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Community, Family-Owned Veterinary Clinic

Tightrope Orthopedic Surgery

Arthrex TightRope Procedure – Knee Surgery in Dogs Just as in the human knee, the most critical stabilizing structure in the canine knee is the cranial cruciate ligament (CCL or ACL). The primary function of the CCL is to prevent forward thrusting motion and inward rotation of the tibia during weight bearing and to prevent hyper-extension of the knee.

When the CCL is ruptured or partially torn, the abnormal, forward thrusting motion and inward rotation of the tibia during weight bearing results in an unstable, painful knee and ultimately, in debilitating, degenerative arthritic changes in the knee joint. Accurate diagnosis and prompt surgical intervention of this serious injury is the current standard of care.

Less traumatic, More effective, Less costly

The newest procedure for repairing a ruptured CCL by ligament replacement is the TightRope Ligament technique. This procedure has been developed by James L. Cook, DVM, PhD, Diplomat of the College of Veterinary Surgeons. This procedure has been proven in over 200 knees and has been shown to be highly effective.

The TightRope CCL technique is minimally invasive, and more cost effective in comparison to the TPLO or TTA. The data suggest that TightRope can be successfully performed in medium, large and giant breed dogs resulting in outcomes which are comparable to or better than TPLO or TTA. A MiniTightRope is also available for toy and small breeds.

The TightRope CCL counteracts the forward tibial thrust and inward rotation resulting from CCL damage, while providing optimal joint range of motion. This procedure mimics the natural cruciate ligament functions, perhaps better than any other procedure developed to date.

The TightRope Ligament is produced by Arthrex Vet Systems. It is an ultra-high strength, flat, smooth, braided, ribbon-like ligament composed of a multi-stranded long chain ultra-high molecular weight polyethylene (UHMWPE) core with a braided jacket of polyester giving it unsurpassed strength, virtually eliminating ligament breakage. The ligament provides an ultimate load of 225 lbs, approximately three times the strength of 80# nylon ligaments currently in use for CCL replacement and equivalent to the strength of the normal ligament. This procedure provides your patient an excellent option when a less invasive, less radical and more cost-effective procedure is desired by the pet owner.

This illustration shows the canine knee from a front view with the kneecap removed in order to illustrate the femoral tunnel with more clarity. A tunnel is drilled in the femur beginning at a very precise anatomical point on the inside of the bone, at an upward angle, exiting on the inside surface of the shaft of the femur. A second tunnel is drilled in the tibia beginning at a very precise anatomical point on the inside of the tibial crest in a downward direction, exiting on the inside surface of the shaft of the tibia. The TightRope Ligament is passed from inside to outside through the femoral tunnel, then from outside to inside through the tibial tunnel. The stainless-steel tibial toggle button is then turned 90 degrees to the ligament, placed against the surface of the tibia, and the TightRope Ligament is pulled taut through the tibial tunnel. The TightRope Ligament is then pulled taut through the femoral tunnel eliminating all “slack” in the ligament. The stainless-steel femoral button is then slid down the ligament until it is snug against the surface of the femur, the ligament pulled tight and anchored in this position by tying it down against the femoral button. The ligament is now in place, very secure and mimics very closely the function of the natural cranial cruciate ligament. This illustration shows the canine knee from the outside surface with the TightRope Ligament in place. Note that the TightRope Ligament is placed under the long digital extensor tendon, allowing it to function normally and to prevent any damage to the tendon.

TightRope is a registered product of Arthrex Vet Systems

While the doctors at Bingle Vet are experienced with the Tightrope Orthopedic Surgery and other specific orthopedic surgeries, they are not Board Certified Orthopedic Surgeons  and handle surgeries on a case-by-case basis.  If you are searching for a true orthopedic surgeon, our doctors are happy to provide a recommendation during a consultation visit, or provide a second opinion on any conditions your pet may be experiencing.

Other Veterinary Services

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Vaccinations and Wellness

By focusing on preventive health care, you are taking an important step in keeping your friend happy and healthy for years to come.

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Therapy Laser

The beneficial effects of laser light on tissue were first recognized almost forty years ago. Since then, there have been thousands of studies documenting the positive effects laser light has on different types of cells, tissue, and disorders.

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Microchipping

The HomeAgain® Pet Recovery Service is a safe, simple and permanent form of pet identification designed to quickly identify lost pets and reunite them with their owners.

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Spaying and Neutering

Female dogs and cats are spayed by removing their reproductive organs, and male dogs and cats are neutered by removing their testicles. In both cases the operation is performed while the pet is under anesthesia.

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Allergy Testing and Treatment

The most common sign of allergy in dogs and cats is itching, manifested by scratching, rubbing, licking and chewing. The scratching and itching that are due to allergies are always more intense than normal and may lead to varying degrees of hair loss and rashes.

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Diet and Nutrition

We offer a variety of veterinary-exclusive therapeutic and wellness diets for better health. Nutrition can help your pet’s body recover faster, stay healthy longer and even help defend against health issues.

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Dental Care

The most common dental problems dogs experience is buildup from plaque and calculus. If left unchecked, plaque and calculus buildup can eventually cause inflammation of both the gums (gingivitis) and the membrane lining of the tooth socket (periodontitis).

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International Travel

Bingle Vet has experience with helping families transport their pet(s) both domestically and overseas, to locations in Australia, the UK, the EU, South America, Southeast Asia, and many others.

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Tightrope Orthopedic Surgery

Just as in the human knee, the most critical stabilizing structure in the canine knee is the cranial cruciate ligament (CCL or ACL). The primary function of the CCL is to prevent forward thrusting motion and inward rotation of the tibia during weight bearing and to prevent hyper-extension of the knee.

Contact Us

Spring Branch / Memorial Villages

2025 Bingle Rd.
Houston, TX 77055
713-468-1676

Katy / Fulshear

5215 FM 1463, Ste. 400
Katy, TX 77494
713-468-3688