Abstract
The technique of tibial tuberosity advancement (TTA) is performed worldwide for repair of cranial cruciate ligament rupture (CCLR) in dogs, since it is easy to perform, and is known to have good results after surgery. The technique was to shift the tibial crest forward for the stability of the stifle joint in CCLR. Our clinic started TTA seven years before this method was established worldwide. In our clinic, we have had 106 successes and 3 failures. In two of the unsuccessful cases, the implant had to be removed. As post-surgery complications, there were tibial tuberosity fracture in four cases, one of which was so severe that it needed repeat, damage of part of implant in one case, patella luxation in two cases, and meniscus injury in four cases. In this paper, we listed the details, show how we improved our skills, discuss what we consider the reasons for failure and complications, and how to prevent such complications.
