Peer-reviewed veterinary case report
Tibial tuberosity advancement as a treatment option for cranial cruciate ligament disease
- Journal:
- Companion Animal
- Year:
- 2025
- Authors:
- Entoft, Jessica
- Affiliation:
- DVM ECVS Resident, Evidensia Specialist Animal Hospital Strömsholm, Djursjukhusvägen 11, 734 94 Strömsholm, Sweden
- Species:
- dog
Plain-English summary
Tibial tuberosity advancement is a surgical procedure used to treat dogs with cranial cruciate ligament disease, which affects their knee stability. Since its introduction in 2002, improvements have been made to the implants used in the surgery, leading to fewer complications. Studies show that over 90% of dogs experience good to excellent recovery and function after the procedure, according to their owners. However, some dogs, especially those with specific knee and leg issues, might be better suited for different surgical options. Overall, this treatment has been effective for many dogs with the right conditions.
Abstract
Tibial tuberosity advancement as a treatment option for cranial cruciate ligament disease was developed and introduced in 2002. Since then, several different implants have been developed to improve the technique and reduce the complication rate. Studies into the outcomes of this procedure report a lower rate of both minor and major complications and good to excellent overall function (outcome and lameness) in more than 90% of dogs, as reported by the owners. Tibial tuberosity advancement is a procedure comparable with alternate osteotomy methods of cranial cruciate ligament repair with expected good to excellent functional outcome in a variety of dogs with proper case selection. Dogs with a distal patellar ligament insertion point, an excessive tibial plateau angle and angular and/or torsional limb deformities may be more suited for other surgical techniques.
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Search related cases →Original publication: https://doi.org/10.12968/coan.2024.0035