The knee is an essential joint of the body, and it’s complex. It connects the thigh with the rest of the leg. It supports almost all of the human body’s weight, making the knee sus...A Tibial Plateau Leveling Osteotomy, or TPLO, is the preferred technique for correcting cranial cruciate ligament, or CCL, injuries in dogs and cats. The CCL is one of two ligaments that cross within the stifle, or knee. This ligament is similar to the anterior cruciate ligament (ACL) in humans. When the CCL is torn or injured, it …Cataract surgery removes the cloudy lens caused by cataracts and replaces it with a clear artificial lens to correct your vision. Our eyes have lenses for focusing light. Usually, ... The TPLO keeps the femur bone from shifting backward during weight-bearing activities and allows other supporting structures of the stifle to stabilize the joint. TPLO results. The TPLO procedure offer multiple benefits in comparison to older techniques including faster recovery; earlier use of the limb after surgery; better chance to return to ... Veterinary Orthopedic procedures, including $2900 TPLO performed by a board certified DACVS Surgeon in San Diego / Rancho Bernardo. A typical TPLO surgery will cost between $2500 and $3500. Initially, your dog will need an X-Ray, which can cost around $200. Though not included in the above price, a second X-Ray is usually needed six months later, which will cost another $200. Cost of the surgery itself is usually around $700 plus the price of the metal plate and screws ... Cranial cruciate ligament (CCL) surgery for dogs can cost between $750 and $8,000, but the procedure averages $2,000 to $4,000. ... Expect up to 6 months of restricted movement and physical therapy after surgery. TPLO is the most common ACL/CCL technique overall because of its success rate for the most …Factors affecting the cost of TPLO surgery. Factors Affecting the Cost of TPLO Surgery The cost of TPLO (Tibial Plateau Leveling Osteotomy) surgery can vary depending on several factors. Understanding these factors is crucial in determining the overall cost and making an informed decision. 1. Size and Weight: The size and weight …Top 10 Best tplo Near Seattle, Washington. 1. Animal Surgical & Orthopedic Center. “We had a cancelation today," and just like that my baby was brought into for a TPLO the same day.” more. 2. Go Dog Go Canine Rehabilitation. “Thankfully are referred vet recommended Dr. Wendy for post TPLO rehabilitation.” more.A Tibial Plateau Leveling Osteotomy, or TPLO, is the preferred technique for correcting cranial cruciate ligament, or CCL, injuries in dogs and cats. The CCL is one of two ligaments that cross within the stifle, or knee. This ligament is similar to the anterior cruciate ligament (ACL) in humans. When the CCL is torn or injured, it …TPLO Los Angeles - Dr. Antonio Pedraza - Cruciate ligament veterinary surgery ... Flat Surgical Rates - No Hidden Fees. We offer all ... cost. Our goal is to ...This evaluation may involve X-rays, physical examinations, and consultations. These additional costs are typically separate from the actual plate removal procedure. 4. Anesthesia and Medications: Anesthesia and medications used during the TPLO plate removal surgery contribute to the overall cost. The …Top 10 Best tplo surgery Near Denver, Colorado. 1. Animal Surgical Clinic of the Rockies. “I highly recommend him to anyone needing TPLO surgery or whatever other kind of surgery is needed.” more. 2. Spry Companions - Veterinary Orthopedic Specialists. “Our 8 y/o GSD had a torn ACL and need TPLO surgery.Overnight hospitalization is required for most surgeries, although for TPLO, possibly two to three nights if bilateral, depending on whether the patient is able to walk with two bandages. You can rest easy knowing that your …What is the approximate cost of TPLO surgery? It depends on few factors like breed, weight, and age of the dog, if x-rays & blood test are done or not, how old is the damage etc. Call-604-870-9333 or email- [email protected] for a proper estimate for your dog.Overnight hospitalization is required for most surgeries, although for TPLO, possibly two to three nights if bilateral, depending on whether the patient is able to walk with two bandages. You can rest easy knowing that your …When the cranial cruciate ligament is torn, surgical ... TPLO surgery levels the tibia to prevent the ... Studies assessing outcome have shown various rates ...The cost of TPLO surgery can range from $3,000 to $8,000 or more depending on the dog’s size, the location of