Orthopedic Surgery at Seagrove Animal Hospital

Cranial Cruciate Ligament (CCL) Repair

One of the most common orthopedic injuries we treat is a rupture of the cranial cruciate ligament, or CCL — the canine equivalent of the human ACL. This injury is especially common in older and overweight dogs. When the CCL is torn, the knee joint becomes unstable, causing the dog to limp on the affected leg. Because CCL injuries significantly impact a pet’s mobility and quality of life, prompt treatment is important.

Dr. Jordan offers two proven repair options depending on the size and age of your pet:

1. Tibial Plateau Leveling Osteotomy (TPLO) — recommended for dogs over 20 pounds
2. Extracapsular (Lateral Suture) Repair — recommended for dogs under 20 pounds and cats

Dr. Jordan has extensive experience in both procedures and will consult with you to determine the best option for your pet.

Tibial Plateau Leveling Osteotomy (TPLO)

A torn CCL results in painful instability of the knee joint. The TPLO procedure corrects this by altering the geometry of the knee to restore stability. It involves making a precise cut in the tibia (shin bone) and securing it in the corrected position with a plate. Once healed, the repair is permanent. Most dogs begin bearing weight on the affected leg soon after surgery, though activity should be partially restricted for six to eight weeks during recovery. TPLO is a highly effective procedure and the preferred option for most dogs over 20 pounds.

Extracapsular (Lateral Suture) Repair

The extracapsular, or lateral suture, technique repairs the knee by placing a strong suture alongside the joint that mimics the function of the original CCL. After inspecting the joint and removing any damaged tissue, this suture is positioned to restore stability in much the same way the ligament did before it was torn. While this technique can be used on dogs of any size, it is generally best suited for dogs under 20 pounds. A period of restricted activity is required following surgery.