  • Missing staples in stitches

If your dog is exhibiting any of these signs, your veterinarian can be a valuable resource - they may be able to diagnose the problem and recommend an effective solution.

Just like a human recuperating from a surgery, your dog will need time and gentle activity to feel better. As they recover, your dog will appreciate a few new toys and attention from their doting family.

Note: The advice provided in this post is intended for informational purposes and does not constitute medical advice regarding pets. For an accurate diagnosis of your pet's condition, please make an appointment with your vet.

Do you think your dog may have torn their CCL? Contact River Hills Pet Care Hospital right away. Our qualified veterinarians can diagnose conditions affecting your dog's mobility and plan effective treatments.

Compassionate Veterinary Care

At River Hills Pet Care Hospital our experienced vets are passionate about improving the health of Mankato companion animals. Get in touch today to book your pet's appointment.

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