the veterinary clinic and the surgeon’s …An in depth and accurate animation to help better understand the TPLO surgery and it's benefits.The cost of dog ACL surgery is also to some degree dependent on geographic location. From TopDog’s research, this surgery for dog ACL tear can cost anywhere from $1100-2,500. Again it all depends on the region and who is performing the surgery. ... When it comes to the TPLO or TTA surgery, both of these surgeries involve bone cutting and ...Surgeons successfully perform TPLO on dogs from 10-pounds up to 200-pounds or more. Our experienced ACVS board-certified surgeons have performed over 5000 successful TPLO procedures. TPLO is associated with an early return to weight-bearing function with fewer complications.Initial neurological consultation. £330. Repeat neurological consultation. £145. Emergency supplement. £40. Cruciate rupture: TPLO. Includes initial consultation, hospitalisation for 2 nights, analgesia, digital radiography, general anaesthesia, surgery and implants, a post-operative ACPAT physiotherapy assessment and discharge plan, … A typical TPLO surgery will cost between $2500 and $3500. Initially, your dog will need an X-Ray, which can cost around $200. Though not included in the above price, a second X-Ray is usually needed six months later, which will cost another $200. Cost of the surgery itself is usually around $700 plus the price of the metal plate and screws ... TPLO surgery changes the angle of the tibia to the femur, therefore reducing the sliding or draw in the knee joint, stabilizing the knee and preventing osteoarthritis. Healing from TPLO surgery is generally quick. Most dogs are walking or toe touching on the leg 24hrs post surgery and can be back to full activity by 3-6 …TPLO surgery cost typically ranges between $3,500 – $5,000. I show an estimate for one of our pups below where the total was $4,500, so right about in the expected …May 31, 2008 · For example, a traditional repair can cost anywhere from $1000-2000+, whereas a TPLO surgery usually begins in the $2000 range. There are some organizations that offer to provide financial assistance for dogs needing cruciate ligament repair, and they are mentioned below. How much does TPLO surgery cost? $4,450 - $5,450* This includes an orthopedic exam, pre-operative blood work, pre and post-surgical radiographs, anesthesia, surgical time, hospitalization, game-ready cold compression therapy, post-operative pain relief, and standard recheck examinations.TPLO Surgery San Antonio. TPLO Surgery San Antonio. Follow Us! Facebook · LinkedIn · YouTube. ©2020 Texas Specialty Veterinary Services, PLLC | Powered by ...Top 10 Best Tplo in Portland, OR - March 2024 - Yelp - OREV Specialty Vet Care, Veterinary Cancer & Surgery Specialists, BluePearl Pet Surgery, Cascade Veterinary Referral Center, Pacific Northwest Pet ER & Specialty Center, Splash Canine Hydrotherapy & Recovery, Bethany Family Pet Clinic, DoveLewis Emergency Animal Hospital, Healing …The cost of dog ACL surgery is also to some degree dependent on geographic location. From TopDog’s research, this surgery for dog ACL tear can cost anywhere from $1100-2,500. Again it all depends on the region and who is performing the surgery. ... When it comes to the TPLO or TTA surgery, both of these surgeries involve bone cutting and ...6. Follow-Up Care and Rehabilitation: Post-surgery, dogs require follow-up visits, medications, and rehabilitation sessions to ensure a successful recovery. These additional services may impact the overall TPLO cost. Estimating TPLO Cost: It is challenging to provide an exact TPLO cost as it varies based on the factors mentioned …Usually, TPLO surgery costs between $2500 and $6000. This cost includes not just the surgery itself but the x-ray and blood work needed pre-surgery, the anesthetic during surgery, and the medications needed post-surgery. There are additional costs if you opt for physical therapy, which is around $100 to $200 per session. ...Cranial cruciate ligament (CCL) surgery for dogs can cost between $750 and $8,000, but the procedure averages $2,000 to $4,000. ... Expect up to 6 months of restricted movement and physical therapy after surgery. TPLO is the most common ACL/CCL technique overall because of its success rate for the most …When the cranial cruciate ligament is torn, surgical ... TPLO surgery levels the tibia to prevent the ... Studies assessing outcome have shown various rates ...Losing weight can improve your health in numerous ways, but sometimes, even your best diet and exercise efforts may not be enough to reach the results you’re looking for. Weight-lo...Find out more about the scope of post-TPLO surgery recovery, including incision care, restriction recommendations, and FAQs. Learn more here. 512-812-4414. Learn. 