Tibial Tuberosity Advancement Surgery (TTA Surgery)

Image for Tibial Tuberosity Advancement Surgery (TTA Surgery)

Tibial tuberosity advancement surgery or TTA is the latest surgical treatment for cranial cruciate ligament disease in the dog.

TTA is indicated for dogs weighing more than 50 lbs.

Along with TPLO, TTA is considered a “bone cutting” procedure that minimizes tibial thrust and aids in stabilizing the stifle joint.

Currently, four surgical options exist for a torn cruciate ligament in the dog. They are TPLO, TTA, Tightrope, and lateral suture.

Pros of Tibial Tuberosity Advancement Surgery

1. Creates 90-degree angle between the tibial plateau and patellar ligament thereby eliminating tibial thrust and lameness.

Image for Tibial Tuberosity Advancement Surgery (TTA Surgery)

2. Early return to function with decreased loss of muscle mass.

3. Better outcomes compared to other procedures in large dogs most notably the lateral suture.

Cons of Tibial Tuberosity Advancement Surgery

1. Bone cutter – potential for more drastic complications.

2. Cost – TTA is comparable to the cost of TPLO and Tightrope yet more than lateral suture.

Expectations of Tibial Tuberosity Advancement Surgery

After surgery, expect swelling. Most dogs have swelling starting from just above the knee down into the foot. This swelling will begin to subside after the seventh day postoperatively. As the swelling goes away, the pain soon follows.

By day twelve, most dogs are bearing weight, approximately 50%.

Increased weight bearing comes with time and most dogs return to full weight-bearing by six weeks.

It is extremely important to restrict full exercise and use of the leg until 8 weeks. The bone has been cut and it takes at least 6 weeks and up to 8 weeks for the bone to completely heal.

Do the physical therapy exercises diligently. These exercises make a huge difference in the success of the procedure!

The video below shows one of our patients walking in the clinic 14 days after TTA surgery.

The video below shows a prior TTA surgery dog running. Can you tell which leg had the TTA surgery?

Learn More About Dog Knee and Ligament Injuries & How to Help

Connect with Us:

More Posts

Veterinary Cryosurgery

What is Veterinary Cryosurgery? Dr. Smith often uses veterinary cryosurgery in his pet cancer treatment plans. Cryosurgery, also called cryotherapy or cryoablation, is a common cancer procedure used in humans. Dr. Smith uses it to skin tumors, and sometimes even certain tumors inside the body. Cryosurgery works by using extreme cold produced by liquid nitrogen or argon gas to destroy cancer cells and abnormal tissue. Watch the Video               Transcription Dr. Smith:  Ladies and gentlemen, I’m Doctor Marc Smith, a 20-year practicing veterinarian and co-creator of PET | TAO Holistic Pet Products, and I’m

Read More »

Looking for an Herbal Formulation for Diabetes in Cats?

Why Use an Herbal Formulation for Diabetes in Cats? I remember my first experience giving a cat insulin shots. It was years ago, and I was pet sitting for a friend. Giving kitty an insulin shot would be easy, she said. Just give him a little tuna and give him a shot. That’s it! NOPE. To say the least, giving the kitty a shot didn’t happen quite the way she described it. What she didn’t tell me was how much kitty hated the shot. Or, how fast I’d need to inject to avoid getting scratched! Let’s face it, insulin injections

Read More »

What’s the Best Supplement for Joint Health in Dogs?

We all want our dogs to feel good and have an excellent quality of life, no matter what age.Unfortunately, many dogs suffer from weakened or worn out joints Arthritis and Joint Health in Dogs Arthritis is an informal way of referring to joint pain or joint disease. All dogs suffer from arthritis as they age. In fact, according to the Arthritis Foundation, approximately 20% of all adult dogs have arthritis. In other words, 1 in 5 adult dogs suffers from arthritis. However,  if your dog is older than 7 years, there is a 65% chance he or she suffers from

Read More »