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Is your pet unwell right now? Same-day urgent and sick visits available Monday through Saturday. Don't wait — call us directly.

(703) 378-9791
Nova Pets

Dog CCL Surgery · Chantilly, VA

Your dog's knee surgery.
Done by a surgeon with approximately 25 years and an exceptionally low failure rate.

CCL repair is one of Dr. Masood's most performed procedures — performed throughout his entire career with an exceptionally low failure rate. Lateral suture available immediately with a full repair guarantee. TPLO referrals also available.

1,000+CCL surgeries performed
25+Years performing this procedure
FullRepair guarantee included
4.7
★★★★★
134+ Google reviews Read all reviews →

What our clients say after CCL surgery.

★★★★★

“Dr Masood’s extremely accurate surgical and care talents and Keshia’s heartfelt post-op care gave my 11 year old Rocky a new lease on living pain and limp free after he completely tore his left rear knee ACL. I’m taking all my pets to Dr Masood and Keshia now even though it’s at least a 2+ hours round trip drive away from my home.”

B
Bob Kerr
Google review · CCL surgery patient
★★★★★

“I took my dog there for a diagnosis (CCL) and she was treated great. Dr. Masood explained what she had and what was the best option for her considering her age and current state. We were able to schedule the surgery right away and the surgery went great — she was walking and in great condition when we picked her up the next day. We are super happy!”

V
Valerie Freite
Google review · CCL surgery patient

The most common orthopedic injury in dogs — and one of the most treatable.

The cranial cruciate ligament (CCL) stabilizes your dog's knee by preventing the tibia from sliding forward beneath the femur during weight-bearing. When it becomes stretched, partially torn, or completely ruptured, the knee becomes unstable, painful, and prone to rapidly progressing arthritis. Most dogs develop CCL disease gradually — the ligament weakens over time due to degeneration, breed predisposition, excess body weight, or chronic joint inflammation.

CCL rupture is the leading cause of rear-leg lameness in dogs. It can happen suddenly — during a sprint, a jump, or an awkward landing — or gradually through ligament degeneration over months or years. Certain breeds are predisposed, but we see it across all ages, sizes, and breeds.

Without surgical stabilization, most dogs will not recover meaningful function on their own. The joint continues to destabilize, cartilage breaks down, and the window for the best possible outcome narrows. Surgery is almost always recommended — and the sooner, the better.

Signs your dog may have a CCL injury

  • Sudden lameness or toe-touching on a rear leg
  • Sitting with the affected leg extended to the side
  • Stiffness after rest, especially in the morning
  • A clicking or popping sound when the knee moves
  • Reluctance to jump, run, or use stairs
  • Muscle loss on the affected rear leg over time

Don't wait on these symptoms

Joint damage accelerates with every step on an unstable knee. Same-day evaluations available — (703) 378-9791

#1
Cause of rear-leg lameness in dogs
40–50%
Will injure the other knee within 2 years
16 wks
For periarticular fibrosis to fully mature
85–90%
Success rate in appropriate lateral suture candidates

Before we recommend anything,
we evaluate everything.

No dog gets a default recommendation at Nova Pets. Before Dr. Masood suggests a technique, he looks at the full picture — because the right surgery depends on factors most practices never even discuss with you.

Tibial plateau angle
Measured on X-ray before surgery. Dogs with angles above 30° are better candidates for TPLO regardless of size — this measurement often changes the recommendation more than anything else.
Body weight & breed
Relevant, but not the deciding factor many practices treat it as. A calm 80-pound German Shepherd and a working 80-pound sporting dog are very different patients.
Activity level
High-energy, highly athletic dogs place fundamentally different demands on a repair than moderate-activity companions. We ask about your dog's daily life, not just their breed.
Overall health
Age, concurrent conditions, anesthesia tolerance, and recovery logistics all factor into what we recommend and how we structure the post-op program.
Your priorities
Fastest recovery, lowest cost, or best long-term performance for an active dog — these are different goals and we match our recommendation to yours.
Planning for the other knee
40–50% of dogs that tear one CCL will rupture the other side within two years. We'll give you a plan for both legs so you're not starting from zero if it happens.

For most dogs, lateral suture
is the right call.

After evaluating your dog's tibial plateau angle, size, activity level, and overall health, the answer for most dogs is lateral suture — and the science backs that up. It has been performed for over 30 years and is, in the words of a board-certified veterinary surgeon published in dvm360, “quick, affordable, and safe.” Dr. Masood has refined this technique across more than 1,000 procedures.

