Not all Canine Cruciate Surgeries are the Same

First of all it’s important to know that there are several methods of treating cruciate disease – and just like any problem for which there may be different solutions, some will be better than others.
If your dog has been diagnosed with cruciate disease – expect a conversation about the different options (surgical or non – surgical) that are available and be guided towards the one that will give your dog the best possible chance of a return to normal activity.
Yes, your vet may not be able to perform some of the different procedures but you can certainly be referred to someone who can.

Canine Cruciate Surgery History

Prior to the 1980’s the main option for cruciate repair was known as the Lateral Suture Method. Even back then, it was recognized that that dogs undergoing this procedure would never return to full normal activity. For example – Working dogs would still be able to work however, not in the same pre- injury capacity.
In the late 1980’s a new technique – the TPLO (known as a mechanical, modifying osteotomy) was developed. This method aimed to alter the biomechanics of the joint rather than trying to stabilize the joint such as in the Lateral Suture method.
The introduction of this procedure enabled dogs to return permanently to full athletic ability.
Over the last 30 years, other methods of geometric / mechanical modification repair methods have emerged, most resulting in similar outcomes as the TPLO. One of these was the TTA procedure introduced during the early 2000’s. Even later the Tightrope was introduced.
There is widespread agreement among veterinarians that currently that TightRope and Mechanical Modifying Osteotomies (MMO) /Geometric Modifying Osteotomies (GMO) offer the best chance for dogs to return to normal or near normal function.

So why are so many dogs still having the inferior Lateral Suture procedure?

Quite simply – because it is cheap.
It is cheap because it requires less expertise and no expensive equipment to perform, meaning most vets can perform this procedure. Cost is important, but limitations of Lateral Suture are many.... especially in active mid-sized dogs and giant breeds. We encourage you to explore the options.

Phone Shopping for Cruciate Repair Fees – Don’t fall into this trap!

Modified Lateral Suture Method of repair is always cheaper than the advanced Geometric / Mechanical Modifying methods and Tightrope.
This is because they require a higher level of expertise as well as specialized equipment. Make sure when calling around for quotes – you compare the same methods as you can easily be misled if you don’t. We see this happen all the time, the outdated lateral suture method being chosen over other methods because their difference is not explained.
We do not provide the Lateral Suture Method because it does not provide the needed stability and leads to arthritis and other joint issues in time.

The latest Techniques to add to your options.  THE TWO BEST SURGERIES

For the past 8 years we have been offering the Tightrope ACL procedure with wonderful results because it is minimally invasive, strong and provides for fast recovery.
One of the latest GMO techniques is the “MMP” or “Modified Maquet Procedure.”
The MMP is a new take on the TTA procedure and uses a Titanium Foam Wedge implant that stabilizes the osteotomy site. It causes less soft tissue damage, therefore producing less postoperative pain and a much faster recovery.
The orthofoam wedge provides a robust fixation without the need for support bandages and a lengthy period of rest. The Tightrope and the MMP both share the same advantages to best serve the patient. Please contact us to determine the surgical technique that is best for your dog......
Warren Animal Clinic   586.264.4621

Finally – Don’t ask your neighbor!

If your dog has been diagnosed with Cruciate Disease, ask your veterinarian to explain the different repair methods available and get an informed opinion on the one that’s best for your dog’s specific condition. The procedure your next door neighbor's dog had may not be the right one for yours.
This subject is based on over 50 years experience in performing various cruciate surgery techniques in dogs of all sizes as well. Doctors Lanier and Sweeton have participated in advanced surgical training for these procedures. All our technical staff is specifically trained to support successful cruciate repair. Call us.... we would be honored to help
Warren Animal Clinic PC
Tightrope ACL
31980 Van Dyke, Warren, MI 48093 586.264-4621
Richard L. Lanier, DVM
Dana Sweeton, DVM
Carol Hill, LVT
Kelly Bernert, LVT
Carlene Hale, LVT