MedVet expands Cardiology Services offering in Northeast Ohio. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Should she get, 7 year old German shorthair pointer, very active as hunting, My 10 year old ESS tore his Cruciate. Just FYI, here is a good link on the different repair techniques with pictures: Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com. By continuing to use this site you consent to the use of cookies on your device as described in our, By continuing to use this site you consent to the use of cookies on your device as described in our, tta versus tplo versus tightrope ccl which of the 3 is best and has the shortest recovery time. Should she get surgery? Percent of function >1 year after surgery was 93.1% + 10.0% for TPLO, 92.7% + 19.3% for TR, and 89.2% + 11.6% for TTA. In effect, both TTA and TPLO aim to render the tibial plateau perpendicular to the straight patellar tendon and in so doing, neutralise the tendency for the femur to slip down the slope of the tibia. This page is here to provide you with the facts about TPLO and TTA that you won't find at TPLO / TTA surgeons' websites or hear from them at their offices. He is an inside dog (apartment), is happy, seems young spirited and follows me every where I go (inside). We use cookies to give you the best possible experience on our website. The biggest difference between the two procedures is that TTA moves the tibial tuberosity cranially to help use the quadriceps to neutralize cranial tibial thrust. Hi, this is about the above described dog, he is now 11 years old and in good shape. I cannot thank you enough for your help. Most websites about TPLO and TTA are the sites of surgeons who are selling these high-profit surgical procedures. TTA was associated with significantly (P <.03) higher rates of major complications and subsequent meniscal tears than TPLO and TR, and TPLO had significantly higher rates of major complications and meniscal tears than TR. Wonderful service, prompt, efficient, and accurate. We have a 100 pound chocolate label who.will be 12 in March. Debating tplo vs lateral suture vs tightrope for 9 yr old 60. all the horror stories of failed surgeries has me at wits end. TTA (Tibial Tuberosity Advancement) is another commonly performed surgery for a torn ACL in dogs generally performed by board-certified surgeons. There are multiple surgical procedures that can be done to treat this disease, but two of the most popular âosteotomyâ (cut in the bone) procedures are the TPLO (tibial plateau leveling osteotomy) and TTA (tibial tuberosity advancement). This is because the stainless steel implants do not have a blood supply and the bacteria stay on the implant in a “biofilm”. I'm torn what procedure to do, TPLO, TTA or TightRope. I am particularly concerned about downs, My senior dog needs knee surgery - he has been diagnosed as having a torn or completely ruptured capricial (sp?) Below are radiographs of each procedure showing the metal implants. She's on Tramadol for pain and was on R, 7 year old German shorthair pointer, very active as hunting and outdoor companion dog, diagnosed about 2 years ago with possible, partial ACL tear in left rear leg; in light of expense and time involv, My 10 year old ESS tore his Cruciate. No sign of injury to her paw and leg doesn't appear to be swollen. This expert is wonderful. The TTA implants involve a cage (square) that acts as a spacer, and during healing bone grows into this cage. The TTA is surgically less invasive than the TPLO. This injury can happen at any age or breed, but most lately occurs in middle aged, overweight, large breed dogs. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. We are trying to decide betw, I have a 13 1/2 year old lab with a torn acl. The best outcome of any of the variable CCL repair surgeries depends on the surgeon performing them. Would Rymadyl help minimize the discomfort? He has been diagnosed with an ACL complete tear. Both traditional repair and tightrope are considered to be minimally invasive procedures when compared to other surgical options like TTA and TPLO, which both involve cutting and changing of bone angles. iam thinking on cm , do not want my friend to suffer. By chatting and providing personal info, you understand and agree to our Terms of Service and Privacy Policy. Two months post operatively one of the holding pins pushed through the knee and we had to have additional surgery to remove and then some wound healing issues. Cranial cruciate ligament rupture is the most common orthopedic injury in dogs. Itâs a The idea is that the more muscle they have after the surgery, the better they will do with the TPLO. Late infections are also a potential possibility as well, because urinary tract, skin, oral, or ear infections can spread to the site of an implant or area of inflammation (osteoarthritis). TPLO vs TTA In Dogs The results of three studies and one large review suggest that the TPLO gives better objective* lameness outcomes with a lower risk of complications. Dogs with unilateral ruptured CCL treated with TTA (n = 14), TPLO (n = 15), and ECR (n = 23), and normal adult dogs (control, n = 80). TTA plates are typically not appropriate for a dog his size, and the tightrope is questionable if that will hold for a dog his size. At his size, personally, a TPLO. This article covers four types of CCL surgery: tibial plateau leveling osteotomy (TPLO), tibial tuberosity advancement (TTA), Extracapular Repair and Tight Rope® procedures. However, TTA gives faster recoveries in the period shortly after surgery. 