1
Evaluation & X-ray
We measure the tibial plateau angle on X-ray and assess your dog's weight, activity level, and anatomy before recommending any technique.
2
Surgical stabilization
A high-strength synthetic suture is anchored at precisely calibrated isometric points outside the joint — stabilizing the knee and preventing the forward tibial sliding that causes pain.
3
Periarticular fibrosis forms
Over 16 weeks, the body builds dense scar tissue around the joint — periarticular fibrosis — which becomes the true long-term stabilizer. The suture is the scaffold. The body does the permanent work.
4
Structured post-op recovery
Adequan injections, controlled rest, gabapentin if needed, fish oil supplementation — all coordinated through one practice. First recheck included in the price of surgery.
Full Repair Guarantee
If the suture fails, we redo the surgery — at no charge.
We can offer this because Dr. Masood's failure rate across 1,000+ procedures is exceptionally low. Correct suture tension, precise isometric placement, and meticulous post-op management are what separate outcomes — and that's what 25 years of performing this surgery produces.
Availability
Immediate
Typically within days
Recovery
8–12 weeks
vs. 12–16 wks for TPLO
Cost
$3,000 – $4,000
Consult fee goes toward surgery
Recheck
Included
First visit included in surgery price

The full picture of the science —
not just the prevailing narrative.

TPLO has become the default recommendation in many practices, particularly for larger dogs. But a complete reading of the research tells a more nuanced story — and pet owners deserve to see it.

At 6 months & 2 years
No significant difference
Multiple peer-reviewed studies find no statistically significant difference in limb function between lateral suture and TPLO at these time points.
Conzemius et al., JAVMA 2005 · Au et al., Vet Surg 2010
At 4.6 years — most recent study
Lateral suture patients fared better
TPLO patients had significantly higher risk of stiffness (IRR 1.33) and lameness (IRR 1.34) at long-term follow-up vs. lateral suture patients.
Engdahl et al., Veterinary Record 2023
In large dogs (25–40 kg)
Near-normal joint mechanics restored
3D kinematic analysis found lateral suture restored joint movement largely comparable to a healthy stifle across multiple planes of motion in dogs the size of German Shepherds and Pit Bulls.
Del Carpio et al., PLoS ONE 2021

“TPLO is certainly not markedly superior in clinical outcome to the less expensive, less risky, and more easily performed LSS.”

Robert J. McCarthy, DVM, MS, DACVS — Board-Certified Veterinary Surgeon
Read the full article: “Tibial Plateau Leveling Osteotomy — Is It Really More Effective?” →

Complication rates: a direct comparison

Source: McCarthy, dvm360; Pacchiana et al. JAVMA 2003, Priddy et al. JAVMA 2003, Fitzpatrick & Solano Vet Surg 2010, Casale & McCarthy JAVMA 2009

Lateral Suture (LSS)
~16%
overall complications
Re-operation: ~4%
Primary risk: suture failure — covered by our full repair guarantee
TPLO
15–34%
overall complications
Re-operation: 5–9%
Risks: infection, implant failure, bone fracture, osteomyelitis, patellar ligament thickening

Lateral suture vs. TPLO —
an honest comparison.

Also available — we can schedule

TPLO

$6,500 – $8,500
How it worksBone osteotomy changes joint mechanics — no CCL needed
InvasivenessMajor bone cut, metal plate + screws
AvailabilityRequires scheduling — longer wait
Full recovery12–16 weeks
Complications15–34% overall · re-op 5–9% Pacchiana JAVMA 2003; Fitzpatrick & Solano Vet Surg 2010
Long-term (4.6 yr)Higher stiffness & lameness risk Engdahl et al., Vet Record 2023
Best forHighly active large/giant breeds, tibial angle >30°, working dogs
Repair guarantee
>

Your dog's recovery is as important
as the surgery itself.

The surgery stabilizes the knee. What happens in the following 8–12 weeks determines how well your dog heals for the rest of their life. We have a structured post-op program — and we coordinate everything through one practice.

Adequan injection protocol

Adequan (polysulfated glycosaminoglycan) inhibits destructive cartilage enzymes, stimulates healthy joint fluid production, and actively supports cartilage repair. We've seen consistently strong outcomes with this protocol.

