Wedge TPLO remains a very effective procedure for Cruciate Rupture in small breeds with steep tibial plateau.

A few images from a patient today, a lovely 3 year old Yorkshire Terrier Cross called Rio. Rio had complete rupture of left CrCL.

Radiographically templated at 45degrees, a 40 degree wedge respected from his tibia and stabilised with a Vet Instrumentation 2.7mm TPLO plate.

Post-op, Rio having a fuss with nurse Jade too. Cruciate patients have two forms of intravenous pain relief, plus epidural and intra-articular local anaesthetic whilst they are under GA.

Bright and happy recoveries!

X-ray of dog's fractured tibia showing plates
X-ray of lateral stifle in dog
Anaesthetised dog on it's back showing positioning for x-ray of hock in small breeds
Smiling nurse at Penmellyn Vets holding patient little Yorkie with red bandage on leg
X-ray of fractured tibia in a small dog being mended with plate and screws visible on x-ray

Referrals from Newquay, Truro, Camborne & the Scilly Isles

Dogs with Cranial Cruciate Ligament failure represent a large part of our orthopaedic case-load.

Nevertheless, four patients in the last two days, referred in from Newquay, Truro, Camborne and the Scilly Isles, and all requiring the same procedure is a little unusual and illustrates nicely the spread of these cases that we use Slocum TPLO as a first line procedure ( smaller breeds generally have Wedge TPLOs, athletic ruptures a lateral fascial imbrocation, and concurrent patella luxations often a TTA or TTArapid).

Within these cases we’ve used radial osteotomy blades ranging from 18mm in a Chow and a Bulldog, 24mm in a Rottweiler and 30mm in a Mastiff.

All stabilisations are with the Vet Instrumentation 3.5mm TPLO DCP plate, and we also stock both 2.7mm and 2.4mm TPLO plates for smaller breeds.

Hover over each x-ray image for more detailed information

X ray showing plates and screws in tibia of dog's leg at A30 Referrals
X ray with Mediolateral view of a TPLO in a Rottweiler
Mediolateral view of a TPLO in a Mastiff, 30mm radial plate; 3.5mm VI DCP TPLO plate stabilisation
X ray of caudocranially view of TPLO in a Bulldog

Want to refer a case?

A30 Referrals PENMELLYN VET GROUP LTD Station Road St. Columb Major, Cornwall TR9 6BX
Tel: 01637 880307 Fax: 01637 880825 E-mail:

A kiss for Chester

Rest assured, your pet becomes part of the family here at A30Referrals

TPLO on both backlegs

“My dog, Saffie had TPLO performed by Colin on both of her rear legs”