LATERAL SUTURE STABILATION "Extracapsular" is the most common technique used to treat CCL disease in dogs. It is one of the "extracapsular" techniques which means the function of the CCL, which is inside the joint, is replaced by placing a suture outside the joint. The suture, most commonly a type of madical grade "fishing line," is placed around the fabella and through the tibia providing a soft tissue-to-bone stabilizer of the joint during healing. The suture acts as a temporary stabilizer as the dog makes new functional connective tissue around the knee for long-term joint stability.
TIGHTROPE METHOD Is a relatively new procedure developed to provide a minimally invasive and improved method for extracapsular stabilation of the CCL. This technique does not require cutting of bone like the TPLO or TTA procedures. Instead, it uses small drill holes in the femur and tibia to pass a synthetic ligament-like biomaterial through a small incision to provide bone-to-bone stabilization during healing. The biomaterial used for the TightRope CCL is called Fiber Tape. This is a kevlar-like material that is used extensively in human surgery for many orthopedic applications. This material has properties that make it stonger and less prone to failure than any other suture materials currently being used for CCL reconstructions.