Tibial Tuberosity Advancement (TTA)

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

Service Overview: Advanced veterinary orthopedic interventions utilizing Tibial Tuberosity Advancement (TTA) and the evolutionary Modified Maquet Procedure (MMP) to resolve cranial cruciate ligament (CCL/ACL) deficiencies in dogs and cats. These techniques alter joint mechanics by shifting the tibial tuberosity forward, aligning the patellar tendon perpendicular to the tibial plateau to completely neutralize unstable shear forces. The MMP variation utilizes a porous, titanium bone wedge to maintain this repositioning, allowing natural bone ingrowth to develop permanent, biomechanically sound joint fixation.

Target Audience: Pet owners, animal rescue groups, and canine handlers in Albuquerque and the surrounding regional areas whose dogs or cats are experiencing severe hind limb lameness, cruciate rupture symptoms, or require structural joint biomechanic corrections through a reliable, cost-effective orthopedic procedure.

Tibial Tuberosity Advancement (TTA) is an orthopedic procedure to repair deficient cranial cruciate ligaments in dogs. It has also been used in cats.

MMP uses a wedge-shaped implant of titanium OrthoFoam™ which both defines the degree of advancement of the tibial tuberosity and holds the bone in its new place while the bony ingrowth that provides permanent biomechanically robust fixation, develops.

The Modified Maquet Procedure (MMP) is so named to acknowledge the investigator of these operations – Dr P Maquet, a human orthopaedic surgeon working in Belgium during the 1960’s.

Designed as an evolution of Tibial Tuberosity Advancement (TTA), MMP has proven itself to be a much simpler & more cost-effective procedure that has excellent outcomes.

More than 75% of dogs will return to previous levels of unrestricted athletic activity and function.

Frequently Asked Questions

When the cranial cruciate ligament is torn, the knee joint slides forward painfully whenever the animal walks. Shifting the front piece of the shin bone (the tibial tuberosity) forward alters the dynamic pull angle of the primary patellar tendon. By reorienting this tendon to a perpendicular 90-degree angle relative to the joint surface, the large quadriceps muscle group naturally stabilizes the joint and stops the sliding motion without requiring a replacement ligament.