Veterinary and Comparative Orthopaedics and Traumatology, 33(03), 189-197 Outcome after Tibial Plateau Levelling Osteotomy and Modified Maquet Procedure in Dogs with Cranial Cruciate Ligament Rupture. Knebel, J., Eberle, D., Steigmeier-Raith, S., Reese, S., & Meyer-Lindenberg, A. Subscribe via email here to never miss a story! References
#ACL SURGERY FOR DOGS SERIES#
These articles are from a series regularly posted on email and Twitter. Have something to add? Comments are welcome below and will appear within 24 hours.īy Andrew Spanner BVSc(Hons) MVetStud, a vet in Adelaide, Australia. You can find the cost for TPLO and De Angelis procedures here.Ĭlick here to learn why dogs tear their ACL. I welcome any comments and will do my best to keep the evidence up to date. I would like to believe I chose TPLO because of the evidence, but it’s possible that this article reflects my bias. If you choose any of TTA, MMP or TPLO, you are doing an excellent job and your dog will be the winner.ĭisclaimer: whichever procedure a vet uses, they tend to sing its praises. I would avoid shopping around if you already have a good relationship. It’s far more important that you have a trusted vet. All three procedures give excellent results, and arguing over which is best is a bit like debating over Apple vs Samsung when your previous phone was a brick. A survey in 2016 found that 78.6% of respondents from the US Veterinary Orthopedic Society use TPLO. Therefore, it should be no surprise that experts in the field overwhelmingly choose the procedure. Which Is Best: TPLO, TTA or MMP?īased on the evidence, it is reasonably clear that the TPLO gives better results. It should also end up being a cheaper procedure.
I suspect that in time we will see that the MMP outperforms TTA but we have no evidence thus far to back this up. Patients with TPLO reached 84.8% and 89.9% of normal ground reaction forces at 3 and 6 months, versus 79.85% and 84.5% for MMP. The results of a single comparative study suggest that dogs with TPLO reach a slightly better overall outcome than dogs with MMP. It is biomechanically comparable to TTA but easier and faster to perform and may provide more stability. TPLO vs MMP In DogsĪs the Modified Maquet Procedure is relatively new, there is limited evidence thus far. * By objective we mean outcomes where the improvement is measurable and not subject to opinion, such as the amount of weight being placed on the leg. A good TTA performed by an experienced surgeon is almost certainly better than a poor TPLO. All dogs improved substantially, the only difference being by how much. It is essential to stress that although these differences are real, they are not large. Dogs that underwent TTA were significantly less lame than dogs that underwent TPLO during the early postoperative period.