Loading phase
2× weekly — 8 injections over 4 weeks
Coordinated with your recheck schedule
Maintenance
Monthly injections, ongoing
Long-term joint protection after loading phase is complete

Fish oil supplementation

Omega-3 fatty acids have well-documented anti-inflammatory properties that complement the Adequan protocol. We'll give you dosing guidance based on your dog's weight.

Having trouble keeping your dog calm?

We can prescribe gabapentin to take the edge off during the critical healing window — safe, simple, and protects the repair.

Recovery timeline

Days
1–3
Surgery & early recovery
Toe-touching or partial weight-bearing begins. Strict rest, gabapentin if prescribed. Adequan loading phase starts.
Weeks
2–4
Gradual improvement
Gradually increasing use of the leg. Short controlled leash walks only. No running or jumping.
Weeks
4–6
Meaningful progress
Most owners see meaningful improvement in comfort and mobility. Adequan loading phase complete, transition to monthly maintenance.
Weeks
8–12
Near full function
Most dogs at or near full function. Cleared for off-leash activity at recheck if healing confirmed.
Mo.
3–6
Full return to activity
Continued strengthening and return to normal activity. Monthly Adequan ongoing for long-term joint protection.

What you get when you choose Nova Pets for CCL surgery.

25+ Years Performing This Procedure
Not a procedure he does occasionally — one he has spent 25+ years mastering
Genuine Consultation, Guaranteed Results
If the suture fails, we redo it at no charge
Available immediately
Lateral suture typically scheduled within days of your evaluation
Structured post-op program
Adequan, rest protocol, gabapentin if needed, supplements — all coordinated through one practice
Same Surgeon at Every Visit — Including Rechecks
Dr. Masood performs the surgery, handles the rechecks, and is available if something comes up
Consultation fee applied to surgery
Your evaluation fee goes toward the cost of your dog's procedure if you proceed with us
For referring veterinarians

We accept CCL referrals from veterinary practices.

Not every practice has the surgical time, equipment, or orthopedic experience to handle CCL cases. Dr. Masood will assess the patient, perform the appropriate procedure, and communicate findings and post-operative status directly back to your practice.

Cases We Accept

  • ✓  Dogs with suspected or confirmed CCL rupture requiring surgical evaluation
  • ✓  Partial tears that have progressed or failed to improve with conservative management
  • ✓  Cases where TPLO has been discussed but a second opinion on LSS is appropriate
  • ✓  Dogs requiring CCL surgery where scheduling delays at a referral hospital are a concern
  • ✓  Second opinions on prior CCL surgery complications or re-rupture

Ideal Referring Situations

  • — Practices without in-house orthopedic surgical capability
  • — Cases where the owner has requested evaluation of lateral suture as an alternative to TPLO
  • — Dogs with concurrent meniscal injury requiring assessment and intraoperative management
  • — Multi-dog households or breeding practices needing ongoing orthopedic surgical support
  • — Any case where 25+ years of orthopedic surgical experience adds value for your client

How to refer: Call us directly to discuss the case before scheduling — (703) 378-9791. We're happy to talk through the clinical picture, the most appropriate surgical approach, and timing. Records and post-operative reports returned to your practice after every case.

Is your dog limping?
Don't wait.

Joint damage progresses with every step on an unstable knee. The sooner the joint is stabilized, the better the long-term outcome. Schedule an evaluation — your consultation fee applies toward surgery if you proceed with us.

Serving Chantilly, Centreville, Fairfax, and Northern Virginia since 2001 · 3935 Avion Park Ct Suite A102, Chantilly, VA 20151

Sources

  1. McCarthy RJ, DVM, MS, DACVS. "Tibial Plateau Leveling Osteotomy — Is It Really More Effective?" dvm360. dvm360.com
  2. Engdahl K, et al. Veterinary Record. 2023. doi.org/10.1002/vetr.3172
  3. Del Carpio L, et al. PLoS ONE. 2021. pmc.ncbi.nlm.nih.gov/articles/PMC8687534
  4. Au KK, et al. Veterinary Surgery. 2010;39:173–180.
  5. Conzemius MG, et al. JAVMA. 2005;226:232–236.
  6. Pacchiana PD, et al. JAVMA. 2003;222:184–193.
  7. Priddy NH, et al. JAVMA. 2003;222:1726–1732.
  8. Fitzpatrick N, Solano MA. Veterinary Surgery. 2010;39:460–474.
  9. Casale SA, McCarthy RJ. JAVMA. 2009;234:229–235.