A torn cranial cruciate ligament (CCL) similar to a torn ACL in people is one of the most common orthopedic injuries we see in dogs. When it happens, it can severely limit your pet’s ability to walk, run, or even stand comfortably. Fortunately, modern veterinary medicine offers effective surgical solutions to restore stability and reduce pain.

At Boston West Veterinary Emergency & Specialty, our board-certified surgeons specialize in Tibial Plateau Leveling Osteotomy (TPLO), the gold-standard surgical procedure for treating CCL injuries. Our expertise, advanced technology, and commitment to compassionate care ensure your pet receives the best chance at a full, active recovery.

What is a Cranial Cruciate Ligament (CCL) Injury

The cranial cruciate ligament stabilizes the knee (stifle) joint in dogs. When this ligament tears or ruptures, the joint becomes unstable, causing pain, lameness, inflammation, and, over time, arthritis.

Dogs of any size can suffer a CCL injury, though it is particularly common in active large breeds, older dogs, and overweight pets. Symptoms often include:

• Sudden lameness or refusal to bear weight on a hind leg

• Stiffness that improves with activity

• Swelling around the knee

• Difficulty rising or jumping

• Sitting with the affected leg extended outward

Early diagnosis and intervention are critical to preventing worsening pain and joint damage.

How TPLO Surgery Works

Unlike procedures that attempt to repair the torn ligament, TPLO surgery changes the biomechanics of the knee to eliminate the need for the CCL.

During the procedure:

• The surgeon makes a precise cut in the tibia (shin bone).

• The tibial plateau (the top of the tibia) is rotated to a new angle.

• A specialized metal plate and screws are used to stabilize the bone in its new position.

By altering the slope of the tibial plateau, the forces on the knee shift during movement, creating a stable joint without the need for an intact cruciate ligament.

TPLO surgery is highly effective and offers better long-term results compared to older techniques, particularly for medium and large breed dogs.

Why Boston West for TPLO Surgery

At Boston West, our Surgery Service is led by board-certified veterinary surgeons with advanced training and extensive experience performing TPLO procedures. What sets our team apart:

• State-of-the-art surgical facilities equipped with digital radiography and CT imaging

• Precision surgical planning to customize the procedure to your pet’s anatomy

• Intraoperative monitoring to ensure safety throughout anesthesia and surgery

• Comprehensive pain management using multimodal strategies to minimize discomfort

• Postoperative rehabilitation support to promote healing and restore function

We combine technical excellence with compassionate, individualized care, ensuring that both you and your pet are supported every step of the way.

What to Expect After TPLO Surgery

Recovery following TPLO surgery is a gradual process, typically spanning several months. Our team will provide you with detailed after-care instructions and work with you to monitor healing progress.

In general, the recovery process includes:

• Strict rest and restricted activity for the first 8 to 12 weeks

• Progressive rehabilitation exercises to rebuild strength and mobility

• Follow-up radiographs to confirm bone healing before resuming normal activity

Most pets regain excellent function and return to normal or near-normal levels of activity following TPLO surgery when post-operative guidelines are carefully followed.

Giving Your Pet the Best Chance at Recovery

A CCL injury does not have to mean the end of an active, happy life for your pet. With expert TPLO surgery at Boston West Veterinary Emergency & Specialty, your dog can regain strength, comfort, and freedom of movement.

If your pet is limping or has been diagnosed with a cruciate ligament tear, trust Boston West’s Surgical Team to provide the specialized care they need for a successful recovery.