Abstract
Tibial tuberosity advancement (TTA) is one of a number of techniques intended to provide dynamic stability to the cranial cruciate ligament (CCL)–deficient stifle joint. Over the past 10–15 years, there have been significant improvements in the understanding of the biomechanics of TTA, as well as the clinical outcome after treatment of dogs affected by naturally occurring CCL deficiency. Advances have been made in several aspects of TTA technique, including pre-surgical templating, surgical technique and implant design. This article includes a discussion of these recent advances and provides an overview of the experimental and clinical research on TTA surgery in dogs.
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