Some smaller dogs with Cranial Cruciate Ligament (CCL) rupture can be managed effectively without the need for surgery; however, many smaller breeds, especially if active and almost all larger dogs with CCL rupture benefit from either TPLO or CCWO surgery.
Tibial Plateau Levelling Osteotomy Surgery (TPLO)
TPLO surgery involves changing the angle of the top of the shin bone (the tibial plateau) by cutting the bone, rotating it, and stabilising it in a new position with a plate and screws.
Cranial Closing Wedge Ostectomy (CCWO)
CCWO involves a wedge of bone being cut and removed from the tibia. The two edges of bone are then brought together, and a metal plate is applied to secure and stabilise the osteotomy site. Similarly, to TPLO, this results in a levelling out of the tibial joint surface, preventing the femur slipping backwards.
Both TPLO and CCWO have comparable outcome and complication rates, so the decision of which to perform is often based on size (smaller dogs are often better suited for CCWO), shape of the tibia, and age of the patient (TPLO is sometimes not advised in young patients with open growth plate).
Cranial Cruciate Ligament Rupture Surgery Package
| Unilateral Package Cost (inc VAT) | Bilateral Package Cost (inc VAT) | |
|---|---|---|
| TPLO / CCWO < 20kg | £3900 | £5900 |
| TPLO 20 - 40kg | £4000 | £6000 |
| TPLO 40 - 60kg | £4250 | £6250 |
| TPLO >60kg | £4750 | £6750 |
| Whats Included | ||
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Concurrent Conditions
All Fixed Price Packages include the surgery required to treat a single, commonly diagnosed clinical condition. Should the clinical condition be more complex (e.g., cruciate disease and concurrent medial patella luxation), or should the patient have medical co-morbidities (e.g., BOAS, diabetes, heart disease, hypothyroidism, etc) a supplemental charge may be applied.
Advanced Imaging
Should CT or MRI be needed these are priced in addition to the package price.
Terms & Conditions
Post-op pain relief and antibiosis (if required) will be prescribed for up to 14 days. Any further prescriptions from Kentdale Vets will be payable. At the discretion of the Surgeon, a 14-day supply of anti-anxiety medication may be included in addition to the above to aid with restricting your pet whilst recuperating. Hospitalisation prior to surgery is only included if this is deemed necessary by the surgeon and is limited to a maximum of 24 hours.
Hospitalisation for longer than 48 hours post-op will be payable at our standard fees. Initial Physiotherapy guidance at discharge will be given; however, further sessions are not included in the package price. Should the patient be considered high-risk for anaesthesia or require critical care, additional fees will be payable. Complications can happen with any surgical procedure, and any treatment outside of the package price is chargeable and will be fully discussed with you should this become necessary.
