Tuesday 27th Aug, 2019

TPLO Surgery

Our sister referral service, Roundhouse Referrals, provides advanced veterinary care from our Pollokshaws practice- The Roundhouse Veterinary Hospital. We understand that advanced procedures can be a big worry for pet owners and we want to make sure that our clients stay informed and supported throughout the referral process. Roundhouse Referrals’ dedicated team is there to provide support, advice and answer any questions that you may have before, during and after any potential surgery your pet may have.

The Roundhouse Referrals team have given us a handy information about one of their gold-standard cruciate surgeries, TPLO (Tibial Plateau Levelling Osteotomy).

To find out more about TPLO surgery, please read on!


What is TPLO surgery?

TPLO stands for Tibial Plateau Levelling Osteotomy - a surgical procedure we use to treat cruciate ligament rupture in dogs. Cranial cruciate ligament rupture is the most common cause of hind limb lameness in dogs, and TPLO is the procedure that has the best likelihood of a successful outcome, meaning TPLO surgery is one of the most common orthopaedic surgical procedures we perform in dogs at Roundhouse Referrals.

How does TPLO surgery work?

Following rupture of the cranial cruciate ligament the shin bone (tibia) slides forwards relative to the thigh bone (femur) making the knee feel unstable and painful which results in sever lameness. The aim of TPLO surgery is to alter the angle of the tibial plateau and prevent the shin bone from sliding forwards: making the knee more stable without the need for an intact cranial cruciate ligament.

Does my dog need a TPLO?

We recommend TPLO surgery on a case by case basis, taking into account an individual dog’s anatomy, injury and exercise and energy levels. TPLO surgery is primarily performed in medium, large and giant breed dogs. Small breed dogs such as Bichons and Westies can also be good candidates due to the shape of their breed’s knees.

What does TPLO surgery involve?

Pre-surgery
Dogs need to be carefully assessed in advance of surgery. Following the initial examination, very specific X-rays of the knee are required to assess the severity of any osteoarthritis, measure angles, plan the implants and the position and amount of bone to cut and rotate. In this way, these X-rays differ from general lameness assessment X-rays that your pet may already have had.

Surgery
During surgery, tibial plateau is levelled by cutting the shin bone and rotating the plateau before a specially designed TPLO plate is applied to the cut bone to hold the bone fragments together. At Roundhouse Referrals, we only use the market leading ‘Synthes’ TPLO implants and screws which have been shown to reduce the risk of complications and improve patient outcome. X-rays are repeated at the end of surgery to assess the new angle of the tibial plateau and check the position of the plate and screws.

Aftercare
Most dogs are discharged from the Roundhouse Vet Hospital the day after surgery. We have developed the TPLO+ Rehabilitation Programme which provides you with the information you require to assist your pet’s recovery in the seven weeks following TPLO surgery. Access to this exclusive online pack is supplied at the time of your pet’s discharge. We maintain regular contact via phone calls and video consultations and at seven weeks post-TPLO we will arrange a recheck to assess limb and joint function and perform the follow up X-rays. Risks and complications TPLO surgery is a major surgical procedure which has been shown to improve limb use and give better long-term function.

As with any surgical procedure, there are some recognised surgical risks with the procedure. We work exceptionally hard to minimise the possibility of problems and are very proud of our 97.2% success rate at first surgery.

Roundhouse Referrals TPLO surgeries are covered by our Fixed Price Guarantee, meaning that in the unlikely event that a second surgery is required there will be no additional cost to you.

More information can be found on the Roundhouse Referrals website: www.rhr.vet. If you have any queries or concerns, please do not hesitate to contact Louise on 0141 649 1316.

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