Dog Knee Surgery

Modified Maquet Procedure for Tibial Tuberosity Advancement (MMP TTA) Surgery

The Modified Maquet Procedure (MMP) is an innovative orthopedic surgery used for repairing cranial cruciate ligament (ACL) ruptures in the knee joints of dogs. It is an alternative to TPLO surgery, and stabilizes the knee by changing the angles and tension along the main bones and ligaments of this joint. The MMP utilizes a titanium foam implant to advance the tibial crest and pull the head of the femur back into proper position. The titanium foam implant is porous and encourages bone growth into the implant. In approximately 4-6 weeks, bone fills in the implant enough to stabilize the repair. As a result, it shortens the period of exercise restriction for adequate healing compared to the TPLO. The MMP allows patients to return to normal function faster, and has less long-term complications compared to other techniques.


Dr. Toncray has completed advanced training courses to perform the MMP TTA Surgery for dogs with a torn cruciate ligament. She is happy to accept referrals or new clients for this procedure on dogs with cruciate disease. Contact us for more information or schedule an appointment

RidgeStop for Medial and Lateral Luxating Patella (MPL, LPL)

(Kneecap) Disease Patellar luxation, or “floating kneecap,” is a very common orthopedic diseases in dogs. Frequently, we will see this condition in small breeds including but large breed dogs may also be affected. In 50% of cases, both knee caps are compromised, which can lead to pain and a loss of function. The RidgeStop implant acts as a synthetic ridge to create a stable groove for the kneecap. A medical grade implant is placed onto the side of the femur that lacks the appropriate amount of bone. This prevents the kneecap from slipping out (luxating) and stabilizes the joint.


Dr. Toncray has completed training courses to perform this procedure. She is happy to accept referrals or new clients for orthopedic surgeries on dogs with patellar disease. Contact us for more information or schedule an appointment