VETERINARY CLINIC TOMMY
Surgery specialist DVM Goran Tomišić
TTA surgery for Cranial Cruciate ligament rupture
Dog , Golden Retriever 4 year old, 29 kg weight, was presented to the clinic with chronic pain and lameness in his left hind limb. Beside that the dog was perfectly healthy. During the orthopedic examination in sedation, there are persistent sign of drawers which is the most important sing of Cranial Cruciate Rupture. On X- ray was no osteoarthritis founded. During the preparation for the surgery, measures of the knee were taken from the same X-ray. Measuring for this procedure must be precise and it’s done with help of special equipment.
During the surgery dog was placed in left lateral position, and approach on the knee was from medial side. After exposing the tibial bone markers were placed into the tibial crista. Afterwards, precise cut was performed with special saw to cut of the tibial crista, on that site the titanium plate was placed with fork. Next step during the surgery is placing a cage into the space between tibial crista and other part of tibial bone screwing it with screws. When everything was stabile it was irrigated and closed.
The dog that we operated was necessary to be under restriction as much as possible minimum two weeks. After only 24h dog was touching ground with operated leg, but he was on restricted walks for two weeks because of his temperament. There was no postoperative complications, one month later dog was using his leg practically normal, but he was still under the supervision of the owner.