Feasibility of Combined Tibial Plateau Levelling Osteotomy and Tibial Tuberosity Transposition for Treatment of Ipsilateral Cranial Cruciate Ligament Insufficiency and Medial Patellar Luxation in Small-Breed Dogs Weighing up to 15 kg.
Bietzk E, Sesana A, Moores AL, Liu P, Kakuta S, Craig A, Janovec J · Veterinary and Comparative Orthopaedics and Traumatology · 26 December 2025
Combining TPLO and TTT may effectively treat concurrent cranial cruciate ligament insufficiency and medial patellar luxation in small-breed dogs.
The study by Bietzk et al. evaluates the feasibility of combining Tibial Plateau Levelling Osteotomy (TPLO) with Tibial Tuberosity Transposition (TTT) in small-breed dogs weighing up to 15 kg, diagnosed with both ipsilateral cranial cruciate ligament insufficiency and medial patellar luxation. The authors hypothesize that this combined surgical approach may address both conditions simultaneously, potentially reducing the need for multiple surgeries and improving overall outcomes. The study design, sample size, and specific methodologies are not detailed in the provided information. However, the research aims to provide insights into the practicality and effectiveness of this combined surgical technique in small-breed dogs, which could influence future treatment protocols for these concurrent orthopedic conditions.
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