254 Surgical Treatment
(A) (B) (C)
(D) (E) (F) (G)
Figure 30.1 Tibial plateau leveling osteotomy (TPLO) and closing cranial wedge ostectomy (CCWO) for the treatment
of excessive tibial plateau angle (eTPA). Preoperative mediolateral (A) and caudocranial (B) views of a large-breed patient
with cruciate ligament rupture and eTPA. Preoperative planning for TPLO/CCWO (C); Note that the safe distance S has
been identified (black, double-ended arrow). Postoperative (D and E) and follow-up (F and G) radiographs taken 8 weeks
postoperatively revealing osteotomy healing with stable implants.