HomeHEALTHComplications With TPLO Surgery...

Complications With TPLO Surgery in Dogs: What You Need to Know

Free Subscribtion

TPLO surgery, or Tibial Plateau Leveling Osteotomy, is a common procedure performed to stabilize the canine stifle joint and address hindlimb lameness caused by a torn or ruptured cranial cruciate ligament (CCL). While TPLO surgery has a high success rate, it is important for pet owners to be aware of potential complications that can arise during the recovery process. Understanding these complications can help guide therapy and enable better client counseling.

YouTube video

The Importance of the Cranial Cruciate Ligament

The cranial cruciate ligament (CCL) is a crucial stabilizer of the canine stifle joint. It resists cranial tibial translation (cranial drawer), hyperextension, and internal rotation. In addition, the CCL contains mechanoreceptors and proprioceptors, contributing to hindlimb proprioception. When the CCL tears or ruptures, it leads to stifle instability, pain, inflammation, and the development of osteoarthritis.

What is TPLO Surgery?

Tibial Plateau Leveling Osteotomy (TPLO) is a surgical procedure commonly used to stabilize the stifle joint after CCL tears or ruptures. The goal of TPLO surgery is to neutralize cranial tibial thrust or subluxation during weight-bearing by flattening or leveling the tibial plateau angle. By doing so, TPLO surgery eliminates pain during weight-bearing and slows down the progression of osteoarthritis in the stifle joint. Compared to alternative procedures, TPLO has been shown to provide one of the best returns to normal clinical function.

Recovery Expectations After TPLO Surgery

Complications With TPLO Surgery in Dogs

The recovery period after TPLO surgery can be lengthy and frustrating for both pet owners and their furry companions. The stages of recovery vary depending on several factors, including the patient’s age, weight, overall health, and the severity of the CCL tear or rupture. It is also influenced by concurrent injuries, surgical technique, and postoperative management strategies. Here is a general timeline of what to expect during the recovery process:

Immediate Postoperative Period (0-2 Weeks)

During the immediate postoperative period, the focus is on pain management, wound healing, and preventing complications. The patient may experience some discomfort, and moderate exercise restriction is necessary to ensure proper healing. Physical therapy and rehabilitation exercises may be initiated to maintain joint mobility and prevent muscle atrophy.

Weeks 2-6

As the surgical site continues to heal, the patient will gradually regain weight-bearing ability and mobility. Physical therapy and rehabilitation exercises play a crucial role in this stage to improve muscle strength and joint function. Controlled and supervised activity is encouraged to prevent excessive strain on the surgical site.

- Advertisement -

Weeks 6-12

By this stage, the patient should be showing significant improvement in weight-bearing and mobility. The focus shifts towards rebuilding muscle strength and endurance. Physical therapy and rehabilitation exercises should continue, along with controlled and supervised activity. Regular veterinary check-ups will monitor the progress and make any necessary adjustments to the rehabilitation plan.

Months 3-6

At this point, the patient should be nearing full recovery. However, it is essential to remember that every dog’s healing process is unique. Rehabilitation exercises should continue to improve muscle strength, joint stability, and range of motion. Gradual return to normal activity levels is possible, but caution should be exercised to prevent reinjury.

Beyond 6 Months

After six months, most dogs should have fully recovered from TPLO surgery. However, it is essential to monitor the patient’s joint health and manage any signs of osteoarthritis. Maintaining a healthy weight, regular exercise, and joint supplements may be recommended to support long-term joint health.

Common Complications After TPLO Surgery

While TPLO surgery is generally successful, complications can arise in some cases. It is crucial to be aware of these potential complications and seek appropriate veterinary care if they occur. Here are some common complications that can occur after TPLO surgery:

Incisional Complications

Incisional complications include seromas and incision infections. Seromas are nonpainful, soft swellings that may appear around the incision site. Incision infections, on the other hand, may display signs such as redness, heat, swelling, and discharge. Proper wound care, including limiting activity, warm compresses, and potential antibiotics, is necessary to manage these complications.


Infection can occur in the implant, underlying bone, or within the stifle joint itself. Implant-associated infections can result from bacterial colonization and biofilm formation. Deep infections may manifest as joint pain, skin lesions, or systemic signs of infection. These infections may require antibiotic treatment and, in some cases, implant removal.

Persistent Stifle Instability

Despite the surgical correction, stifle instability can persist or recur due to implant failure or the pivot shift phenomenon. Implant failure may result from inadequate activity restriction during the healing period or fractures of the tibial tuberosity or fibula. Persistent instability can lead to increased risk of osteoarthritis and meniscal injury.

Patellar Desmopathy

Thickening of the patellar ligament is a common finding after TPLO surgery. In most cases, this thickening is nonpainful and resolves within a few weeks. However, a small percentage of patients may experience clinical desmopathy, characterized by lameness and pain on palpation of the ligament. Treatment options include pain management and rehabilitative modalities.

Meniscal Injury

Meniscal injuries can occur before or after TPLO surgery, especially in cases of persistent instability. Acute onset lameness, joint effusion, and a meniscal click during joint motion are common signs of meniscal injury. Surgical intervention may be necessary to remove the damaged portion of the meniscus.

