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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.
This compares with an average of 20 degrees plateau levelling required for the tibial plateau leveling osteotomy and 9-12mm of tibial tuberosity advancement with the tibial tuberosity advancement. Return to normal function is rapid, with most dogs having good use of the leg and a normal appearing gait within 3–4 months; long-term progression ...
Gerdy's tubercle is a smooth facet on the lateral aspect of the upper part of the tibia, just below the knee joint and adjacent to the proximal tibio-fibular joint, where the iliotibial tract runs down the outside part of the thigh. It is the point of insertion for the iliotibial band of the lateral thigh. [2]
Hecht Scott syndrome (also known as fibular aplasia–tibial campomelia–oligosyndactyly [FATCO] syndrome) is a rare genetic disease that causes congenital limb formation. [ citation needed ] The main characterisation is the aplasia or hypoplasia of bones (mainly the fibula or tibia ) of the limb. [ 1 ]
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 ...
The cranial cruciate also resists over-extension and inward rotation, and is the most commonly damaged stifle ligament in dogs. "Cushioning" of the joint is provided by two C-shaped pieces of cartilage called menisci which sit between the medial and lateral condyles of the distal femur and the tibial plateau.
The superior tibiofibular articulation (also called proximal tibiofibular joint) is an arthrodial joint between the lateral condyle of tibia and the head of the fibula.. The contiguous surfaces of the bones present flat, oval facets covered with cartilage and connected together by an articular capsule and by anterior and posterior cruciate ligaments.
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 ...