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The triple tibial osteotomy has been developed as a hybrid of two previously available orthopaedic procedures, the tibial tuberosity advancement and the tibial plateau leveling osteotomy. The tibial tuberosity advancement neutralises shear force within the stifle by advancing the tibial tuberosity until the tibial plateau is at right angles to ...
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.
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.
Tibial tuberosity fractures are infrequent fractures, most common in adolescents. In running and jumping movements, extreme contraction of the knee extensors can result in avulsion fractures of the tuberosity apophysis. [3] A cast is all that is required if the fragment is not displaced from its normal position on the tibia. However, if the ...
The Tightrope CCL technique utilizes a very strong suture material called FiberTape and isometric placement of small bone tunnels to provide bone-to-bone fixation while not causing the trauma of cutting through the bone of the tibia like a TPLO - tibial plateau leveling osteotomy or TTA - Tibial tuberosity advancement procedure. The objective ...
Osgood–Schlatter disease causes pain in the front lower part of the knee. [9] This is usually at the ligament-bone junction of the patellar ligament and the tibial tuberosity. [10] The tibial tuberosity is a slight elevation of bone on the anterior and proximal portion of the tibia.
Proximal fractures of 5th metatarsal. The tuberosity avulsion fracture (also known as pseudo-Jones fracture or dancer's fracture [2] is a common fracture of the fifth metatarsal (the bone on the outside edge of the foot extending to the little toe). [3] This fracture is likely caused by the lateral band of the plantar aponeurosis (tendon). [4]
In a TPLO procedure, the tibial plateau, the portion of the tibia adjoining the stifle, is cut and rotated so that its slope changes to approximately 5 degrees from the horizontal plane. [4] This prevents the femur from sliding down the slope of the tibial plateau when the dog puts weight on its knee. This surgery generally results in faster ...