Small Animal Surgery
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There are many different methods to treat cruciate ligament rupture, and some are more suited to certain patients than others.

Modified de Angelis

Also called lateral fabellotibial suture, essentially acts like replacing the handbrake in a car.

Tibial Tuberosity Advancement

TTA changes the weight bearing axis through the knee by making one cut in the front of the tibia and inserting a cage (a wedge of sterile material). We utilise the laterst in 3D printing technology and insert 3D printed titanium mesh cages.

 TTA cages

 

Triple Tibial Osteotomy

Triple tibial osteotomy TTO diagram      Triple tibial osteotomy TTO diagram

Reshaping the top part of the tibia to compensate for a ruptured cranial cruciate ligament. Three cuts are made in the tibia (triple tibial osteotomy) to remove a small wedge of bone. Once this wedge has been removed, the top of the tibia is collapsed onto the bottom of the tibia and the pieces of bone are held together using a stainless steel plate and several screws.

Traumatic CrClR 01 Traumatic CrClR 02 Traumatic CrClR 03

Post-operative appearance of a triple tibial osteotomy in a large breed dog. This patient also had a medial collateral ligament rupture that needed repair with a spiked washer and screw in the distal femur and eyelet screw in the proximal tibia and prosthetic ligament running between them.