A six-year-old, male, neutered Bernese mountain dog was presented with acute left hindlimb lameness. Based on the symptoms, orthopedic examination and radiographic evaluation,a cranial cruciate ligament rupture was diagnosed. Surgical treatment with TTA Rapid wasperformed with good result. At two weeks postoperatively, the dog developed a fracture of theproximal tibia, due to excessive activity. Conservative treatment consisting of a splint and restwas advised. Physiotherapeutic ultrasonography and exercises were started to stimulate bonehealing. After eight sessions, the dog was clinically much better, and radiographs showed a goodevolution with a clear callus. Follow-up controls confirmed the progressive evolution.