Advanced Surgery

Cranial cruciate ligament failure is a common orthopaedic problem in dogs. This ligament stabilises the knee joint while allowing it to flex and extend. In most cases, the ligament fails due to a degenerative process. As a result, the other ligament may also become affected over time. However, in some cases, the cause is an athletic injury, particularly in active dogs that jump.

MMP (Modified Maquet Procedure)
One of the procedures we perform is the MMP (Modified Maquet Procedure). This technique advances part of the tibia. Consequently, it changes the forces within the knee joint. As a result, it helps to reduce instability caused by ligament rupture.

TTA (Tibial Tuberosity Advancement)
Similarly, TTA (Tibial Tuberosity Advancement) is another surgical option. It is used to treat cranial cruciate ligament rupture in dogs. During this procedure, the top of the shin bone (tibia) is cut and moved forward. It is then stabilised in its new position. However, TTA is a major surgery and can involve complications. Therefore, it is only recommended when the benefits outweigh the risks and when other treatments are less effective.

In addition, we perform a lateral stabilising suture technique. This method helps hold the joint firmly in place. As a result, it improves stability and supports healing. In fact, this is one of the most commonly performed surgeries for cruciate ligament rupture in dogs.

After surgery, we monitor your dog closely. For example, we carry out a check-up 5 days after the procedure. Then, we examine your dog again at 10–14 days. In addition, we routinely perform a follow-up X-ray within the first month. This ensures everything remains in the correct position. If recovery is progressing well, we gradually increase exercise levels, although your dog should remain on a lead at first. Typically, most dogs can return to normal activity after 2–3 months. Finally, we recommend physiotherapy to support recovery, as this can help improve strength and mobility after stifle surgery.