Triple Tibial Osteotomy

• A new approach to the cranial cruciate rupture stifle.
• One of the important functions of the cruciate ligament is to prevent forward and backward sliding of the femur on the tibia bone, also known as drawer motion.
• Rupture of this ligament leads to debilitating lameness.

Advantages over DeAngelis Suture (Traditional Cranial cruciate repair)

• a more rapid recovery
• better range of motion of the joint
• four times less arthritis
• return to athletic or working activity

Advantages over Slocum procedure (TPLO)

• Does not require expensive and inefficient bi radial saw and blade.
• Flat blades creates less heat and fewer complications.
• Procedure ensures that tibial plateau is brought square to the patella ligament.
• TTO instrument allow minimal errors Slocum technique requires much more guesswork.

Advantages over wedge osteotomy(TWO)

• Tibia is not shortened.
• Osteotomy is not exposed to stress of the pull of the patella ligament as the tibial crest remains intact.
• Does not require figure of 8 wire to neutralize this.

Advantages over Tibial Tubercle advancement (TTA)

• Does not leave large defect in tibial crest which requires expensive
• Titanium implants to protect