Doctor-led evaluation and cruciate ligament surgery for dogs and cats in Bergen County. Six repair techniques, diagnostics and surgery under one roof.
35 years of surgical experience
Multiple orthopedic techniques
Kyon-certified in TPLO, TTA and Total Hip Replacement
In-house diagnostics and surgery
No referral needed
Independent, doctor-owned hospital
Next-day surgery may be available after evaluation when medically appropriate.
Call before 5pm for same-day appointments.

Meet with a doctor to confirm the diagnosis, review the repair options and understand the appropriate next step.
Sudden limping or holding up a back leg.
A limp that improves with rest, then comes back after activity.
Trouble rising, climbing stairs or jumping onto furniture.
Swelling around the knee, or a clicking sound when walking.
In cats: hiding, stopping mid-jump, or grooming one knee more than usual.
Need for a Second opinion.
Start with an examination and understand the diagnosis before making a treatment decision.
An ACL diagnosis takes a hands-on orthopedic exam plus X-rays. Because we do both here, you are not sent to a second facility to find out what is wrong.
Digital X-rays
Ultrasound
Bloodwork
Echocardiography
Orthopedic surgery
Because diagnostics are performed onsite, some results may be available the same day.
No single repair is right for every patient.
The doctor considers size, activity level, knee anatomy and degree of instability.
The most studied of the cruciate repairs. The top of the shin bone is cut and rotated to flatten its slope, then secured with a bone plate.
Often preferred for large, active dogs and for knees with a steep tibial plateau angle..
Bone plate stabilization
Strong long-term outcomes in athletic dogs
Follow-up X-rays confirm bone healing
A strong option for many mid to large-size dogs, depending on knee angle.
The front ridge of the shin bone is advanced forward and secured, realigning the pull of the patellar tendon.
Developed by Kyon
Suits specific tibial plateau angles well
Double or Triple Pelvic Osteotomy
Follow-up X-rays confirm bone healing
For knees that fit neither standard approach. TTO combines elements of TPLO and TTA, addressing plateau slope and tendon alignment in a single procedure.
Used in specific anatomical cases where the measurements point away from a conventional TPLO or TTA.
Reserved for particular knee geometry
Requires precise pre-surgical measurement
No bone is cut. A heavy monofilament is anchored outside the joint capsule, running from behind the thigh bone to the front of the shin bone. It holds the knee in position while fibrous tissue builds around it.
A well-proven option for smaller and less active dogs.
No osteotomy
Typically shorter surgical time
Best suited to smaller body weights
Suture-based, with a stronger implant. A braided, high-strength band is passed through small bone tunnels in the femur and tibia and secured with toggle buttons, stabilizes the joint without reshaping the bone.
Braided implant through bone tunnels
Smaller approach than an osteotomy
Meniscus inspected during the procedure
Typically follow trauma (a fall or a road injury) rather than the slow ligament degeneration seen in dogs. Overweight cats are at higher risk.
Conservative management is more often viable than in dogs
Suture-based stabilization when surgery is indicated
Other ligaments assessed if the injury was traumatic



Read how Dr. El-Akbawy and our dedicated team have transformed the lives of pets across Bergen County.

Family-owned and independently operated on Lincoln Avenue since 1984.
Mon, Tue, Thu, Fri: 9 - 5pm
Wed: 12pm - 7pm
Sat: 9 - 2pm
Sun: Closed
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Serving Fair Lawn, NJ and Bergen county since 1984.