6 Step Video Series; FAQ; TPLO Reviews; For Vets; ... “It’s Comforting to know that our pets can get specialty care at a familiar place and for a more affordable cost.” ...Bruising and swelling are common complications following surgery and the TPLO is no exception. Please follow your veterinarian’s instructions for managing these complications. It is common to see swelling around the ankle following the TPLO procedure. This typically occurs 3-5 days following surgery and may be present …TPLO surgery changes the angle of the tibia to the femur, therefore reducing the sliding or draw in the knee joint, stabilizing the knee and preventing osteoarthritis. Healing from TPLO surgery is generally quick. Most dogs are walking or toe touching on the leg 24hrs post surgery and can be back to full activity by 3-6 …For instance, one dog owner was quoted $8,500 at Sam’s Clinic, while another found a more affordable option at OakVet, with slightly lower costs and comprehensive post-op care. Other Regions: In contrast, prices in other areas can be significantly lower. For example, a dog owner in Fremont mentioned a cost of $4,000 for …TPLO Surgery for Dogs and Cats. AVAILABLE AT: Greenville, SC • Brandon, FL. The cranial cruciate ligament (CCL), similar to the anterior cruciate ligament …The cost of TPLO surgery can vary from $3500 to $5500, depending on who is doing the surgery and where it is performed. It is a popular option for dogs with torn ACL, but there are also …TPLO Surgery Cost. Our total for TPLO surgery at one of the best veterinary hospitals in San Diego, an overnight stay, and various medications totaled about $5000. Our insurance will pay about 70%. I would say that I spent about $800 on the gear mentioned above, though these things are not all mandatory.In general, a dog TPLO surgery cost can range from $3,000 to $10,000 per knee. This variation is not only due to the complexity of the procedure but also reflects regional differences in veterinary care costs. For instance, in Northern California, particularly in high-cost areas like Silicon Valley, estimates for TPLO surgery can reach …Jun 8, 2021 · TPLO is most commonly used on large or giant breed dogs. It’s also the surgery of choice for obese dogs, athletes, and those who have torn or damaged both CCLs. Unfortunately, TPLO is also one of the most expensive CCL surgeries, costing between $2500 and $6000. Tibial Tuberosity Advancement (TTA) Usually, TPLO surgery costs between $2500 and $6000. This cost includes not just the surgery itself but the x-ray and blood work needed pre …TPLO is a common procedure for treating a torn cranial cruciate ligament (CCL) among animals like dogs and cats. Since it’s an invasive procedure, full recovery usually takes up to six months. Fortunately, you’ll notice significant improvements in your pet ten weeks post-TPLO surgery. Your furry friend can …Jan 26, 2024 ... What's The Annual Cost of Pet Insurance for ACL Surgery Coverage? ; Lemonade, $17.78–$77.80, $11.00–$43.21 ; Spot, $10.12–$83.89, $5.98–$51.45.TPLO (Tibial Plateau Leveling Osteotomy) surgery is a major surgical procedure commonly recommended for dogs with a torn anterior cruciate ligament (ACL) orNov 2, 2019 · With typically surgeries last 2-3 hours long, most TPLO surgeries cost anywhere between $3,000 to $6,000, including necessary examination and assessments, blood work, anesthesia, anesthesia checking, torment pharmaceutical, performing surgery, post surgery care, and any medicinals needs. Costs also don’t include necessary rehab to get your ... 1. Size and Weight: The size and weight of your dog play a significant role in the cost of TPLO surgery. Larger dogs require more anesthesia, longer …TPLO (Tibial Plateau Leveling Osteotomy) surgery is a major surgical procedure commonly recommended for dogs with a torn anterior cruciate ligament (ACL) orHowever, on average, TPLO surgery can range from $3,000 to $7,000 or even more in some cases. It is crucial for pet owners to consult with their …However, it may well be that this method, like the TTA, reduces cranial tibial thrust by positioning the TPS 90° to the patellar tendon in the extended stifle position of the weight-bearing dog. If so, the TPLO moves the tibial plateau to meet the patellar tendon force, whereas for TTA, the force is