Why ASOC for TPLO?

The tibial plateau leveling osteotomy, or TPLO (click here for a printable information sheet), is one of the most common surgeries performed by board-certified veterinary surgeons to treat cranial cruciate ligament ruptures in dogs. With numerous practices in the greater Seattle area offering surgery, why choose ASOC?

  • Experience
    • ASOC was the first practice in the greater Seattle area to perform TPLO surgery and we have been continuing the practice for over 25 years.
    • As the technique has been honed over the decades, ASOC has been at the forefront of adopting changes that lower complication rates and improve outcomes.
  • All performed by board-certified ACVS surgeons
    • All of our surgeons are diplomates of the American College of Veterinary Surgeons (ACVS). This is the only board certification sanctioned by the American Veterinary Medical Association (AVMA), the governing body of veterinary medicine in the United States.
    • Additionally, since ASOC is not a teaching hospital, TPLO surgeries are not being performed by residents or interns.
  • Consult directly with the surgeon prior to surgery and at rechecks 
    • Our surgeons feel it is important to remain available for your questions and concerns before and after surgery. Routine rechecks following TPLO are scheduled at 2 weeks postoperatively, with recheck radiographs (x-rays) obtained at the 8-week point.  Additional re-checks may be scheduled as needed. Alternatively, if you prefer to have those rechecks performed at your local veterinary clinic, your veterinarian can easily communicate with our surgeons for any input required, including evaluation of your dog’s 8-week recheck x-rays.
    • We remain available by phone or e-mail for any questions along the way. Every effort is made to keep you in communication with the surgeon who performed surgery on your dog; if that surgeon is temporarily unavailable, we will ensure another one of our surgeons can address your concerns in a timely fashion.
  • Short wait times to schedule surgery
    • Although you should never feel pressured into surgery at our clinic, you should still retain the ability to schedule surgery in an expeditious manner suitable to your schedule. We do our very best to accommodate clients’ needs.
    • With five surgeons available, there should be plenty of options open to serve the specific needs of your schedule, including surgery on the same day of your appointment, if preferred.
  • Minimally invasive arthrotomies or arthroscopy
    • Our surgeons can walk you through the pros and cons of arthroscopy vs. minimally invasive ‘mini-arthrotomy.’ Both can be performed here.
  • Synthes TPLO plates
    • Synthes is known in both the human and veterinary surgical communities as the leader in ‘Top of the Line’ orthopedic implants. Synthes TPLO plates offer the best locking technology available in the industry.
  • Multimodal Pain management – Anesthesia protocols commonly include the following:
    • Injectable narcotics/analgesics – Given before, during, and after surgery as needed to stay ahead of pain. These are used either as intermittent injections or constant rate infusions.
    • Epidurals – Helps lower the doses required to maintain general anesthesia, and can relieve discomfort for 8-12 hours after surgery
    • Nocita- A long-acting (3 day) local anesthetic block administered during surgery.
    • Cold Compression Therapy Provides post-operative control of swelling and pain with the use of cold and compression.
    • Post-operative oral pain medication combinations to be sent home for the first 1-2 weeks after surgery
  • No Pressure! We Have Non – Surgical Options As Well
    • Our surgeons are available for your consultation to help you determine whether surgery is right for you and your dog. Different clients and dogs have different personal circumstances, and there are viable reasons you may wish to avoid surgery.
    • A consultation for non-surgical management of your dog’s cranial cruciate ligament rupture can be made here with our team of certified veterinary rehabilitation therapists at Sound Veterinary Rehabilitation Center, our rehab facility located next door.
  • Ask your neighbors/friends
    • We feel confident enough in our service and results that you should feel free to ask your neighbors and dog-friends where they had their dog’s knee surgery performed, and whether they had a favorable experience. We are also open to any feedback, to help us learn how to continuously improve service for both our patients and their human partners.