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TPLO on both knees for my Mastiff. Works great. Leaves em a bit bowlegged but it's better than the alternative.
And yes, if they tear one they will almost likely tear the other. Mine did the second knee almost exactly a year to the day.
It has a lot to do with the angle of the joint. They can measure it and tell you if the dog is at risk.
Best of luck to your beast friend.
Hope the ankle comes up clean.
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