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TPLO Surgery: Risks and Rewards

introduction 

TPLO surgery, or Tibial Plateau Leveling Osteotomy, is a common surgical procedure performed on dogs with cruciate ligament injuries. While the procedure is generally safe and effective, there are several potential complications that can arise following surgery. Understanding these complications is important for pet owners who are considering TPLO surgery for their dogs.

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table about TPLO Surgery complications

ComplicationInformation
InfectionInfection is a potential complication of any surgical procedure, including TPLO surgery. Signs of infection may include redness, swelling, warmth, discharge, or foul odor at the surgical site, as well as fever, lethargy, or loss of appetite.
Implant failureTPLO surgery involves the use of a metal plate and screws to stabilize the tibia bone. In rare cases, the implant may break or become loose, which can lead to lameness, pain, or failure of the surgery.
Delayed healingTPLO surgery involves cutting and repositioning the tibia bone, which can take several months to fully heal. Delayed healing may lead to persistent lameness or the need for additional surgery.
OsteoarthritisWhile TPLO surgery can help reduce the progression of osteoarthritis in dogs with cruciate ligament injuries, some dogs may still develop arthritis following surgery. Signs of arthritis may include stiffness, pain, swelling, or decreased mobility.
Nerve damageTPLO surgery involves making an incision near the sciatic nerve, which can sometimes result in nerve damage. Signs of nerve damage may include weakness, paralysis, or loss of sensation in the affected limb.
Gastrointestinal upsetSome dogs may experience nausea, vomiting, diarrhea, or loss of appetite following TPLO surgery, which can be caused by anesthesia, pain medication, or other factors.
Blood clotsBlood clots can be a potential complication of any surgery, including TPLO surgery. Signs of a blood clot may include swelling, pain, or redness in the affected limb, as well as shortness of breath or chest pain.
Anesthetic complicationsAnesthesia is required for TPLO surgery, and can sometimes lead to complications such as allergic reactions, respiratory distress, or cardiac arrest.
Wound dehiscenceWound dehiscence is a rare but serious complication of TPLO surgery, in which the surgical incision reopens, leading to infection, implant failure, or other complications. Signs of wound dehiscence may include bleeding, swelling, or discharge from the surgical site.

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infection

One of the most common complications of TPLO surgery is infection. Since TPLO surgery involves making an incision in the skin and cutting and repositioning the tibia bone, there is a risk of introducing bacteria into the surgical site. Signs of infection may include redness, swelling, warmth, discharge, or foul odor at the surgical site, as well as fever, lethargy, or loss of appetite. It is important to monitor the surgical site closely and contact your veterinarian if you notice any signs of infection.

Implant failure

Implant failure is another potential complication of TPLO surgery. This can occur if the metal plate and screws used to stabilize the tibia bone break or become loose. Implant failure can lead to lameness, pain, or failure of the surgery. While this complication is rare, it is important to monitor your dog closely after surgery and contact your veterinarian if you notice any signs of lameness or discomfort.

Delayed healing

Delayed healing is also a potential complication of TPLO surgery. Since the surgery involves cutting and repositioning the tibia bone, it can take several months for the bone to fully heal. Delayed healing may lead to persistent lameness or the need for additional surgery. It is important to follow your veterinarian's post-operative instructions carefully and monitor your dog's progress closely.

arthritis

While TPLO surgery can help reduce the progression of osteoarthritis in dogs with cruciate ligament injuries, some dogs may still develop arthritis following surgery. Signs of arthritis may include stiffness, pain, swelling, or decreased mobility. It is important to monitor your dog's mobility and contact your veterinarian if you notice any signs of arthritis.

Nerve damage

Nerve damage is a potential complication of TPLO surgery, as the surgery involves making an incision near the sciatic nerve. Signs of nerve damage may include weakness, paralysis, or loss of sensation in the affected limb. It is important to monitor your dog closely for any signs of nerve damage and contact your veterinarian if you notice any changes in your dog's mobility or behavior.

Other potential complications

Other potential complications of TPLO surgery include gastrointestinal upset, blood clots, anesthetic complications, and wound dehiscence. While these complications are rare, it is important to be aware of the potential risks associated with any surgical procedure.


conclusion

TPLO surgery can be a safe and effective treatment option for dogs with cruciate ligament injuries, but it is important to be aware of the potential complications associated with the procedure. By monitoring your dog closely and contacting your veterinarian if you notice any signs of complications, you can help ensure a successful outcome for your pet.


References

- TPLO Surgery in Dogs - Procedure, Recovery, and Cost." PetMD, 2021.

- Tibial Plateau Leveling Osteotomy (TPLO) in Dogs." VCA Hospitals, 2021.

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