
On This Page
-
What is TPLO?
-
TPLO vs. Other Options
-
The Recovery Timeline
-
Cost & Availability
-
FAQ
What is TPLO?
Tibial Plateau Leveling Osteotomy — TPLO — is the gold standard surgical treatment for cranial cruciate ligament (CCL) rupture in dogs. CCL tears are among the most common orthopedic injuries in canine patients, and without surgical intervention, progressive joint instability and arthritis are the predictable outcome.
TPLO works by changing the geometry of the tibial plateau, eliminating the shear force that makes the stifle unstable when the CCL is no longer functional. Unlike traditional repair techniques, TPLO does not rely on scar tissue formation to stabilize the joint — which is why it consistently produces better long-term outcomes, particularly in active, large, and athletic dogs.
Dr. Poppell performs TPLO as part of Red Hills Veterinary Surgery's mobile surgical model — traveling to your clinic with the equipment and expertise to perform the procedure on-site, eliminating the stress of transporting an injured patient to an unfamiliar facility.
TPLO vs. Other Options
Several surgical techniques exist for CCL repair. Here's how they compare:
TPLO — Modifies the tibial plateau angle to eliminate joint instability. Highest success rates across all dog sizes and activity levels. The preferred technique for most canine patients. Performed by Dr. Poppell at your clinic.
TTA (Tibial Tuberosity Advancement) — Advances the tibial tuberosity to neutralize stifle forces. Comparable outcomes to TPLO in many patients. Less commonly performed but a viable alternative in select cases.
Extracapsular repair (lateral suture) — Places a synthetic suture outside the joint to mimic CCL function. Lower cost and complexity, but relies on scar tissue and is generally reserved for smaller, less active dogs. Higher re-injury risk in large or active breeds.
For most patients presenting with CCL rupture — particularly those over 15kg or with high activity levels — TPLO is the recommended intervention. Dr. Poppell is happy to discuss case selection with referring veterinarians prior to scheduling.
The Recovery Timeline
Recovery from TPLO is gradual and structured. Pet owners should expect the following general progression:
Weeks 1–2 — Strict rest and confinement. Limited leash walks for bathroom breaks only. Pain management and swelling control are the primary focus.
Weeks 3–8 — Gradual reintroduction of controlled leash walking. Incision monitoring and suture removal typically at 10–14 days post-op. Range of motion begins to return.
Weeks 8–16 — Progressive increase in activity. Most patients are bearing full weight comfortably by week 8–10. Controlled off-leash activity may begin under veterinarian guidance.
Months 4–6 — Return to normal activity for most patients. High-impact activity and sport work typically cleared at the 4–6 month recheck.
Dr. Poppell provides detailed post-operative instructions to both the referring clinic and the pet owner at the time of discharge. Recheck scheduling and any follow-up questions are handled directly through Red Hills Veterinary Surgery.
Cost & Availability
TPLO surgery cost varies based on patient size, case complexity, and any additional diagnostics required. Red Hills Veterinary Surgery operates on a mobile model — Dr. Poppell comes to your clinic, which eliminates specialty facility fees and reduces the logistical burden on your team and your clients.
Red Hills Veterinary Surgery currently performs TPLO and other orthopedic procedures at partner clinics across North Florida and South Georgia, including the Tallahassee, Thomasville, Valdosta, and surrounding areas.
To discuss scheduling, case selection, or pricing for a specific patient, contact Dr. Poppell directly. Most referrals can be accommodated within a reasonable timeframe without the extended wait associated with traditional specialty hospital referrals.
FAQ
Does my client need a referral to access TPLO through Red Hills Veterinary Surgery?
Red Hills works through referring veterinarians. If you're a pet owner whose vet has recommended TPLO, ask them to contact us directly to discuss scheduling.
What does Dr. Poppell bring to the procedure?
Dr. Poppell arrives with surgical equipment and implants. Your clinic provides the surgical suite, anesthesia support, and nursing staff. Most partner clinics find the logistics straightforward after the first case.
What if my dog has bilateral CCL disease?
Bilateral cases are common. Dr. Poppell typically recommends staging the procedures — one leg at a time — to allow for safer recovery and rehabilitation. Timing between surgeries is determined on a case-by-case basis.
How do I refer a case?
Contact Red Hills Veterinary Surgery by phone or email to discuss the case. Dr. Poppell will confirm case suitability, coordinate with your clinic on scheduling, and handle communication with the pet owner from that point forward.


