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The TPLO procedure stabilizes the knee by leveling the tibial plateau. In the example of a car parked on a hill, the hill is leveled thus eliminating the need for the brake previously provided by the cruciate ligament.

Radiographs of the knee are taken prior to surgery. Using specific landmarks, the surgeon will measure the tibial plateau angle (slope) and accurately and precisely determine the amount of rotation that is needed to reduce the angle to between 5 and 8 degrees.

During the TPLO procedure, the surgeon will make a curved cut (osteotomy) in the top of the tibia and rotate the segment so that the load-bearing surface of the tibia is between 5 to 8 degrees. A plate is then applied to hold the tibia in this position and allow for the bone to heal. Dr. Sherman Canapp intvented the plate used by VOSM. Check out the video below for the full story.


NEW! Learn more about advanced pain management used at VOSM during the TPLO procedure! VOSM is proud to announce that each TPLO procedure utilizes a new pain management procedure that can help with discomfort of the soft tissues around the stifle joint. 

Recovery time following the TPLO procedure is approximately 2 to 3 months. Following TPLO surgery, patients use the limb and are more comfortable much sooner than following the Extracapsular Stabilization.

Additionally, studies show that there is less arthritic development long term following the TPLO verses the Extracapsular Stabilization (Lazar T, Vet Surg, 2005). For these reasons, the TPLO is considered by most veterinary surgeons to be the “gold standard” for correcting this injury.

The TPLO can be performed on dogs as small as 10 pounds up to 200 pounds or more.

When selecting a surgeon for your pet's procedure, it is important to consider how many of these types of surgeries he or she performs on a regular basis. The surgeons at VOSM have successfully completed thousands of TPLO surgeries and, on average, perform four of these surgeries every day.

To learn more about how the TPLO procedure and how it helped a very special dog, check out "Bucca's" experience on an episode of Your Life with Dr. Anna Marie (see below).

For the rest of Bucca's story, including the discharge and recovery process, see Dr. Anna Marie's YouTube videos.

Bucca Goes In For Surgery

Bucca Is Discharged

Bucca's Rehabilitation Begins


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Veterinary Orthopedic & Sports Medicine Group

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10975 Guilford Rd, Ste B Annapolis Junction, MD 20701

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