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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.
Dog's titanium TPLO implant [1]. TPLO, or tibial-plateau-leveling osteotomy, is a surgery performed on dogs to stabilize the stifle joint after ruptures of the cranial cruciate ligament (analogous to the anterior cruciate ligament [ACL] in humans, and sometimes colloquially called the same).
The triple tibial osteotomy is a surgical procedure used to treat dogs that have completely or partially ruptured the cranial cruciate ligament in one or both of their stifles. [1] The cranial cruciate ligament connects the femur with the tibia , which functions to stabilise the canine stifle joint from the forces put on it during exercise and ...
Tightrope CCL is a veterinary orthopedic surgical method developed to provide a minimally invasive procedure for extracapsular stabilization of the canine cranial cruciate ligament-deficient stifle joint. The cranial cruciate ligament (CrCL) stabilizes the dog knee much like the anterior cruciate ligament (ACL) does in humans.
In veterinary medicine, osteotomies are frequently performed to address rupture of the canine cranial cruciate ligament, which is analogous to the anterior cruciate ligament. The tibial plateau leveling osteotomy and tibial tuberosity advancement are two of the most common osteotomy procedures performed in the United States. Recovery is often 6 ...
The canine cranial cruciate ligament performs two main functions: it limits cranial tibial translation (forward movement of the tibia [shin] relative to the femur [thigh]) and internal tibial rotation (inward twisting of the shin relative to the femur). As the CrCL tears, the ability to provide translational and rotational stability is lost.
Advanced surgical procedures such as joint replacement (total hip, knee and elbow replacement), fracture repair, stabilization of cranial cruciate ligament deficiency, oncologic (cancer) surgery, herniated disc treatment, complicated gastrointestinal or urogenital procedures, kidney transplant, skin grafts, complicated wound management, and ...
This surgery uses biomechanics of the knee joint and is meant to address the lack of success seen in the extracapsular repair surgery in larger dogs. A stainless steel bone plate is used to hold the two pieces of bone in place. This surgery is complex and typically costs more than the extracapsular repair. [7] [11] Tibial tuberosity advancement