Tibial Tuberosity Advancement (TTA) Using Xgen (forkless) Plate

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About the course

A series of seven videos on TTA surgery with Duncan Midgley and Kinley Smith, filmed at a practical Securos Surgical course.

Although more invasive than some of the other techniques, tibial tuberosity advancement has become one of the preferred techniques used in orthopaedic practice for the treatment of cranial cruciate ligament disease. This learning stream starts with the pathophysiology of cranial cruciate ligament disease and also the surgical theory behind TTA before moving on to practical surgical technique. The use of digital imaging software is also covered.

Topics covered include:

  • Biomechanics of the cruciate ligament-deficient stifle and tibial tuberosity advancement
  • Patient assessment and selection of candidates for surgery
  • Pre-operative surgical planning and implant selection
  • Familiarisation with, and appropriate use of, TTA instrumentation
  • Surgical technique taught in a dry lab and wet lab
  • Post-operative management of patients
  • Potential complications and how to deal with them


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