TightRope® CCL Fixation System: Dorie’s Knee Surgery
The TightRope surgery was developed as an upgrade to the lateral suture stabilization (LSS) for cruciate injuries in dogs.
Is it a better technique with better results? Both techniques have their risks to reward ratio. While stronger than surgical suture, the perception is that the patented braided TightRope material is the main reason for potential complications. It has, however, worked for many dogs.
Further information: My Two Cents on the TightRope® CCL Fixation System

Dorie’s story
Dorie was a 7-year-old Labrador Retriever. She was happy and active, always making sure the world was running the way it should and letting it know she was watching. Dorie lived in a rural area, and there were critters that needed to know to whom the land belongs. Every morning, Dorie would go outside to potty and made her rounds.
Dorie starts limping
That morning, her mom let Dorie out while she was getting ready for work. When Dorie returned, she was limping. It was wet outside, and Dorie’s mom figured that she might have slipped and pulled a muscle a little bit. The day went on, and Dorie continued to limp. She remained lame for the rest of the day and was not improving with passing time.
Visiting the veterinarian
The veterinarian examined Dorie and suspected a torn cruciate ligament. Dorie’s appointment for further investigation and x-rays was scheduled for the next day. Meanwhile, Dorie could go home with a prescription for pain medications.
The diagnosis
Examination under sedation and x-rays confirmed the suspicion—Dorie injured her cruciate ligament. Dorie’s mom was stressed about the diagnosis; none of her dogs ever needed surgery, and the knee surgeries and their cost seemed daunting.
After several conversations, the veterinarian recommended the TightRope Stabilization. It is less invasive and more affordable. Even though Dorie is a big girl, he believed it should work for her. He’s done this procedure successfully for a staffer’s dog who weighed 120 pounds.
The treatment
After deliberation, Dorie’s parents decided to go ahead with the TightRope option.
Before the surgery, Dorie’s parents took all precautions to make her rehabilitation smooth and safe. Their preparations included:
- ramp to get in and out of the yard safely
- a pen to keep her confined during the early stages
- a large cage in the bedroom to keep her safe but close to everybody
- purchase of an inflatable e-collar and sling harness
- joint supplements
Dorie’s surgery went well, and she was off to a good start. Her parents followed the recommended post-op plan carefully.
A setback
Everything went well for the first 3 weeks. Then, one morning, Dorie first seemed lame on her injured leg yet again and then wouldn’t walk at all. Her Mom rushed Dorie to an emergency vet, thinking that she re-injured the knee.
Unfortunately, Dorie’s other knee ligament was now damaged too. It happens often, and her parents knew it was a possibility. Yet, it is crushing news when it does occur.
Recovery
On the recommendation of Dorie’s veterinarian, they started intensive laser therapy on both of her knees. Dorie was improving, so they continued the treatments.
It’s been a long journey, but Dorie continued to improve. Hopefully, her knees won’t cause her any further trouble.
Source story:
7-Year-Old Dorie – Lateral Suture (Tightrope)
Related articles:
Talk To Me About Dog ACL/CCL Injuries: My Dog Ruptured Their Cruciate Ligament
CCL Tears TightRope Repair: My Two Cents on the TightRope® CCL Fixation System
Further reading:
Cranial Cruciate Ligament Repair: Extracapsular Repair and TightRope Procedure
Surgery STAT: Tightrope CCL