Spike's surgeon said for a guy with his bone size, the "lateral suture technique" was the best way to go. From the net; "...Lateral suture technique involves replacing the torn ligament with a false ligament (a single fiber plastic line called a mono-filament) on the outside of the joint...." The surgeon was super nice about explaining all the options. The suture they put in is a large gauge suture, and the Dr. said it is very strong, should last as long as Spike does, and has real advantages for lots of dogs. Really trust these guys, so that's what we did. Twice....
But the good news is that after the recovery time (months) he really feels good, back to his old ornery self. Runs the yard with the other dogs, and gets up on things he probably shouldn't. Back of the couch, for example;
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Sorry about the image rotation....but in any event, we had fantastic success with Spike's ACL surgery. He's once again a happy dog..!!