Tibial Tuberosity Advancement 241Burns CG, Boudrieau RJ. Modified tibial tuberos-
ity advancement procedure with tibial tuberosity
advancement in excess of 12 mm in four large breed
dogs with cranial cruciate ligament-deficient joints.
Vet Comp Orthop Traumatol 2008;21:250–255.
Bush MAZ, Bowlt K, Gines JA,et al.Effect of use of
different landmark methods on determining stifle
angle and on calculated tibial tuberosity advance-
ment. Vet Comp Orthop Traumatol 2011;24:205–
210.
Cadmus J, Palmer RH, Duncan C. The effect of pre-
operative planning method on recommended tib-
ial tuberosity advancement cage size. Vet Surg
2014;43:995–1000.
Dennler R, Kipfer NM, Tepic S,et al.Inclination of the
patellar ligament in relation to flexion angle in stifle
joints of dogs without degenerative joint disease.
Am J Vet Res 2006;67:1849–1854.
Dymond NL, Goldsmid SE, Simpson DJ. Tibial
tuberosity advancement in 92 canine stifles: Ini-
tial results, clinical outcome and owner evaluation.
Aust Vet J 2010;88:381–385.
Etchepareborde S, Mills J, Busoni V,et al.Theoretical
discrepancy between cage size and efficient tibial
tuberosity advancement in dogs treated for cranial
cruciate ligament rupture. Vet Comp Orthop Trau-
matol 2011;24:27–31.
Etchepareborde S, Barthel ́ ́emy N, Brunel L,et al.
Biomechanical testing of aβ-tricalcium phosphate
wedge for advancement of the tibial tuberosity. Vet
Comp Orthop Traumatol 2014;27:14–19.
Giffin JR, Vogrin TM, Zantop T,etal.Effects of increas-
ing tibial slope on the biomechanics of the knee.
Am J Sports Med 2004;32:376–382.
Guerrero TG, Makara MA, Katiofsky K,et al.Com-
parison of healing of the osteotomy gap after tib-
ial tuberosity advancement with and without use
of an autogenous cancellous bone graft. Vet Surg
2011;40:27–33.
Hirshenson MS, Krotscheck U, Thompson MS,et al.
Evaluation of complications and short-term out-
come after unilateral or single-session bilateral
tibial tuberosity advancement for cranial cruci-
ate rupture in dogs. Vet Comp Orthop Traumatol
2012;25:402–409.
Hoffmann DE, Miller JM, Ober CP,et al.Tibial
tuberosity advancement in 65 canine stifles. Vet
Comp Orthop Traumatol 2006;19:219–227.
Hoffmann DE, Kowaleski MP, Johnson KA,et al.
Ex vivobiomechanical evaluation of the canine
CrCL deficient stifle with varying angles of stifle
joint flexion and axial loads after TTA. Vet Surg
2011;40:311–320.
Hopmans J. TTA-2 clinical experience. Kyon Sympo-
sium 2015.
Inauen R, Koch D, Bass M,et al.Tibial tuberosity con-
formation as a risk factor for cranial cruciate liga-
ment rupture in the dog. Vet Comp Orthop Trau-
matol 2009;22:16–20.
Kapler MW, Marcellin-Little DJ, Roe SC. Planned
wedge size compared to achieved advancement in
dogs undergoing the modified Maquet procedure.
Vet Comp Orthop Traumatol 2015;28:379–384.
Kemper M, Koch D, Bass M,et al.Revisionsop-
erationsrate nach 214 Tibial Tuberosity Advance-
ments als Thbusherapie des vorderen Kreuuzban-
drisses beim Hund [Major complication rate after
214 tibial tuberosity advancements as a therapy for
cranial cruciate ligament rupture]. Schweiz Arch
Teirheilkd 2011;153:131–133.
Kiefer JE, Langenbach A, Boim J, et al.Single-
stage bilateral tibial tuberosity advancement for
treatment of bilateral canine cranial cruciate lig-
ament deficiency. Vet Comp Orthop Traumatol
2015;28:215–219.
Kim SE, Pozzi A, Banks SA,et al.Effect of tib-
ial tuberosity advancement on femorotibial con-
tact mechanics and stifle kinematics. Vet Surg
2009;38:33–39.
Kipfer NM, Damur DM, Guerrero T,et al.Effect of tib-
ial tuberosity advancement on femorotibial shear
in cranial cruciate-deficient stifles: anin vitrostudy.
Vet Comp Orthop Traumatol 2008;21:385–390.
Lafaver S, Miller NA, Stubbs WP,et al.Tibial tuberos-
ity advancement for stabilization of the canine cra-
nial cruciate ligament-deficient stifle joint: surgi-
cal technique, early results and complication in 101
dogs. Vet Surg 2007;36:573–586.
Leighton RL. Letter to the Editor, Preferred method
of repair of cranial cruciate ligament rupture in
dogs: A survey of ACVS diplomates specializing in
canine orthopedics. Vet Surg 1999;28:194.
Li G, Rudy TW, Allen C,et al.Effect of combined
axial compressive and anterior tibial loads oninsitu
forces in the anterior cruciate ligament: a porcine
model. J Orthop Res 1998;16:122–127.
Maquet P. Tibial tuberosity advancement. Clin
Orthop Rel Res 1976;115:225–230.
MacDonald TL, Allen DA, Monteith GJ. Clinical
assessment following tibial tuberosity advance-
ment in 28 stifles at 6 months and 1 year after
surgery. Can Vet J 2013;54:249–254.
Miller JM, Shires PK, Lanz OI,et al.Effect of 9
mmtibial tuberosity advancement on cranial tibial
translation in the canine cranial cruciate ligament-
deficient stifle. Vet Surg 2007;36:335–340.
Millet M, Bismuth C, Labrunie A,et al.Measure-
ment of the patellar tendon-tibial plateau angle and
tuberosity advancement in dogs with cranial cru-
ciate ligament rupture: Reliability of the common
tangent and tibial plateau methods of measure-
ment. Vet Comp Orthop Traumatol 2013;26:469–
478.
Montavon PM, Damur DM, Tepic S. Advancement
of the tibial tuberosity for the treatment of cranial
cruciate deficient canine stifle. 1st World Orthope-
dic Veterinary Congress, Munich, Germany, 2002,
p. 152.