labrador, cruciate

Tibial Diaphyseal Fracture Rates Following Tibial Tuberosity Advancement Rapid (TTAR) and Traditional Tibial Tuberosity Advancement (tTTA)

Wye Li Chong

Published:  05/03/2019    in:  Knowledge Summaries
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labrador, cruciate
PICO question

In dogs with cruciate disease, is the use of TTA Rapid (TTAR) compared to traditional TTA (tTTA) associated with a higher risk of tibial diaphyseal fractures?

Clinical bottom line

Based on studies published between January 2013 and January 2018, the rate of tibial diaphyseal fractures as a complication of Tibial Tuberosity Advancement Rapid (TTAR) surgery is within the published limits of traditional Tibial Tuberosity Advancement (tTTA). In this period, seven studies were related to tTTA, comprising of four; one case series, two retrospective case-control studies, and one retrospective cohort study. Five case series were related to TTAR.  All evidence within this period has been observational (Level 3 and 4 evidence). No direct head-to-head comparison between the techniques has been studied. 

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  1. Arican, M., Parlak, K., & Şahin, H. (2017). Evaluation and application of the TTA-rapid method in dogs with cranial cruciate ligament rupture. Acta Veterinaria, 67(2), 238–253.
  2. Brunel, L., Etchepareborde, S., Barthélémy, N., et al. (2013) Mechanical testing of a new osteotomy design for tibial tuberosity advancement using the modified Maquet technique. Veterinary and Comparative Orthopaedics and Traumatology 26, 47–53.
  3. Bleakley, S. (2015) TTA-2: Research Prokects, Kyon Symposium
  4. Butterworth, S. J., & Kydd, D. M. (2017). TTA-Rapid in the treatment of the canine cruciate deficient stifle: short- and medium-term outcome. Journal of Small Animal Practice, 58(1), 35–41.
  5. Costa, M., Craig, D., Cambridge, T., Sebestyen, P., Su, Y., & Fahie, M. A. (2017). Major complications of tibial tuberosity advancement in 1613 dogs. Veterinary Surgery, 46(4), 494–500.
  6. Danielson, B., Barnhart, M., Watson, A., Kennedy, S., & Naber, S. (2016). Short-Term Radiographic Complications and Healing Assessment of Single-Session Bilateral Tibial Tuberosity Advancements. Journal of the American Animal Hospital Association, 52(2), 109–114.
  7. de Sousa, R., Egan, P., Parsons, K., Butterworth, S., Calvo, I., Roch, S., & Moores, A. P. (2017). Treatment of tibial diaphyseal fractures following plateless tibial tuberosity advancement to manage cranial cruciate disease. Journal of Small Animal Practice, 58(7), 372–379.
  8. de Lima Dantas, B., Sul, R., Parkin, T., & Calvo, I. (2016). Incidence of complications associated with tibial tuberosity advancement in boxer dogs. Veterinary and Comparative Orthopaedics and Traumatology, 29(1), 39–45.
  9. Dyall, B., & Schmökel, H. (2017). Tibial tuberosity advancement in small-breed dogs using TTA Rapid implants: complications and outcome. Journal of Small Animal Practice, 58(6), 314–322.
  10. Hans, E. C., Barnhart, M. D., Kennedy, S. C., & Naber, S. J. (2017). Comparison of complications following tibial tuberosity advancement and tibial plateau levelling osteotomy in very large and giant dogs 50 kg or more in body weight. Veterinary and Comparative Orthopaedics and Traumatology, 30 (4), 299–305.
  11. Kiefer, J. E., Langenbach, A., Boim, J., Gordon, S., & Marcellin-Little, D. J. (2015). Single-stage bilateral tibial tuberosity advancement for treatment of bilateral canine cranial cruciate ligament deficiency. Veterinary and Comparative Orthopaedics and Traumatology, 28 (3), 215–219.
  12. MacDonald, T. L., Allen, D. A., & Monteith, G. J. (2013). Clinical assessment following tibial tuberosity advancement in 28 stifles at 6 months and 1 year after surgery. Canadian Veterinary Journal, 54 (3), 249–254.
  13. Montavon PM, Damur DM, Tepic S (2002). Advancement of the tibial tuberosity for the treatment of cranial cruciate deficient canine stifle. Proceedings of the 1st World Orthopedic Veterinary Congress; 2002 September 5–8; Munich, Germany. 152.
  14. Ness M (2016) The Modified Maquet Procedure (MMP) in Dogs: Technical Development and Initial Clinical Experience, Journal of the American Animal Hospital Association, 52 (4), 242–250.
  15. Proot, J. L. J., & Corr, S. A. (2013). Clinical audit for the tibial tuberosity advancement procedure. Veterinary and Comparative Orthopaedics and Traumatology, 26 (4), 280–284.
  16. Samoy, Y., Verhoeven, G., Bosmans, T., Van der Vekens, E., de Bakker, E., Verleyen, P., & Van Ryssen, B. (2015). TTA Rapid: Description of the Technique and Short Term Clinical Trial Results of the First 50 Cases. Veterinary Surgery, 44 (4), 474–484.

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