TPLO Surgery (Tibial Plateau Leveling Osteotomy)

TPLO Surgery (Tibial Plateau Leveling Osteotomy) is a procedure where the tibia (shin bone) is surgically cut, rotated, and stabilized with a metal plate to shift how force moves through the knee, reducing reliance on the cranial cruciate ligament (CCL) for stability. This is a major reconstructive surgery, commonly recommended for large, active dogs after a CCL tear (similar to an ACL tear in humans). While TPLO often promotes healing alongside strict kennel rest, conservative management—such as physical therapy, braces, weight management, and joint supplements—can be a preferable alternative, especially since dogs often tear the CCL in the opposite hind leg within a year of surgery.