Small Animal Surgery

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) and then the pieces of bone are held together using a stainless steel plate and several screws.

Traumatic CrClR 03     Traumatic CrClR 02

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.