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Cruciate Surgery Overview
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Information on the condition and its management options.

We offer a variety of surgical techniques as we recognise dogs with cruciate disease present in a wide variety of sizes, age and activity levels, and owners have varying financial constraints. We feel that a one size fits all solution does not take this into account.

Our most frequently utilised technique for stabilization of the CCL deficient stifle is Tibial Tuberosity Advancement (TTA). This technique was developed in Switzerland in the early 2000’s, and has proved worldwide to be a robust and reliable technique to allow dogs to return to full function following CCL rupture.

Because of anatomic variation this technique is not applicable to all dogs, however. In small dogs, or those with a steep tibial plateau angle we recommend a Cranial Closing Wedge Ostectomy (CCWO).

For smaller, or less active, dogs or where financial restraints legislate against an osteotomy technique, we offer an isometric lateral suture or the traditional fabella-tibial lateral suture. An isometric lateral suture uses a suture anchor to attach the implant to the femur, and a precisely placed bone tunnel in the tibial plateau, resulting in an implant that has a more consistent tension through the range of motion of the stifle than the traditional lateral suture. We use Arthrex suture anchors that have the highest available pull out strength to provide the most reliable stabilization.

See specific procedure sheets for specific information on any of these techniques.