Simini TPLO Roadmap Series

 What actually happens after you complete a TPLO course and start operating independently? In this episode, Carl Damiani and Dr. Ken Bruecker break down the first-year learning curve, from early cognitive overload and strict reliance on checklists to the emergence of pattern recognition, technique drift, and developing clinical judgment. The discussion focuses on case selection, maintaining discip...

The moment you review your post-op TPLO radiographs can be one of the most stressful parts of the procedure. In this episode, Carl Damiani and Dr. Ken Bruecker break down how to evaluate your results with structure instead of emotion, focusing on the “5 A’s” of assessment and how to separate cosmetic imperfections from true mechanical risk. The discussion covers when to act versus when to observe,...

 The first independent TPLO isn’t just a technical milestone—it’s a shift in judgment and responsibility. In this episode, Carl Damiani and Dr. Kevin Benjamino discuss how surgeons move from supervised training to operating alone, focusing on case selection, pre-operative planning, and the mindset required to avoid early catastrophic mistakes. Rather than relying on confidence, the discussion emph...

 Even well-trained surgeons can feel unexpected stress when performing their first independent TPLO cases. In this episode, Carl Damiani and Dr. David Dycus explore why early surgical difficulty is often driven not by anatomy or technical skill, but by equipment familiarity, operating room setup, and cognitive load. The discussion focuses on standardizing tools, rehearsing the surgical environment...

 In this episode of the Simini TPLO Roadmap Series, Carl Damiani and Dr. David Dycus explore the critical transition from digital planning to real surgical execution. They discuss how experienced surgeons design TPLO plans that tolerate small deviations, prioritize fixation and stability over geometric perfection, and account for the dynamic forces present in live patients. The episode introduces...