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Thread: ACL rupture / treatment

  1. #1
    Member AKMarmot's Avatar
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    Default ACL rupture / treatment

    If you have had acl issues & would care to share pros & cons of your treatment plan I would appreciate a pm.
    I have been trying to decide whether a TPLO or TTA is the right step for my shorthair. I have heard good & bad & the same on the pt involved after surgery.

    Thanks.

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    I have a dog that has had two TPLO's (left and right) done by Dr. Hagee in Chugiak.

    Both rehabs went well and the dog is 3 years past her 2nd one and is doing fine as a 7 year old.

    I'm glad of the so far so good aspect of her operations, but wonder what the future holds for her as a 10 year old.

    I think, at this point in time, TPLO's are more proven than TTA's, but it probably boils down to what the vet does and is comfortable with. If he's trained and proficient with the TPLO then I'd go with the TPLO. If the vet is trained on the TTA and proficient with that then that's what I'd go with. Since I've only seen the results of the TPLO and Doc Hagee, if one of my dogs ruptured her CCL, I'd go to Doc Hagee and have him perform a TPLO. The rehab would be a combination of Dr Chang's (Vet Specialists of AK) underwater treadmill and my lead walking and exercises.

  3. #3

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    I can highly recommend Dr. Mike Edwards in Anchorage. He did 2 TPLOs on one of my dogs when she was 4 and her knees were rock solid when she died at 12 1/2. He is an excellent vet and the aftercare was superb.

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    Quote Originally Posted by Chesaka View Post
    I can highly recommend Dr. Mike Edwards in Anchorage. He did 2 TPLOs on one of my dogs when she was 4 and her knees were rock solid when she died at 12 1/2. He is an excellent vet and the aftercare was superb.
    I second this, my old cbr had a total hip replacement by him along with rehab by dr. chang. I have gotten to know their staff very well over the years and they are excellent. Surgery is all they do and have the most experience in the state, by far.

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    Member etdvm's Avatar
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    Opinion from a veterinarian:

    TPLO vs TTA: Outcomes have been similar since the TTA procedure was introduced around 2005.

    The one thing we noticed in vet school when TTA was being experimented with was a tendency to walk on it a little faster than with a TPLO. Otherwise, 1 month out/3months/6 months, not much of a difference in recovery and full function.

    Arthritis will always develop to some degree whether it is TPLO, TTA, ExCap (the old way), and just leaving it alone. Still not enough info long term on the TTA if the arthritis amount is different than the TPLO.

    What would "I" do, knowing what I know and being a veterinarian, if my dog popped an ACL (called CCL in dogs):
    Go with what is most convenient for you (close to home) and more cost effective. There is really no reason to pay $$ extra for a TTA procedure. I would be just as comfortable with my dog having a TPLO.
    Fly fishing makes me herl

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    Member AKMarmot's Avatar
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    Thanks, we have gone to Vet Specialists of AK (Dr.Edwards & staff) & they reccomended TPLO & they are only a few minutes from the house. I just can't decided if I want to put her through that major of a surgery. She will be 11 in April & is probably done hunting. Just want her to be able to move & still do the normal activities she is used to.

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    With an old retiree, I'd probably go with the fish line fix. She won't be stressing it like a youngster would, and it won't have to last as long.

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    Member etdvm's Avatar
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    Quote Originally Posted by Howard N View Post
    With an old retiree, I'd probably go with the fish line fix. She won't be stressing it like a youngster would, and it won't have to last as long.
    You are correct - Nothing wrong with the fish line repair, either. That is the Excap (short for extracapsular, meaning outside of the joint capsule). That's the "old way" of doing it, and it works fine as well. Less painful, less invasive. Patient selection is the main priority with that - larger breeds, overweight, or highly active dogs do not do as well with the Excap. If your dog is normal weight, not hyper, then it is worth a discussion with your vet about the Excap repair. And, yes it is actually done with a heavy monofilament fishing line, sterilized of course. Exercise restriction after surgery is a lot more important with this method, though. There is a longer time for return to function with this surgery than the other two types, but this is a good time of year for surgery since she will be holed up anyway for another 2-3 months until the spring.

    As far as age vs putting her through surgery: your bird dog has the potential to live to 15 years of age. That is still a few more years of what can be a quality life with her fixed knee. I would get it surgically repaired for her to have a great few more years than a painful few more years.
    Fly fishing makes me herl

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