Delayed or Incomplete Osteotomy Healing

Delayed or incomplete healing of the osteotomy site can occur in some cases. This may be due to systemic factors or stress shielding, where the rigidity of the stabilization and lack of forces through the bone impede proper healing. Rehabilitation exercises and potential interventions like shockwave therapy or bone grafting may be necessary to promote healing.


In rare cases, sarcoma of the proximal tibia can occur after TPLO surgery. This is more likely in cases involving certain types of implants. Clinical signs include lameness, pain on palpation, bony thickening or swelling, and possible pathologic fracture. Radiographic examination is necessary for diagnosis.

Rehabilitation and Myofascial Sequelae

In addition to the potential complications, it is important to consider rehabilitation and myofascial sequelae that can occur after TPLO surgery. Loss of stifle range of motion, muscle atrophy, myofascial sensitivity, abnormal function, and progressive osteoarthritis are common issues that may require further evaluation and intervention. Rehabilitation exercises, physical therapy modalities, and pain management techniques can help improve outcomes and enhance the patient’s quality of life.

TPLO Surgery in Dogs


TPLO surgery is an effective treatment option for dogs with CCL tears or ruptures. While complications can occur, proper veterinary care and rehabilitation can help manage these issues and promote successful recovery. It is essential for pet owners to be aware of potential complications and to work closely with their veterinarian to ensure the best possible outcome for their furry companions. With appropriate care and monitoring, dogs can recover well and regain their mobility and quality of life after TPLO surgery.

Remember to consult with your veterinarian for personalized advice and guidance regarding your dog’s specific condition and recovery process.

Type Keywords to Search


Most Popular


Please enter your comment!
Please enter your name here

Popular Articles

Dogs: What Not to Do for Their Well-being

As responsible dog owners, it is our duty to ensure their health, happiness, and safety. While most of us have the best intentions, there are certain things we should never do to our dogs.

Why Do Dogs Yawn? Unraveling the Mystery Behind Canine Yawning

What does it mean when a dog yawns? As a pet parent, you've probably noticed your dog yawning on multiple occasions. But have you ever wondered why dogs yawn?

How to Prevent Dog Bites and Ensure Child Safety

Dog bites can be a serious concern, especially when it comes to child safety. Millions of dog bites occur each year, with children under the age of 14 being the most vulnerable.


Read Now

How to Help Your Dog Overcome Separation Anxiety

Separation anxiety in a dog can be a challenging issue for many dog owners. Seeing your furry friend distressed when you leave can be heartbreaking. However, with patience, consistency, and the right approach, you can help your dog overcome separation anxiety.

Can Dogs Eat Ham? A Comprehensive Guide for Pet Owners

Ham, like many processed meats, can pose certain risks to dogs. While small amounts of ham are generally considered safe, larger quantities can have negative effects on your pet's health.

Walking Your Dog in the Rain: Tips for a Happy and Healthy Adventure

Should i walk my dog in the rain? Rainy weather doesn't have to put a damper on your dog's exercise routine. Just because the clouds are grey and the rain is falling doesn't mean you and your furry friend can't enjoy a walk together.

The Ultimate Guide to Rugged Pet Playthings for Dogs

When it comes to our furry friends, we want nothing but the best. Dogs bring joy, companionship, and endless entertainment into our lives, so it's only fair that we provide them with durable and engaging toys. In this comprehensive guide, we will explore the world of rugged...

How to Eliminate Dog Odor in Your Home: A Comprehensive Guide for Pet Owners

As a proud pet owner, you adore your furry companion and consider them a cherished member of the family. However, there's one aspect of pet ownership that can be a challenge – dealing with unpleasant dog odors in your home.

Why Do Dogs Nibble with Their Front Teeth? Exploring the Causes

Dog cobbing, also known as nibbling, refers to the behavior exhibited by dogs when they gently hold or nibble on a person's hand or arm using their front teeth.

Why is My Dog’s Nose Moist?

How to keep dogs nose moist? Dogs have a reputation for having wet noses. If you are a dog owner, you may have noticed that your furry friend's nose is always wet and wondered why.

All About Calcium for Dogs: Benefits, Requirements, and Supplements

Looking for calcium supplements for dogs? As responsible pet owners, we want to ensure that our furry friends receive the proper nutrition they need to thrive. One essential mineral that plays a vital role in a dog's overall health is calcium.

Dog Pilates: A Guide to Improving Your Dog’s Health and Wellbeing

Have you heard Dog Pilates? If you're a pet owner who wants to improve your dog's health and wellbeing, you might want to consider dog pilates. This canine-specific fitness activity has become increasingly popular in recent years, and for good reason.

Why Do Dogs Bite Each Other’s Snouts: Unraveling Canine Play Behavior

Why Do Dogs Bite Each Other's Snouts? Dogs are fascinating creatures, and one of the most intriguing aspects of their behavior is how they interact with each other during playtime.

Positive Reinforcement vs. Punishment in Dog Training

Dog training is an essential aspect of responsible pet ownership, ensuring that our furry companions behave appropriately and live harmoniously with us and those around them. When it comes to training techniques, there are two primary approaches: positive reinforcement and punishment. In this article, we will explore...

The Importance of Lactobacillus for Dogs’ Digestive Health

Is lactobacillus good for dogs? When it comes to maintaining the overall health and well-being of dogs, paying attention to their digestive health is crucial. Just like humans, dogs can experience digestive issues that can impact their overall quality of life.