85 # ***** 13 months, I have a 12 year old Great Pyrenees mix that weights 80lbs. Your thoughts on the TTA procedure or the tight rope procedure. My dog apparently needs surgery to fix her cruciate ligament, does she have to have the surgery, is there no other way to treat it, and what would the estimated cost be. I have a 46-50lb female Boxer that has a ccl issue along. Yes it is a fractured bone, but plate breakage Complications from a TPLO are no more than the surgery to put the heavy suture in. George and I are so happy that I found "JustAnswer" on my Google search -- you are now in my "Favorites" list! My veterinarian is recommending a tibial plateau leveling osteotomy (TPLO) to ⦠Rupture or tear of this ligament is a very common injury in the hind legs of dogs. 2012), but if it is your dog that needs the implants removed, the process is less complicated to have had a TPLO over the TTA! Implant removal rate from infection after TPLO in dogs. This is the site I will always come to when I need a second opinion. Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Thank you so much for taking your time and knowledge to support my concerns. Compassionate, Caring, Experienced. MedVet Hilliard Receives Certification as a Level II Veterinary Emergency and Critical Care Facility, MedVet Opens Brand New Emergency and Specialty Veterinary Hospital in Chicago, MedVet Celebrates 30 Years of Leading Specialty Healthcare for Pets, MedVet President and CEO, Dr. Eric Schertel, recognized as a member of the Smart 50 2018 class, Service Dogs Receive a Complimentary Health Screening at MedVet in May, MedVet Chicago becomes eighth Level I Veterinary Trauma Center, MedVet to Provide Complimentary Service Dog Eye Exams the Entire Month of May – Registration Is Now Open. Above 10 and I'd probably go with a tightrope. Once itâs been advanced, they stabilize it by attaching plates to the knee bone and leaving that intact. However, the TTA patients were found to have many more major complications compared to the TR CCL or Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc. There are multiple surgical procedures that can be done to treat this disease, but two of the most popular “osteotomy” (cut in the bone) procedures are the TPLO (tibial plateau leveling osteotomy) and TTA (tibial tuberosity advancement). Slobodan Tepic, sr.sci. TightRope CCL Client Information Brochure Author Roarty, Tiffany Subject TightRope CCL Keywords tightrope, ccl, client information, veterinary, tta, tibial tuberosity advancement, lateral suture stabilization, tplo, tibial plateau 6/4 Biomechanical Comparison It was originally suggested that the goal of TPLO was to level the tibial plateau slope (TPS) relative to the tibial long axis. This is one significant advantage of TPLO over TTA. I want to know if there, My 8 year old female collie cross cant put her back right, dog: her cruciate ligament, does she have to have the surgery..treat, My dog had TPLO surgery in December 09. Cranial cruciate ligament rupture is the most common orthopedic injury in dogs. He is a shepherd mix about 50 pounds. I would recommend a TPLO. explains how to do measurements for TTA and TPLO properly. and TPLO groups compared to TTA (p = 0.016), while there was no difference in VAS for pain for any group (p = 0.44). Surgery STAT: TTA vs. TPLO: Recovery time remains an important consideration In the first article in this series, we provided a brief overview of the two surgical procedures that addressed the active, abnormal biomechanics of the cranial cruciate ligament deficient stifle-Tibial Tuberosity Advancement and Tibial Plateau Leveling Osteotomy. Osteotomy (TPLO), lateral suture (also called fabellotibial suture/extracapsular repair or nylon suture technique or lateral imbrication technique) as well as recently Tibial Tuberosity Advancement (TTA). It basically means that they cut the shin bone and advance it forward. TTA VS TPLO The most often knee injury in the dog is tear of the Cranial Cruciate Ligament (CCL), also called the Anterior Cruciate Ligament (ACL). Affiliation 1 Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, 200 Westboro Road, North Grafton, MA 01536, USA. Thank you for all your help. The image below illustrates the nature ⦠Will the trauma of surgery and time for recovery outweigh the benefit of a repaired joint? TTA thrust from Fitzpatrick Referrals on Vimeo : This video illustrates what happens when a TTA is performed. This surgery to remove the cage that is encased in bone is invasive and difficult. Couldn't have asked for more. One direct head-to-head study that followed dogs for at least one year concluded that Tightrope gave equivalent functional results to TPLO with far fewer complications.This is the same study that also studied TTA. Removal of implants from a TTA surgery can be much more difficult and have a higher risk of bone fracture, compared to the relatively easy removal of a TPLO plate. The amount of stifle angle shifting that takes place during a TTA is minimal when compared to that of a TPLO, where the tibia (the weight bearing part of the knee joint) is surgically cut and altered. All along her recovery was very slow. In many cases, either surgery would I am debating tightrope with a vet who teaches the procedure for arthrex and TPLO with a very good surgeon who has been, What is the difference between TPLO and TTA repair of the crucial ligament And is one method better Patient is a Labrador Ret. Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent. TPLO is more common than TTA but TTA was only released into clinical practice in 2005 while TPLO has been around since the 1990's. The TPLO, on the other hand, doesn’t have a cage and only has a plate and screws, which can easily be removed because the bone doesn’t grow into them. I am really hesitant to put him under this type of. If a dog licks or chews at the incision, this is highly likely to result in an infection in the immediate postoperative period. I have a 94 pound American Bulldog with an ccl Tear. They truly know what they are talking about, and they actually care about you. The mean body weight of the dogs was 43.6 kg (range 15.2-81.3 kg) for TPLO and 36.6 kg (range 9.3-82.2 kg) for TTA. If it were my dog, I'd do the lateral suture. Any advise? Whatâs the best veterinary surgery for my dogâs torn ACL? If the site of an orthopedic surgery becomes infected, the implants have to be removed to clear that infection completely. When removing TTA implants, the fork plate and screws easily can be removed, but the cage must be “cut” out of the bone, leaving a large defect that has a high risk of fracture. When we are dealing with removal of TPLO or TTA implants, the level of difficulty and invasiveness is dramatically different between the two procedures. I have a 12 year old Great Pyrenees mix that weights 80lbs. TPLO and TTA offer some benefits over older procedures such as extracapsular repairs (ECLS), especially for larger or athletic dogs. Long term comparison of TPLO and TTA surgeries https://pubmed.ncbi.nlm.nih.gov/31287180/ Complications for TPLO and TTA in dogs over 50 Kg https://pubmed.ncbi.nlm.nih.gov/28636056/ Tightrope vs TPLO https://pubmed This is a relatively new procedure. Techniques no longer recommended in dogs, include: 1. The reason being, as per my dogs orthopedic surgeon, the TPLO will last a lifetime where as the tight rope has a ⦠Thank you so much!!!! Infection risk is low at 7.4% (Gallagher AD et al. We have searched around for different quotes for surgery since it is not c, debating tplo vs lateral suture vs tightrope for 9 yr old 60 lb pit mix. The gender distribution was 38 males and 36 females for TPLO and 36 males and 36 females for TTA. Rupture of the CCL causes a forward thrust, also known as a sheer force, of the tibia when the dog is in motion or even just weight bearing. randy.boudrieau@tufts.edu Objective: To review the proposed biomechanical basis of the tibial plateau leveling osteotomy (TPLO) and tibial tuberosity advancement (TTA) and recommendations for these techniques. CBLO and TPLO surgery both use a radial cut osteotomy to level the tibial plateau. DVM 20 years. How do I get info which will help me choose between an extra-capsular repair of a TTA? And, yes we do love our kitty - she makes our life complete! The Tibial Tuberosity Advancement (TTA) is a procedure developed in Zurich, Switzerland in the early 2000s (1). Vet Surg. Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions. MedVet Mahoning Valley Receives Certification as a Level III Veterinary Emergency and Critical Care Facility. More than 30 years of companion animal practice. The cranial cruciate ligament (CCL) is the major stabilizing ligament that lies deep within the canine knee joint. Consisting of strong bone anchors and a super-strong, braided polyethylene band, the TightRope device has become so popular that itâs become synonymous with the procedure itself. JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance. The implants can be removed as long as the bone has healed. I have a 7yo 104lb Shepherd/Rottweiler mix with a torn CCL, What is the difference between TPLO and TTA repair of the crucial. 20 years of small animal, equine and pocket pet medicine and surgery. However, it may well be that this method, like the TTA, reduces cranial tibial thrust by positioning the TPS 90° to the patellar tendon in the extended stifle position of the weight-bearing dog. TPLO / TTA -- Not Good Choices for Most Dogs with Ligament Injury. I have a 94 pound American Bulldog with an ccl Tear. My 6 yr old Golden/Lab (68#) had tightrope CCL surgery about 13 weeks ago. I couldn't be more satisfied! I have a 7yo 104lb Shepherd/Rottweiler mix with a torn CCL in his left rear leg. If you don't TTA More invasive than TTA surgery however has a better outcome with dogs greater than 30kg or tibial slope greater than 25 degrees. I will tell you that...the things you have to go through to be an Expert are quite rigorous. This does not heal with conservative management- all you'll end up with is chronic pain, horrible arthritis and eventually the other ACL will tear and these dogs either undergo bilateral ACL surgery or are euthanized. Over the past 50 years, surgical treatment of CrCLR has evolved through a number of procedures, many now obsolete. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. Infection can occur with any surgical procedure, but with orthopedic surgeries that involve implants, the risk is higher. