Should we add lateral suture stabilization to TPLO in dogs with severe rotational instability?
BY DR SHANTI JHA
About the author:
Dr Shanti Jha, BVSc & AH, DACVS-SA, is a board-certified veterinary surgeon with over two decades of experience in small animal orthopedics and minimally invasive surgery. Dr Jha has performed over 4,000 TPLO procedures throughout his career. He previously held leadership positions as Chief of Surgery at VCA Veterinary Specialists of Seattle and National Director of Surgery at Thrive Pet Healthcare.
Dr Jha is an internationally recognized expert in minimally invasive surgical techniques, specializing in fracture repair, joint surgeries, and arthroscopic procedures. He actively contributes to the advancement of veterinary surgical education worldwide as a Board Member of AO VET and serves as faculty for international training programs. Additionally, he is an Adjunct Professor in the Department of Surgery at Bihar Veterinary College, Patna, India, and a reviewer for several respected scientific journals.
His clinical interests focus on orthopedic surgery, particularly complex stifle procedures, fracture management, and joint replacement surgeries, with a commitment to patient-centered care and surgical innovation. Dr Jha's extensive experience in both clinical practice and surgical education has established him as a leading authority in veterinary orthopedic surgery.
His research interests center on the transformative potential of artificial intelligence in surgical education, exploring how AI technologies can enhance learning outcomes, improve skill acquisition, and advance veterinary surgical training methodologies.
Dr Jha earned his BVSc and AH with honors from Nagpur Veterinary College, India (2001), followed by an MS from Oregon State University (2005), and completed his surgical residency at Tufts Cummings School of Veterinary Medicine before becoming a Diplomate of the American College of Veterinary Surgeons – Small Animal in 2013.
References and further reading:
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Schaible RH, et al. Clinical outcomes of tibial plateau leveling osteotomy combined with lateral suture stabilization. J Am Vet Med Assoc. 2017; Apr; 58(4):219-226.
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Brown. N, et al. Canine cranial cruciate ligament deficient stifle biomechanics associated with extra-articular stabilization predicted using a computer model. Vet Surg 2017 Jul;46(5):653-662.
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Effect of Tibial Plateau Leveling Osteotomy on Femorotibial Contact Mechanics and Stifle Kinematics. Vet. Surg.2009 38(1):23-32
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