Our younger Newf Ruby had her second TPLO surgery this morning, this time to repair her right knee, and she is recovering fine. I should be able to bring her home tomorrow afternoon. TPLO = tibial-plateau-leveling-osteotomy. It’s a procedure in which they cut a portion of the top of the tibia and rotate it so it’s slope changes to a small angle from the horizontal. This stops the femur from sliding down the slope of the tibial plateau when the dog is standing. By doing this, the dog no longer needs the cruciate ligament. They’ve been doing this surgery for about 20 years with very good success.