Orthopedic Surgery Vet: CCL/ACL Tears, TPLO & TTA Explained

If your dog suddenly won’t put weight on a hind leg, an injured cranial cruciate ligament (CCL—often called ACL) could be the reason. An experienced orthopedic surgery vet will confirm the diagnosis, explain stabilizing procedures like TPLO or TTA, and map out a recovery plan that actually gets your dog back to chasing balls—without chronic pain. For many families balancing timing, quality, and budget, partnering with Vet Playas keeps the path clear from first X-ray to the final recheck.

How CCL injuries happen

Some tears are sudden—think zoomies plus a sharp pivot. Others are degenerative, building over months until the ligament gives way. You’ll notice toe-touching, knee swelling, or a sit with the knee kicked to the side. Left untreated, joint instability accelerates arthritis and meniscal damage.

Diagnosis & decision-making

Your orthopedic team will combine orthopedic exam (drawer test, tibial thrust), radiographs to assess joint effusion and arthritis, and sometimes advanced imaging. The goal is simple: select a procedure that restores stability for your dog’s size, lifestyle, and anatomy.

TPLO vs. TTA: which is right?

• TPLO (Tibial Plateau Leveling Osteotomy): Changes knee mechanics by rotating the tibial plateau and fixing it with a plate and screws. Great for medium-to-giant breeds and athletic dogs.
• TTA (Tibial Tuberosity Advancement): Advances the tibial tuberosity to neutralize shear forces. Often chosen for certain knee angles and active patients.

Meniscus & pain control

Many CCL cases include meniscal injury. Your surgeon will inspect and treat the meniscus during surgery. Multimodal pain care—anti-inflammatories, local blocks, and tailored meds—keeps comfort front and center post-op.

Recovery timeline

1. Weeks 0–2: Rest, incision care, short leash breaks, ice/heat per instructions.
2. Weeks 3–6: Gradual leash time, weight-shifts, sit-to-stand drills.
3. Weeks 7–10: Longer controlled walks; recheck radiographs confirm healing.
4. Weeks 10–12+: Return to hiking and play as cleared by your orthopedic surgery vet.

Owner tips that change outcomes

• Use rugs/ramps to prevent slips.
• Crate or small-room rest between walks.
• Track meds and exercises with a simple checklist.
• Maintain ideal body weight—every extra pound adds knee stress.

Conclusion

With precise diagnosis, the right stabilization procedure, and disciplined rehab, most dogs return to normal life after a CCL tear. Work with a dedicated orthopedic surgery vet and a team committed to clear communication from consult to recheck. If you’re comparing options, start a conversation with Vet Playas and move forward knowing your dog’s knee—and future adventures—are in good hands.