The bottom line

TPLO effectively treats feline CCL disease with favorable short- and intermediate-term outcomes.

TPLO and TTA show similar OA progression patterns with effective stress redistribution.

Body weight is the primary SSI risk factor for TPLO; tailor antimicrobial prophylaxis accordingly.

ProCut TPLO templated guidance system improves accuracy and reduces operative time in novice surgeons.

Combining TPLO and TTT may effectively treat concurrent cranial cruciate ligament insufficiency and medial patellar luxation in small-breed dogs.

Non-osteotomy-based stabilization is effective for CrCL rupture in ultra-small dogs.

Both FS and SH needles are equally effective for intradermal closure in TPLO procedures.

Fluoroscopy-guided osteotomy planning enhances TPLO precision, improving canine clinical outcomes.

**Intraoperative identification of the tibial intercondylar eminence in dogs is often inaccurate.**

Oral 20:1 CBD:THC extract did not enhance pain relief or mobility post-TPLO in dogs.

Barbed, bidirectional monoderm suture and external nylon sutures have similar complication rates in TPLO incisions.

Novel piezoelectric ESWT device improves weight-bearing post-TPLO without sedation.

TPLO restores function but does not normalize hind limb gait kinematics in dogs.

TPLO improves ROM better than TTA or TR post-operatively in canine CCL rupture.

DCTPLO effectively treats CrCL disease with tibial plateau angles up to 43.5°.

Caudal plate positioning during TPLO increases fibular nerve injury risk; careful drilling technique essential.

TPLO with internal bracing improves meniscal repair success rates compared to TPLO alone.

Optimal compression technique is crucial for success in tibial plateau levelling osteotomy.

TPLO-TTT effectively treats concurrent CCL rupture and high-grade MPL with low major complication rates.

Lower TPA at 6 months post-TPLO correlates with more symmetrical hindlimb gait mechanics.