moved to meet the tibial plateau.In order to provide stability to a knee with a torn CCL, a veterinarian, Dr. Barclay Slocum, developed TPLO surgery for dogs. During the procedure, the surgeon uses a specialized saw that makes a curved bone cut through the top part of the tibia. The bone cut is called an osteotomy.The cost of TPLO surgery can vary widely, depending on factors like the location, the dog’s weight, and the complexity of the case. On average, you can expect to pay between $2,500 and $4,500 for the surgery. This cost typically includes the pre-operative evaluation, anesthesia, the surgery itself, post-operative care, and follow-up visits. ...What is TPLO Surgery? TPLO is the abbreviation for Tibial Plateau Levelling Osteotomy. This is a surgical procedure used to treat cranial (or anterior) cruciate ligament rupture in the knee joints (stifle) of dogs. It involves changing the angle of the top of the shin bone (the tibial plateau) by cutting the bone, rotating it, and stabilising ...Find out more about the scope of post-TPLO surgery recovery, including incision care, restriction recommendations, and FAQs. Learn more here. 512-812-4414. Learn. 6 Step Video Series; FAQ; TPLO Reviews; For Vets; ... “It’s Comforting to know that our pets can get specialty care at a familiar place and for a more affordable cost.” ...Find out more about the scope of post-TPLO surgery recovery, including incision care, restriction recommendations, and FAQs. Learn more here. 512-812-4414. Learn. 6 Step Video Series; FAQ; TPLO Reviews; For Vets; ... “It’s Comforting to know that our pets can get specialty care at a familiar place and for a more affordable cost.” ...Spine surgery is a medical procedure where an incision is made into the body to correct the spine and relieve the patient from back and neck pains. However, not all back and neck p...Surgery costs can differ greatly based on your location and pet. For example, larger dogs will need more anesthesia to stay under. Estimates are that TPLO and TTO surgeries run around $3,000 to …Schedule an Appointment. Call 517-353-5420 to schedule an appointment with the Small Animal Clinic. Our world class orthopedic care is rooted in six distinctive services: Surgery, Revision, Diagnostics, Emergency, In-hospital Care, and …A guide to your preoperative visit, the day of surgery, and postoperative care, plus tools you can print to help you manage the process. When there is damage to or rupture of the cranial cruciate ligament (CCL) in your dog’s knee joint and your vet recommends tibial plateau leveling osteotomy (TPLO), know what to expect before the TPLO procedure, in …In the end, I estimate the total cost to be around $4400 for TPLO large dog. That excludes the bonus expense of the plate removal surgery and any associated X-rays Just my experience. h3ff • Highland • 4 mo. ago. We had a great experience at Liberty for TPLO as well.Jan 3, 2024 · The cost of TPLO surgery can range from $3,000 to $8,000 or more depending on the dog’s size, the location of the veterinary clinic and the surgeon’s experience. The Cost of TPLO Surgery. The cost of TPLO surgery can vary widely, depending on factors like the location, the dog’s weight, and the complexity of the case. On average, you can expect to pay between $2,500 and $4,500 for the surgery. This cost typically includes the pre-operative evaluation, anesthesia, the surgery itself, post-operative ... Experience and reassurance. An orthopaedic department with experience of over 4,000 TPLO surgeries. Experience counts and we have consistently excellent outcomes and a very low complication rate. Specialist treatment. Specialist-led anaesthesia, including meticulous pre-operative assessment, intraoperative monitoring and perioperative …Mar 4, 2023 ... Depending on the size of the patient, potential post-op complications or lack thereof, generally looking at between $3500-$3800. Reply.For larger, heavier dogs TPLO surgery is a permanent fix that works well. TPLO Recovery. It's natural for any caring owner to be concerned about putting their dog through major surgery. So what are the benefits vs risks, and how long does tibial plateau leveling osteotomy recovery take? Top 10 Best Tplo in Portland, OR - March 2024 - Yelp - OREV Specialty Vet Care, Veterinary Cancer & Surgery Specialists, BluePearl Pet Surgery, Cascade Veterinary Referral Center, Pacific Northwest Pet ER & Specialty Center, Splash Canine Hydrotherapy & Recovery, Bethany Family Pet Clinic, DoveLewis Emergency Animal Hospital, Healing Arts Animal