Extra capsular stabilization aka “Fishing Line” This is a synthetic suture (UHMWPE braided material most of the time) used outside of the joint to mimic the cranial cruciate ligament. There are many variations of this procedure. It is usually used for less-active, smaller patients or as an addition to another procedure. $850-$1,200.
The Modified Maquet Technique (MMT)
Designed as an evolution of TTA, this procedure is less invasive than most of the other orthopedic knee surgeries but has very good results with a faster recovery. . This procedure is so named to acknowledge the investigator of these operations, Dr. P Maquet, a human orthopedic surgeon working in Belgium during the 1960s. More than 75% of dogs will return to previous levels of unrestricted athletic activity and function with this canine orthopedic knee surgery. $2,150
All inclusive: first visit, Xrays of both knees and hips, pre surgical blood tests, surgery, all medication, and all follow ups. This is the“gold standard” in canine orthopedic knee surgeries according to some surgeons. . During the TPLO procedure, the tibial plateau (portion of the tibia adjoining the stifle) is cut and rotated so that its slope changes to approximately 5 degrees from the horizontal plane. This prevents the femur from sliding down the slope of the tibial plateau when the dog puts weight on the knee. Most dogs (over 90%) are expected to regain a very active and athletic lifestyle with no post-operative complications and without the need for any long-term pain-relieving medication. $2,150
All inclusive: first visit, Xrays of both knees and hips, pre surgical blood tests, surgery, all medication, and all follow ups. CBLO is an excellent procedure for almost every case. This unique procedure combines the advantages of TPLO & TTA. The osteotomy is centered on the CORA (center of rotation of angulation) which achieves alignment of the proximal anatomic axis and distal anatomic axis in contrast to a TPLO which results in caudal shift of the proximal anatomic axis and secondary translation. Additional advantages of the CBLO include: excellent long-term functional results, normal long-term appearance of articular cartilage, rapid healing of the osteotomy (6 -7 weeks), ability to apply osteotomy in juvenile patients, and application in cases with excessive slope. $2,250 CCL
Infection, implant-associated inflammation, implant failure or need for removal in future, seroma, arthritis, persistent lameness, medical meniscal tear, CrCL rupture in the future.
Some Things You Can Expect/Take Home Instructions
- Swelling and bruising around the ankle 2-3 days after surgery is very typical and is not a concern. Call if it accompanied by drainage from the incision or reluctance to begin using the limb.
- Please call immediately if your pet becomes suddenly lame or if they do not begin to using the limb in the next 5-7 days.
- Please use a towel or sling under the abdomen to walk them over stairs or slippery surfaces until suture removal, and as needed afterwards.
- Please monitor the incision daily for increased swelling, redness, drainage.
- Call if they occur as these could indicate an infection.
- Ice the incision for 5-10 minutes, 3-4 times daily through the week. Frozen peas wrapped in a clean towel work well.
- Your pet should not be allowed to lick or chew at the incision.
- They should wear an E-collar at all times to prevent infection of the incision and premature removal of the sutures.
- Activity/Exercise Restriction: please limit your pet’s activity for 8-10 weeks.
- Slow leash walks only for the time it takes to urinate & defecate (it may take 3-4 days for them to defecate – do not be concerned. A small amount of Metamucil or canned pumpkin can be added to the food).
- No running, jumping, stairs, slippery surfaces, or playing with other dogs.
- Excessive activity may lead to failure of surgery.
- Please confine her to a cage or small room when unsupervised.
IMPORTANT NOTE: If you wish any of the procedures to be performed by a board-certified surgeon or a surgeon who has extensive experience (more than 5,000 surgeries) please add approximately $800 to the prices listed above.
We also use prolotherapy, cold laser, and Shockwave therapy to avoid the surgery in some cases.