A Comparative Review of Tibial Plateau Leveling Osteotomy (TPLO) vs. Tibial Tuberosity Advancement in Cranial Cruciate Ligament Rupture

Introduction: The cranial cruciate ligament (CCL) rupture is one of the most common orthopedic diseases in dogs. Two of the more common surgical methods are Kobelev's modification which was introduced by Slocum and TPLO or Tibial Plateau Leveling Osteotomy. In this paper, we will take these two methods to compare and analyze their respective applicable scenarios, advantages as well as make the right choice. Methods: This was a narrative review of the recent advances in biomechanics, methods used during surgery and outcomes following TPLO versus TTA. Results: TPLO provides good long term stability of joint due to decrease in tibial plateau slope, usually favored in large and active dogs. TTA: Tibial tuberosity advancement is another attempt to alter tendon mechanics by advancing the tibial tuberosity with little surgical invasiveness and quicker early recovery. Each method has its inherent risks and complications, thus the choice often guided by patient anatomy and surgeon preference. Conclusion: Either TPLO or TTA is an effective treatment for CCL rupture. Given the physiologic difference of each, this understanding allows for a more individualized approach to cases which likely enhances both recovery and functional outcomes.

کلیدواژه ها:

cranial cruciate ligament ، TPLO ، TTA ، canine orthopedics ، surgical techniques