Effect of screw placement order on range of proximal tibial fragment rotation adjustment and osteotomy gap formation when using manual reduction during tibial plateau levelling osteotomy (<scp>TPLO</scp>)

The proximal screw position should be placed first in the head of the plate to allow proximal tibial fragment rotation adjustment while minimising osteotomy gap formation when using a manual reduction technique when performing a TPLO.