ACL & Orthopedic Surgery

The cranial cruciate ligament (CCL)—equivalent to the ACL in humans—stabilizes the knee joint. When it tears, the knee becomes unstable, causing pain, lameness, and progressive arthritis. It's one of the most common orthopedic injuries in dogs, especially in medium to large breeds.

Common signs include sudden hind-leg lameness, holding the leg up, reluctance to bear weight, swelling around the knee, difficulty rising or sitting, and a "clicking" sound when walking. Some tears happen suddenly during play; others develop gradually over weeks.

In most cases, yes—especially for dogs over 30 pounds. Without surgery, the knee remains unstable, causing chronic pain, progressive arthritis, meniscal damage, and muscle wasting. The other knee is also at higher risk of injury when compensating for the affected leg.

We use proven extracapsular stabilization techniques (lateral suture) that provide excellent outcomes for most dogs. For specific cases, we may recommend referral for more advanced techniques like TPLO. We'll discuss the best option for your dog's size, age, and activity level.

ACL surgery at Skyway Animal Hospital costs significantly less than specialty referral hospitals—typically saving families $1,000-$3,000+. Our pricing includes diagnostics, surgery, anesthesia, pain management, and follow-up care. We provide a detailed estimate before proceeding.

Full recovery takes 12-16 weeks. The first 8 weeks require strict exercise restriction—short leash walks for bathroom only, no running, jumping, or stairs. Gradual return to normal activity begins around week 8-10 under veterinary guidance.

Re-injury of the repaired knee is uncommon when recovery guidelines are followed. However, about 40-60% of dogs that tear one ACL will eventually tear the other, usually within 1-2 years. Maintaining a healthy weight and controlled exercise helps reduce this risk.

We use multimodal pain management—starting before surgery and continuing through recovery. Your dog will go home with oral pain medications and anti-inflammatories. Most dogs are comfortable and bearing some weight within 1-2 days of surgery.

Large and giant breeds are most commonly affected: Labrador Retrievers, Golden Retrievers, Rottweilers, German Shepherds, Newfoundlands, and Pit Bulls. However, ACL tears can occur in any breed. Obesity, weekend-warrior activity patterns, and genetics are major risk factors.

Yes. While less common, small dogs can tear their ACL too. Small dogs sometimes respond to conservative management (rest, pain medication, weight management), but surgery often provides better long-term outcomes. We evaluate each case individually.

ACL surgery has a high success rate—approximately 85-90% of dogs return to normal or near-normal activity. Success depends on following the recovery plan strictly, maintaining a healthy weight, and completing the full rehabilitation period.

We accept CareCredit and other financing options to help manage the cost of surgery. We also provide detailed estimates before any procedure so you can plan ahead. Don't let cost delay treatment—untreated ACL tears worsen over time.