Cranial cruciate ligament injury in dogs ‐ are we really making any progress?

Major complications of tibial tuberosity advancement in 1613 dogs

“…This advancement neutralizes tibiofemoral shear forces and allows return to function despite deterioration of the cranial cruciate ligament (CrCL) in the dog stifle . TTA is an accepted surgical procedure to manage lameness associated with cruciate ligament disease in dogs . Postoperative complications associated with the TTA procedure include bone fracture (1‐5.1%), implant failure (0.8‐2%), patellar luxation (0.8‐1%), postliminary meniscal tear (3.1‐25.4%), and infection (0.5‐5.3%) .…”

“…[1][2][3][4][5][6] TTA is an accepted surgical procedure to manage lameness associated with cruciate ligament disease in dogs. 2,[7][8][9][10][11][12][13][14][15] Postoperative complications associated with the TTA procedure include bone fracture (1-5.1%), 2,10,11,[16][17][18] implant failure (0.8-2%), 2,7-9 patellar luxation (0.8-1%), 2,7,17 postliminary meniscal tear (3.1-25.4%), 2,[7][8][9][10][11][12] and infection (0.5-5.3%). 2,7,10,11,16,17 Predisposing factors to complications include breed, 19 poor implant position, and narrow distal osteotomy width.…”

Inverse Dynamics Analysis Evaluation of Tibial Tuberosity Advancement for Cranial Cruciate Ligament Failure in Dogs

“…As a consequence all techniques result in some degree of loss of normal stifle biomechanical function. Reported outcomes after cruciate surgery are roughly comparable, although differences exist between study designs and outcome measures so direct comparisons between studies are not possible. Similarities in outcome may be as a result of genuinely similar results or because of limitations of the sensitivity of the outcome measurement utilized.…”