Tibial tuberosity advancement as a treatment option for cranial cruciate ligament disease

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.