Care, Columbia River Veterinary Specialists With typically surgeries last 2-3 hours long, most TPLO surgeries cost anywhere between $3,000 to $6,000, including necessary examination and … In our hospital we charge an all-inclusive price for TPLO surgery. small dogs (<40lbs) the cost is $3,950 (6+ hole plate) medium dogs (<70lbs) the cost is $3,950 (6+ hole plate) large dogs (70lbs -100lbs) the cost will be confirmed after surgery depending on plate size. extra-large dogs (>100lbs) the cost is $4,450. (8+ hole plate) So the TPLO surgery cost is estimated at $4,500, but the post-surgery costs are in the $500 ballpark. Notice the “fine print” as well, where it mentions other subsequent rechecks, x-rays, etc. will all result in additional costs. There are even more costs to consider in addition to those costs.Cataract surgery removes the cloudy lens caused by cataracts and replaces it with a clear artificial lens to correct your vision. Our eyes have lenses for focusing light. Usually, ...How much does TPLO surgery cost? $4,450 - $5,450* This includes an orthopedic exam, pre-operative blood work, pre and post-surgical radiographs, anesthesia, surgical time, hospitalization, game-ready cold compression therapy, post-operative pain relief, and standard recheck examinations.We provide a number of procedures for canines, including luxating patella surgery, hip luxation surgery, and cruciate ligament surgery. Contact Wisconsin Veterinary Orthopedics today at (608) 526-2200 for an appointment to learn how TPLO surgery can help your pet. TPLO (Tibial Plateau Leveling Osteotomy) -.We are veterinarians in Fort Wayne, IN who offer exceptional TPLO surgery for Anterior Cruciate Ligament (ACL) ruptures in dogs.Usually, TPLO surgery costs between $2500 and $6000. This cost includes not just the surgery itself but the x-ray and blood work needed pre …No one wants to have surgery but in some cases it’s necessary to relieve pain and regain normal movement. If you or someone you love is facing lumbar spine surgery, it helps to fam...Apr 20, 2023 ... ACL surgery in dogs costs about $3,000 per knee, and the dog cruciate ligament surgery cost can increase depending on the type of surgery you ... My dog, Lily, about 70 lbs Pitt bull boxer mix—active is in need of knee surgery. I am prepared to go with the gold standard tplo surgery but it it is extremely expensive. I live in Chicago. The place my vet recommended will be about $5000. I see that UIC may be about $4000 but their first appointment isn’t available for a couple of months. The surgery that is recommended for medium and large breed dogs that have CCL tears is the tibial plateau leveling osteotomy (TPLO). The TPLO levels the slope of the tibia by cutting the bone and rotating it . A plate is fastened onto the side of the bone with a set of screws to hold the tibia together during the healing process.An in depth and accurate animation to help better understand the TPLO surgery and it's benefits.Jan 13, 2010 ... The range they gave us was $2300-3300. We priced out the same surgery with the same surgeon at a different vet office and received an estimate ...Reviews on Tplo in Los Angeles, CA - TrueCare for pets, VCA Animal Specialty & Emergency Center, Family Veterinary, Los Angeles Veterinary Center, VCA TLC Pasadena Veterinary Specialty and Emergency, Metropolitan Animal Specialty Hospital, Beverly Robertson Veterinary Clinic, Sepulveda Animal Hospital, University Veterinary Center, …In the end, I estimate the total cost to be around $4400 for TPLO large dog. That excludes the bonus expense of the plate removal surgery and any associated X-rays Just my experience. h3ff • Highland • 4 mo. ago. We had a great experience at Liberty for TPLO as well. What is TPLO Surgery? TPLO is the abbreviation for Tibial Plateau Levelling Osteotomy. This is a surgical procedure used to treat cranial (or anterior) cruciate ligament rupture in the knee joints (stifle) of dogs. It involves changing the angle of the top of the shin bone (the tibial plateau) by cutting the bone, rotating it, and stabilising ... Jan 12, 2024 · Factors affecting the cost of TPLO surgery. Factors Affecting the Cost of TPLO Surgery The cost of TPLO (Tibial Plateau Leveling Osteotomy) surgery can vary depending on several factors. Understanding these factors is crucial in determining the overall cost and making an informed decision. 1. Size and Weight: The size and weight of your dog ... Follow the post-operative instructions on how best to work your way up to 5-, 10-, then 15-minute walks week-to-week. Freeze peanut butter, pumpkin, Greek yogurt, bananas, or blueberries in a treat toy to keep your dog occupied for longer. Section off an area in a room that will be their recovery corner.