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. Dogs undergoing TPLO or TTA tend to heal faster, resume normal activities quicker, and have a better range of motion in the knee. The TightRope device, marketed by surgical equipment manufacturer Arthrex, promises to make extracapsular repairs more stable, more minimally invasive and more foolproof. Veterinarian, UC Davis graduate, emphasis in Dermatology, Internal Medicine, and Pain Control, 15 years of experience as a small animal veterinarian, DVM, Emergency Veterinarian, BS (Physiology). how do you feel about cm conservative management. Dr. Gary and 87 other Dog Veterinary Specialists are ready to help you. I liked that I could ask additional questions and get answered in a very short turn around. So, when discussing the surgical options for a cranial cruciate ligament rupture, all the potential complications need to be discussed and the risks weighed. About a year ago he was diagnosed. i.e. I've seen them re-rupture the line in large dogs, none of my surgeons Just let me say that this encounter has been entirely professional and most helpful. There is also a fork plate and screws that hold the osteotomy in place. He has a torn legiment in his back left leg and some arthristis. The vet says that they cannot determine how bad the injury is until they do t, Disclaimer: Information in questions answers, and, Just our of curiosity which is the better procedure to have. ligament. It is not necessary to explain the exact surgical procedure since the goals of a TTA are very similar to the goals of a TPLO. Just our of curiosity which is the better procedure to have done for a dog with a torn ccl, We have a 100 pound chocolate label who.will be 12 in March. I have a 46-50lb female Boxer that has a ccl issue along. Materials and Methods Force plate gait analysis was performed at 1 time point for the normal control group and preoperatively, and at 2 and 8 weeks and 6 and 12 months postoperatively for the treatment groups. It was so professional, so personally concerned (as we were) and you answered all of our questions. TTA stands for Tibial Tuberosity Advancement. My 8 year old female collie cross can't put her back right leg down on the floor. Two months post operatively, Lab: My 6 yr..yr old Golden..tightrope ccl surgery about 13 weeks ago, labrador mix: I get info which will help me choose between an extra, My senior dog needs knee surgery - he has been diagnosed as. Fibular head transposition procedure, ⦠JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals. My dog had TPLO surgery in December 09. ccl surgery, extra capsular repair, extracapsular imbrication, fibertape, lateral suture, leader line, tightrope, Traditional Repair Outlining the differences between the two procedures will be of more benefit. I want to know if there is a chance this will heal without surgery. That is why prior to an elective orthopedic procedure, the skin is evaluated for infection and antibiotics are used during the procedure and postoperatively to lessen this risk. Ask a dog vet and get answers to your dog health questions, Connect one-on-one with {0} who will answer your question, my dog has a slight tear and my vet is pushing tightrope he does not do the others. She seems to have full range of motion now and can and will even run full out at times, I have a labrador mix with a diagnosed partial tear of his left rear CCL. a surgeon that performs a TPLO routinely will have best outcome with a TPLO, whereas a surgeon that performs a TTA routinely will have best outcome with a TTA, even if both surgeons are able to do either procedure. Im torn, dog: 11 years old and in good shape..50 pounds..acl complete tear, I have a 13 1/2 year old lab with a torn acl. We would love for you to share your story about your pet and their experience. Both procedures can provide excellent outcomes and both have their potential complications. ), or to establish a professional-client relationship. Do you know a good surgeon in the Cincinnati area? They really helped put my nerves at ease. The TTA and TPLO are fairly similar, but the TPLO seems to be more readily performed and many surgeons feel these guys are using the limb faster than the other procedures. The article also discusses TPLO, TTA and extra-cap procedures and concludes that, âThe decision of whether TPLO or TTA is most appropriate is made based on the anatomy of the individual. It also depends on age, the younger the more likely I would go with a TPLO. Cost is variable by clinic but comparable between TTA and TPLO. TTA radiographs showing cage, fork plate/screws. The mean age of the dogs was 5.5 years (range 10 months to 11 years) for TPLO and 4.2 years (range 10 months to 12 years) for TTA. How much correction do we need? The biomechanics behind its success for correcting cranial cruciate ligament-deficient stifles is a change in the patellar tendon angle that effectively neutralizes the tibiofemoral shear (tibial thrust) that occurs during weight bearing. Intracapsular reconstructive techniques, using fascia lata or other natural substitutes, due to documentation of decreased weight-bearing at objective recheck evaluations compared with normal dogs, and better results with other procedures1 2.
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