Email kcmidway@tampabay.rr.com

Mission Statement:
To provide quality referral orthopedic and soft tissue surgical services to patients at a reasonable cost to clients in Citrus County Florida and surrounding counties, as well as an alternative referral site for their veterinarians.

TPLO Procedure

The most common orthopedic problem in the dog is rupture of the anterior or cranial cruciate ligament in the knee. This ligament stabilizes the joint and prevents a forward motion of the tibia when the dog is weight bearing.

The ligament can rupture with an over extension of the knee or an inward twist with a flexion motion. In most cases it is thought to be a degenerative condition of the ligament that most often allows rupture. Breeds such as the cocker spaniel, rotweiler and Labrador retriever may be more prone to this injury.

In the past there were many surgical procedures used to recreate the ligament. Many involved placing strips of tissue through the knee and anchoring it to the femur. These have fallen out of use.

The extra capsular repair involves placing a strong nylon suture around a small bone behind the femur and through a hole in the front of the tibia. This prevents the forward motion of the tibia when walking and stabilizes the joint. It is most successful in dogs less than 40 pounds.

The Tibial Plateau Leveling Osteotomy or TPLO involves redirecting the forces in the knee to prevent the forward motion. This is accomplished by making a circular cut in the top of the tibia and rotating the fragment around to flatten the slope of the bone. A special bone plate is applied to stabilize the bones as they heal. The procedure was developed by Dr. Barclay Slocum of Slocum Enterprises in the mid 1990's.

Dr. K.C. Nayfield received his training for the TPLO procedure from Slocum Enterprises in August of 2001. Since that time he and his surgical assistant Carrie Clifton have performed well over 600 of these procedures. Recently they have begun to do the procedure on small dogs as well as the larger ones.

Of the over 600 cases the results have been very favorable. The dogs usually begin using the leg within a few days following the surgery. Minor complications have included soft tissue infections, seroma formation, and lick sores. These have occurred in about 10 per cent of the cases. Severe complications have included fracture of the fibula, loosening of the screws and plate, and systemic infections. The rate of these complications has been less than 2 per cent. All of these cases so far have responded to antibiotic therapy and rest or conservative therapy.

Recovery times usually run from 8 to 12 weeks. Following bone healing there is a gradual return to function with physical therapy. Well over 95 per cent of our cases have improved to the point of showing no lameness after a few months.

TPLO Estimate - PDF

Lateral Post Op

AP Post Op