I have a dog that I did a tplo on at 4yrs and a tightrope on the other leg at 7yrs. The survey collected data on each surgeon’s training, board certification status, primary area of practice, and preferred method of repair. Lee’s practice is limited to referral surgery and was Scout’s surgeon for all three knee surgeries. This effectively neutralizes the tibial thrust, which occurs when a dog with cranial cruciate ligament disease bears weight on an affected joint. Alternatives to TPLO: TTA and other techniques. Both techniques have their risks to reward ratio. The technique does not require bone cutting of any kind like the TPLO or TTA procedures. The primary function of the CCL is to prevent forward thrusting motion and inward rotation of the tibia during weight bearing and to prevent hyper-extension of the knee. Alternative surgical approaches to CCL rupture include tibial tuberosity advancement (TTA), extracapsular repair, and the Tightrope® method. The main disadvantage of lateral suture surgery is difficulty in proper placement of the suture. The Tightrope procedure was developed to provide a minimally invasive and improved method for extracapsular stabilization of the cranial cruciate ligament. TTA uses biomechanical principles to adjust the angle of the patellar tendon. Stretching is most common in larger dogs. Designed to be the least invasive procedure currently offered for your dog’s cruciate repair. TightRope Surgery The TightRope surgery was developed as an upgrade to the lateral suture stabilization (LSS) for cruciate injuries in dogs. The purpose of surgery to restore stability to the knee that existed prior to the cranial cruciate tear. Arthrex TightRope Procedure – Knee Surgery in Dogs Just as in the human knee, the most critical stabilizing structure in the canine knee is the cranial cruciate ligament (CCL or ACL). “The most common procedures done by orthopedic specialists include the TPLO, TTA (Scout’s surgery), Tightrope, Lateral Imbrication Sutures, and the Fibular Head Transposition. Surgical stabilization using any method is not a cure for arthritis. TPLO's are much stronger than tightrope's. An online survey was distributed to all VOS members during June and July 2016. Debating tplo vs lateral suture vs tightrope for 9 yr old 60 lb pit mix, see above, ccl knee, limp, yes, sue, no - Answered by a verified Dog Veterinarian We use cookies to give you the best possible experience on our website. In other words, t he suture must be placed isometrically for best results. In addition, s tretching of the suture may occur requiring a revision surgery. Small-breed dogs that are older and less active are less likely to show significant advantages when treated with TPLO versus alternative procedures. This study only followed the dogs for 6 months post-surgery, but it found that Tightrope had far fewer complications that TPLO. Depends on age, activity level, what you plan on doing with the dog afterwards ("normal pet" vs hunt, agility, something super active). Tightrope (TR) Tibial plateau leveling psteotomy (TPLO) Tibial tuberosity advancement (TTA) Study Design. Tightrope had a better stabilization of the knee joint than TPLO and was otherwise equivalent to TPLO in all other functional outcomes, including x-ray evidence of arthritis progression at 6 months. Is it a better technique with better results? Prior to surgery, pre-operative measurements will be taken, using stifle radiographs (x-rays of the knee). It depends. Post-operative Complications: All surgical procedures has potential complications associated with them. 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