Tibial Tuberosity Advancement (TTA)

Tibial Tuberosity Advancement (TTA) & Modified Maquet Procedure (MMP)

A torn cranial cruciate ligament (CCL), commonly compared to the ACL in humans, is one of the leading causes of hind leg lameness in dogs. When this important ligament is damaged, the knee becomes unstable, making it painful for your dog to walk, run, or play. Without treatment, the instability can lead to arthritis and progressive joint damage. Tibial Tuberosity Advancement (TTA) is an advanced orthopedic procedure designed to restore stability and help dogs regain comfortable movement.

At TLC Pet Hospital, we offer TTA surgery as one of our orthopedic treatment options for dogs with cranial cruciate ligament injuries. Our veterinary team will evaluate your dog's condition and determine whether TTA is the most appropriate procedure based on their size, activity level, and overall health.

What Is Tibial Tuberosity Advancement (TTA)?

Tibial Tuberosity Advancement is a surgical procedure that stabilizes the knee after a cranial cruciate ligament rupture. Instead of replacing the damaged ligament, TTA changes the mechanics of the knee by advancing the tibial tuberosity—the front portion of the shin bone where the patellar ligament attaches. This adjustment changes the angle of the patellar ligament, allowing the knee to function normally without relying on the torn ligament for stability.

During the procedure, the bone is carefully repositioned and secured with specialized orthopedic implants while it heals. Once healing is complete, many dogs regain improved stability, mobility, and comfort.

Benefits of TTA Surgery

TTA is designed to restore knee stability while reducing pain caused by a torn cranial cruciate ligament. Many dogs experience excellent functional recovery and are able to return to their normal activities following rehabilitation. Compared with some traditional ligament repair techniques, TTA changes the forces acting on the knee rather than attempting to recreate the damaged ligament.

Potential benefits include:

  • Improved knee stability
  • Reduced pain and inflammation
  • Better long-term mobility
  • Earlier return to normal activities
  • Reduced progression of arthritis
  • Improved quality of life

Every patient is different, and our veterinary team will discuss whether TTA or another orthopedic procedure, such as TPLO, is best suited for your dog's specific injury.

Schedule a TPLO Consultation at TLC Pet Hospital

If your dog has been diagnosed with a torn ACL or cranial cruciate ligament injury, TPLO surgery may provide the stability and long-term relief needed to restore an active, comfortable life. Our veterinary team will evaluate your dog's condition, discuss treatment options, and develop a personalized surgical plan tailored to their needs.

Contact TLC Pet Hospital today to learn more about TPLO surgery and schedule an orthopedic consultation for your dog.

We provide Fear Free Veterinary Care

Utilization of Fear Free methods and protocols leads to better healthcare, satisfied clients and relaxed patients. It also reduces or removes anxiety triggers, which creates an experience that is rewarding and safer for all involved, including your pet(s), you and your veterinary healthcare team.

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