We are veterinarians in Fort Wayne, IN who offer exceptional TPLO surgery for Anterior Cruciate Ligament (ACL) ruptures in dogs.. Horizontal fence panels
What Does A TPLO Surgery Cost? Our TPLO surgery packages include everything day of: pre/post-op radiographs, pre-anesthetic bloodwork, IV catheter/warm ... What is TPLO Surgery? TPLO is the abbreviation for Tibial Plateau Levelling Osteotomy. This is a surgical procedure used to treat cranial (or anterior) cruciate ligament rupture in the knee joints (stifle) of dogs. It involves changing the angle of the top of the shin bone (the tibial plateau) by cutting the bone, rotating it, and stabilising ... Updated October 19, 2023. Table of Contents. What is ACL surgery for dogs? Causes and symptoms of an ACL tear. Treatment and procedures. ACL surgery …Included with our surgery cost was 8 free visits for post-op cold laser treatments. Alexander D. “ My dog just had TPLO surgery performed by Dr. Jordan. I am very pleased with the care he received and loved the staff here. They were all very knowledgeable and friendly. Each person took the time to make sure we … In Australia, the cost of TPLO surgery largely varies, but it is within the range of $2,500 to $8,500 (inc GST). Among the factors affecting TPLO surgery costs are the breed and weight of the dog, age of injury, lifestyle, and whether blood tests or x-rays were performed. With the TPLO, a slower return to limb use after surgery often means more muscle loss due to disuse atrophy. Consequently, more physical therapy is often required to regain the lost muscle mass in dogs that have the TPLO procedure. For this reason and others, Dr. Wodiske prefers the TTA procedure over the TPLO for most …Jul 22, 2022 · Follow the post-operative instructions on how best to work your way up to 5-, 10-, then 15-minute walks week-to-week. Freeze peanut butter, pumpkin, Greek yogurt, bananas, or blueberries in a treat toy to keep your dog occupied for longer. Section off an area in a room that will be their recovery corner. We provide a number of procedures for canines, including luxating patella surgery, hip luxation surgery, and cruciate ligament surgery. Contact Wisconsin Veterinary Orthopedics today at (608) 526-2200 for an appointment to learn how TPLO surgery can help your pet. TPLO (Tibial Plateau Leveling Osteotomy) -.Surgery to fix a CCL tear is called a TPLO, or tibial-plateau-leveling osteotomy. This surgery requires specialist training, and Dr. Harper recommends it to be done at a referral hospital. “A TPLO surgery changes the biomechanics of the knee so the dog can still use the limb without a CCL,” says Dr. Harper. “We change the angle of the …May 4, 2023 · Dog TPLO Surgery Cost. TPLO is a specialized surgery that should only be performed by board-certified veterinary surgeons. Their training and experience, combined with the cost of the equipment required, means this surgery is a somewhat pricey (yet worthy) investment in your pet’s long-term health. My dog's TPLO cost $4000 in 2021 at Warms Springs Vet at Fremont. The surgeon was a regular vet, instead of a vet who specialized in TPLO, so the price was cheaper. There was an additional scan post surgery (to make sure things are healing correctly) that cost a few hundred (can't remember the price exactly). The …With typically surgeries last 2-3 hours long, most TPLO surgeries cost anywhere between $3,000 to $6,000, including necessary examination and assessments, blood work, anesthesia, anesthesia …After TPLO, loss of motion greater than 10 degrees occurs in 21.8% of dogs, and dogs with decreased range of motion are more likely to exhibit lameness. 27 In 1 study of dogs after extracapsular stabilization, 6 months postoperatively, dogs that had a prescribed postoperative rehabilitation program bore more weight on the affected limb than ...Pet Parent: Rachel. Pet: Mojo, 3-year-old, mixed breed dog. Diagnosis & Treatment: Cruciate Ligament Surgery. Claim Cost: $4,343. Healthy Paws Pet Insurance Reimbursement: $3,510. Rachel’s Out-of-Pocket Expense: $844. My dog Mojo tore his CCL at 3 years old and had to have a very expensive surgery!pets 0-100lbs $4,290.00; pets over 100lbs $4,939.00. A Guide to Your Pet's TPLO Surgery. What is TPLO Surgery? Tibial plateau leveling osteotomy, or TPLO ....
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