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Visit http://canineortho.com/index.php/cani... to learn more about canine Anterior Cruciate Ligament (ACL) tears and Tibial Plateau leveling Osteotomy (TPLO) surgery. Dr. Michael Bauer of Colorado Canine Orthopedics discusses Anterior Cruciate Ligament tears. You'll find out about the anatomy of canine ACL tears, clinical signs, diagnosis of ACL tears and treatment options. Dr. Bauer is a board certified veterinary surgeon and a Diplomate of the American College of Veterinary Surgeons. He shares his thoughts on canine ACL repair and TPLO. Dr. Bauer has performed thousands of canine ACL surgeries. Cranial Cruciate Ligament tears, also known as ACL tears are the most common orthopedic problem dogs face today. Unlike humans, untreated canine ACL tears are almost always debilitating. The problem is chronic biomechanical wear and tear. Clinical signs of an ACL tear in your dog may come on acutely or slowly and include lameness and sitting to the side. All breeds and any dog over one year of age can be affected. Definitive diagnosis is made using arthroscopy. The two current techniques addressing the underlying biomechanical instability in a canine ACL tear are the tibial plateau leveling osteotomy (TPLO) and the tibial tuberosity advancement (TTA). The TPLO, which changes the angle of the tibial plateau, has been popular for about 10-12 years and has a high success rate (about 95% of dogs return to 95-100% of normal). The TTA is a technique that changes the relationship of the patellar tendon and tibial plateau angle via an osteotomy (bone cut). Non-surgical treatments are usually unsuccessful in canine ACL tears due to the chronic biomechanical stress as seen in the illustration in the anatomy of an ACL tear section. Surgical options are broken down into replacement techniques and biomechanical repairs. Fishing line used to replace a torn ACL has been used for decades and in our opinion is an antiquated technique. More recently better material and placement techniques have been proposed. This newer replacement technique is called the Tightrope Technique.