4208 Lind Ave, SW Renton, WA

Tibial Plateau Leveling Osteotomy (TPLO) Surgery

TPLO is a highly effective surgery for treating cranial cruciate ligament (CCL) injuries in dogs. As with ACL injuries in people, a torn cruciate ligament can lead to pain, knee instability, limping, and arthritis if left untreated.
 
At Boreal Animal Surgery, we offer advanced TPLO surgery for dogs with CCL injuries. This procedure helps restore knee stability, improve movement, and get your dog back to normal activities. We create treatment plans tailored to each dog’s size, lifestyle, activity level, and orthopedic needs.
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What is TPLO

Tibial Plateau Leveling Osteotomy (TPLO) is a surgery that helps stabilize the knee after a cranial cruciate ligament (CCL) tear. Instead of replacing the torn ligament, the TPLO changes the mechanics of the knee by reducing the angle of the top of the tibia (shin bone) so the knee can move more comfortably and function better.
 
The TPLO provides stability to the knee, thereby improving how the knee works. This helps reduce pain, improves movement, and slows the progression of arthritis. All of which are issues that often accompany cruciate ligament injuries.
 
Traditionally, the TPLO was considered one of the best treatments for medium- and large-breed dogs with CCL tears. It is often suggested for active dogs and those over 25 pounds who need a stable, long-lasting way to keep their knees working well. However, thanks to companies like Arthex, the TPLO can be performed in dogs of any size and conformation.
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Why Choose Boreal Animal Surgery

Compassionate Surgical Care Backed by Experience

Board-Certified Surgical Expertise

Cranial cruciate ligament injuries are among the most common orthopedic conditions affecting dogs. Dr. Duane Robinson is a board-certified veterinary surgeon with extensive experience evaluating and treating CCL injuries, helping dogs regain comfort, stability, and mobility through advanced orthopedic care.

Advanced Surgical Techniques

TPLO is one of the most effective surgical treatments available for many dogs with cruciate ligament injuries. At Boreal Animal Surgery, we utilize modern surgical techniques, advanced instrumentation, and high-quality implants to help restore knee stability and support long-term joint function.

Personalized Treatment Planning

Every dog has different needs. We consider your dog's size, age, activity level, lifestyle, overall health, and orthopedic condition before recommending treatment. Our goal is to develop a surgical plan that provides the best opportunity for a successful recovery and long-term mobility.

Recovery & Communication

Recovery plays a critical role in achieving a successful outcome following TPLO surgery. We provide detailed post-operative instructions, activity recommendations, and ongoing support throughout the healing process. Our team works closely with both pet owners and referring veterinarians to help ensure a smooth recovery and the best possible outcome for every patient.

TPLO - Our Approach

Our Approach

At Boreal Animal Surgery, we offer orthopedic care that is clear, supportive, and tailored to each patient. We know that a cruciate ligament injury can be stressful for both dogs and their families. Our aim is to help you through every step with open communication, careful planning, and ongoing support.
 
Here is what you can expect during your dog’s evaluation and treatment:
 
  • We begin by looking at your dog’s medical history, exam results, and any diagnostic images (x-rays).
  • Next, we check the stability of your dog’s knee and overall joint health.
  • We create a surgery and recovery plan that fits your dog’s specific needs.
  • We stay in close contact with your family vet before and after surgery.
  • You will receive clear instructions for post-surgery care and guidance on your dog’s activities.
  • We continue to work with your veterinarian during your dog’s recovery and follow-up visits.

Every dog is unique, so we make sure to talk with you about treatment choices, what to expect during recovery, and long-term goals before we begin. Our main goal is to restore knee stability, improve movement, and help your dog get back to a happy, active life.

TPLO - What to Expect

What to Expect During Recovery

Recovery plays a key role in the success of TPLO surgery. Limiting your dog’s activity and following a clear recovery plan helps protect the repair as the bone heals and the knee becomes stable again. It is important to note that we cannot reverse any arthritis that has developed as a result of a CCL, but the goal is to slow the progression moving forward.

Many dogs start putting weight on their leg just a few weeks after surgery. This is a good sign, but it is still important to stick to the recovery plan and keep following activity restrictions until your dog is fully healed.

Recovery may include:

  • Pain management and anti-inflammatory medications
  • Restricted activity during the initial healing period
  • Gradual increases in exercise as healing progresses
  • Follow-up examinations and radiographs (X-rays) to monitor healing
  • Rehabilitation exercises when appropriate

Most dogs continue to improve in the weeks and months after surgery. With the right recovery and rehab, many dogs return to an active, comfortable life with improved movement and joint health.

Frequently Asked Questions About TPLO Procedures

Review some FAQs on TPLO Procedures to get a better understanding, or contact us to discuss further. If you’d like to learn more about the process as a pet owner, click below.

TPLO surgery costs depend on your dog’s size, health, the tests needed, and recovery care. We will provide you with a clear estimate and discuss all recommended care before the surgery. At Boreal Animal Surgery, providing expert care at affordable pricing is our ultimate goal.

No, you are welcome to contact us to schedule a consult. We will ask for the information of your primary care veterinarian so we can work collaboratively on your pet’s care.

As with any surgery, there are risks and potential complications that may delay recovery. However, most dogs return to normal activity 12-14 weeks following a TPLO.

Some smaller dogs may still benefit from TPLO surgery depending on their anatomy and activity level. Recommendations are made on a case-by-case basis. During a consultation we will discuss the treatment options and review the pros and cons of each.

While formal physical rehabilitation is not required, it can be beneficial. Following surgery we will provide information on general exercises and steps that can help your pet rebuild strength and mobility.

At Boreal Animal Surgery we use only the highest quality implants for your pet. That’s why we are pleased to work with Arthrex Pet to source our implants. In many cases, the implants we use are that same as what would be used in people.

Looking for a Consultation?

If your dog has a cranial cruciate ligament (CCL) tear or is limping, has knee pain, or is less mobile, we are ready to help. We will check your dog’s condition, discuss treatment options, and determine whether TPLO surgery is the right choice.
 
At Boreal Animal Surgery, we offer advanced orthopedic consultations and TPLO surgery for dogs in Western Washington. Whether your vet referred you or you reached out on your own, you will receive expert advice, clear updates, and care designed to bring your dog comfort, stability, and improved mobility.