Vet Comp Orthop Traumatol 2007; 20(03): 159-168
DOI: 10.1160/VCOT-06-06-0054
Original Research
Schattauer GmbH

Evaluation of the Triple Tibial Osteotomy. A new technique for the management of the canine cruciate-deficient stifle

W. J. Bruce
1  Veterinary Specialist Orthopaedic Services, Adelaide, Australia
A. Rose
2  School of Veterinary Science, University of Queensland, Brisbane, Australia
J. Tuke
3  School of Mathematical Sciences, Adelaide University, Adelaide, Australia
G. M. Robins
4  Surgical Referral Service, Brisbane, Australia
› Author Affiliations
Further Information

Publication History

Received 29 June 2006

Accepted 20 July 2006

Publication Date:
21 December 2017 (online)


The triple tibial osteotomy (TTO) is a technique which combines the features of tibial tuberosity advancement and wedge osteotomy for the treatment of complete and partial cruciate ligament injuries in dogs. In this paper, the technique is described and the results of a prospective study of 64 consecutive cases are presented. TTO provided a satisfactory clinical outcome in a very high percentage of cases. The technique is relatively easy to learn and has a low post-operative complication rate.