Lincoln Ave Cat & Dog Hospital

SURGERY & ORTHOPEDICS

Doctor-led evaluation and cruciate ligament surgery for dogs and cats in Bergen County. Six repair techniques, diagnostics and surgery under one roof.

ACL / CCL Repair Options

Your dog tore a knee ligament, and you want to know which repair is right and how soon it can happen. We diagnose, recommend, and operate in the same hospital. Cats with knee injuries are evaluated and treated here as well.

  • 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.

★★★★★ 4.6 · 425+ Google Reviews

Does My Pet Need a Knee Evaluation?

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.

In-House Diagnostics and Surgery

Start with an examination and understand the diagnosis before making a treatment decision.

Diagnosis and Surgery in One Hospital

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.

ACL/CCL Repair Options

No single repair is right for every patient.

The doctor considers size, activity level, knee anatomy and degree of instability.

TPLO

(Tibial Plateau Leveling Osteotomy)

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

TTA

(Tibial Tuberosity Advancement)

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

TTO

(Triple Tibial Osteotomy)

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

Extracapsular Repair

(Lateral Suture)

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

TightRope Stabilization

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

Cruciate Injury in Cats

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

We are certified in TPLO, TTA and Total Hip Replacement by Kyon.

FINANCING OPTIONS WE WORK WITH

Trusted by Fairlawn Pet Parents

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

Proud Members & Accreditations

AAHA Accredited

AVMA Member

NJVMA

Ready to Schedule Your Pet's Visit?

Experience the difference of a family-owned veterinary hospital that combines advanced medical expertise with compassionate care.

Lincoln Ave Cat & Dog Hospital

Family-owned and independently operated on Lincoln Avenue since 1984.

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Serving Fair Lawn, NJ and Bergen county since 1984.