Tibial Tuberosity Advancement Techniques (TTAT): A Systematic Review.

Area of Science:

• Veterinary Surgery
• Orthopedics
• Canine Sports Medicine

Background:

• Cranial cruciate ligament rupture is a common orthopedic condition in dogs.
• Various surgical techniques exist, including tibial tuberosity advancement (TTA).
• This review focuses on TTA techniques for canine cruciate ligament treatment.

Purpose of the Study:

• To critically review literature on preoperative planning, surgical procedures, follow-up, and complications of TTA in dogs.
• To compare new generation TTAT with traditional TTA for canine cranial cruciate ligament failure.

Main Methods:

• Systematic literature search of PubMed, Google Scholar, and Scopus for TTAT in dogs.
• Application of GRADE and Joanna Briggs Institute Critical Appraisal Checklists.
• Data extraction on preoperative planning, meniscal disease, and postoperative outcomes.

Main Results:

• 30 studies met inclusion criteria from 471 reports.
• Common tangent method was the most frequent preoperative planning technique.
• >90% of cases showed full/acceptable function in follow-ups.
• Minor complications occurred in 33.5% and major complications in 10.67% of cases with new generation TTAT.

Conclusions:

• New generation TTAT is effective for canine cranial cruciate ligament failure.
• TTAT demonstrates a lower rate of late meniscal injury compared to traditional TTA.
• New generation TTAT has a higher incidence of minor complications.