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Tibial tuberosity advancement (TTA) is an orthopedic procedure to repair deficient cranial cruciate ligaments in dogs. It has also been used in cats. This procedure was developed by Dr. Slobodan Tepic and Professor Pierre Montavon at the School of Veterinary Medicine, University of Zurich, in Zurich, Switzerland beginning in the late 1990s.
Superior check ligament desmotomy is also used in cases of superficial digital flexor tendinitis in racehorses and upper level performance horses, if the tendinitis is recurrent, diffuse, or when the core lesion is >10% of the tendon cross-sectional area. [128] It may be used in conjunction with tendon splitting and annular ligament desmotomy.
It guides the patellar ligament of the quadriceps over the knee joint to its point of insertion on the tibia. Caudal to the joint, in the dog for example, are the two fabellae, which lie in the two tendons of origin of gastrocnemius. Fourth, there is often a small sesamoid bone in the tendon of origin of popliteus in many species. Humans ...
The patellar tendon is a strong, flat ligament, which originates on the apex of the patella distally and adjoining margins of the patella and the rough depression on its posterior surface; below, it inserts on the tuberosity of the tibia; its superficial fibers are continuous over the front of the patella with those of the tendon of the quadriceps femoris.
Animals that might benefit from the use of an orthosis commonly have an injury to a lower limb or paw, such as a fracture, torn meniscus, ruptured Achilles tendon, or injured cruciate ligament (ACL or CCL). They may also have an orthopedic condition due to arthritis, spinal cord injury, or a congenital abnormality.
Young athletic dogs can be seen with this rupture if they take a bad step while playing too rough and injure their knee. Older dogs, especially if overweight, can have weakened ligaments that can be stretched or torn by simply stepping down off the bed or jumping. [7] Large overweight dogs are at more risk for ruptures of the cruciate ligament.