TTA and TPLO both aim to eliminate knee instability by altering joint mechanics, but they do so differently:

• TTA changes the position of the tibial tuberosity to reduce shear force.

• TPLO modifies the angle of the tibial plateau to achieve similar results.

• Unlike extracapsular suture techniques, both TTA and TPLO avoid using artificial ligaments, reducing failure rates over time.

Is My Dog a Good Candidate for TTA Surgery?

TTA surgery is an excellent option for many dogs, but case selection is critical for success. Ideal candidates include:

• Dogs with moderate tibial plateau angles—TTA is less effective for dogs with very steep tibial slopes (>30°).

• Medium to large breeds—TTA is commonly performed in active, athletic dogs.

• Dogs without significant angular limb deformities—TTA is not recommended for dogs with severe bone misalignment.

• Your veterinarian will assess your dog’s knee structure and overall health to determine if TTA is the best option.

Potential Risks & Considerations of TTA Surgery

While TTA is a highly effective procedure, some reports indicate higher complication rates compared to TPLO.

• Most complications arise from technical errors during surgery or poor case selection.

• Delayed meniscal tears have been observed post-operatively in some patients.

• Proper post-surgical rehabilitation is crucial to minimizing risks and ensuring long-term success.

• Choosing an experienced veterinary surgeon trained in TTA techniques significantly reduces the risk of complications.

Post-Surgical Recovery & Rehabilitation

Successful healing after TTA surgery requires strict post-operative care:

• 8–12 weeks of restricted activity—No running, jumping, or rough play.

• Leash-only bathroom breaks—Ensure controlled movement to avoid stress on the knee.

• Physical therapy & rehabilitation—Gradual exercise increases strength and mobility.

• Follow-up X-rays at 8 weeks—Assess bone healing before increasing activity levels.

• Regular check-ups with your veterinarian ensure optimal healing and long-term joint stability.

At Canton Animal Hospital, we perform advanced orthopedic surgeries including TTA, TPLO, and Extracapsular Lateral Suture Stabilization (LSS) techniques. Each procedure is tailored to the individual needs of the patient, ensuring optimal recovery and long-term joint health

• Extracapsular Lateral Suture (MRIT) – Best for small to medium-sized dogs.

• Tibial Plateau Leveling Osteotomy (TPLO) – The gold standard for large, active dogs.

• Tibial Tuberosity Advancement (TTA) – A less invasive alternative to TPLO.