TPLO Surgery for Dogs

At Red Bank Veterinary Hospital in Cincinnati, OH, Dr. Jason Leszkowicz, Medical Director, is proud to offer TPLO surgery for dogs suffering from cranial cruciate ligament (CCL) injuries. TPLO, or Tibial Plateau Leveling Osteotomy, is one of the most effective and widely used surgical options for addressing a CCL tear in dogs.

What Is TPLO Surgery?

TPLO surgery is a procedure that helps stabilize the knee joint by adjusting the biomechanics of the leg, making it possible to do without the cranial cruciate ligament. It involves leveling the slope of the tibia to prevent the femur from sliding forward, allowing for improved joint function and reduced pain.

Why Is TPLO Surgery Recommended?

TPLO is the most commonly recommended surgery for dogs with a cranial cruciate ligament tear because it offers the most reliable long-term outcomes. It provides joint stability, minimizes pain, and supports a faster return to normal function compared to other surgical methods.

Causes of CCL Tears in Dogs

Contrary to popular belief, most CCL tears in dogs are not due to trauma but rather degenerative wear over time. Many pet owners notice a sudden limp or yelp, often after activity, but the ligament has typically been weakening for a while.

What to Expect Before, During, and After TPLO Surgery

  • Before Surgery: Dogs often limp, toe-touch, or sit irregularly. Swelling in the knee (stifle) is common.
  • During Surgery: The procedure lasts 1–2 hours. Pets are admitted in the morning and usually ready to go home after 4:30 PM, following post-op monitoring and pain management.
  • After Surgery: Strict rest and activity restriction are required for the first 6 weeks to prevent implant failure. Cryotherapy, cold laser therapy, and rehabilitation exercises are highly encouraged to support recovery.

TPLO Surgery Recovery Timeline

  • Day of Surgery: Most dogs walk out using three legs.
  • Within 2 Weeks: Dogs typically begin to bear weight on the leg and regain function.
  • 6 Weeks Post-Op: Activity restrictions remain in place. Some dogs may begin light controlled exercise.
  • 6 Months Post-Op: Most dogs return to full function.

Post-Operative Care Tips

  • Use a rolled towel under your dog’s abdomen or a harness for support during movement.
  • Continue cold therapy and laser treatments as recommended.
  • Strictly follow rest and rehab protocols to avoid complications.

Is TPLO Surgery Painful?

Dr. Leszkowicz and his team use local anesthesia and sedation to ensure comfort throughout the procedure. Most dogs are drowsy for a few days post-op but show minimal signs of discomfort if restrictions are followed closely.

Cost of TPLO Surgery: Does Pet Insurance Cover TPLO Surgery?

The cost of TPLO surgery in dogs ranges from $3,500 to $6,000, depending on the facility and whether it’s performed by a board-certified surgeon.

Most pet insurance policies cover TPLO surgery for dogs as long as the condition was not pre-existing at the time the policy was purchased.

Is TPLO Surgery Worth It?

While TPLO is an elective procedure, it is often the best option for dogs with a CCL tear. It allows for meniscal evaluation, faster recovery, and long-term stability. The benefits typically outweigh the risks, especially for active or larger dogs.

Are There Alternatives to TPLO Surgery?

Other surgical techniques for cranial cruciate ligament repair exist and may be suitable depending on your dog’s age, size, and activity level. Non-surgical options like injections and braces are available but often have limited success. TPLO remains the most widely recognized and successful approach.

Schedule a TPLO Consultation

If your dog is showing signs of a CCL tear, schedule a consultation with Dr. Jason Leszkowicz at Red Bank Veterinary Hospital to discuss TPLO surgery and recovery options. Call (513) 831-7444 or request an appointment to get started!

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