Tightrope® Cruciate Repair

Cranial cruciate ligament (CCL) deficiency is a common and costly problem in dogs for which there are multiple treatment modalities. Numerous techniques have been investigated, however, each of these techniques has its pros and cons.  The most commonly performed techniques to date include Tibial Plateau Leveling Osteotomy (TPLO), lateral suture (also called fabellotibial suture/extracapsular repair or nylon suture technique or lateral imbrication technique) as well as recently Tibial Tuberosity Advancement (TTA).


The main disadvantage of the TPLO and the TTA lies in the necessity of performing an osteotomy (cutting the bone to achieve biomechanical stability of the knee).  The main disadvantage of the lateral suture is the weakness of the suture, prolonged recovery, long-term arthritis progression and possibility of loosening of the anchor site at the fabella (the little piece of bone that the suture is usually anchored around) which is especially common in larger dogs.  Therefore, newer techniques are constantly evolving and we – at Aspen Meadow Veterinary Specialists – want to offer the best option for the treatment of your pet.


Dr. James L. Cook, DVM, PhD, Diplomate ACVS University of Missouri has developed a new technique for the treatment of CCL deficient stifles in collaboration with Arthrex Vet Systems, Inc. Their goal was to invent a stifle stabilization technique that had the potential to address perceived shortcomings of current techniques – specifically to be minimally invasive, technically feasible, address all aspects of instability, minimize secondary pathology, and consistently result in functional outcomes with a low complication rate in a cost effective manner.  The Tightrope® CCL technique is based on the prosthetic or false ligament.


For more information about this procedure, please contact 303-678-8844 for a free phone consultation with a surgeon, or click on the PDF logo for more details.



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