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TTA – Tibial Tuberosity Advancement

What is a TTA Surgery?

TTA stands for Tibial Tuberosity Advancement – which is just a medical term for the way the dog’s knee joint is manipulated to provide stability without the use of a functional Cranial Cruciate Ligament (or CCL).

Read More: Is TTA “Right” For My Dog?

Basic Overview of How the TTA is Performed

The TTA surgery changes the angle of the bones within the dog’s knee joint, specifically the shape of the tibia.  In order to perform the procedure, the veterinary surgeon will need to make an incision along your dog’s knee joint of about 4 to 6 inches to access the damaged ligament (and also possibly meniscus).

In a TTA, the tibia is cut and moved forward to create stability. The new position of the bone is held into place with a bone plate (which can be removed after healing – although not commonly done because of the need for another surgical procedure to remove the metal plate).

TTA Recovery Time

You can typically expect your dog to start bearing light weight on the leg within the first 24 to 48 hours after surgery.  At 2 weeks post-op your dog will need to have their stitches removed, and they should be bearing some weight on the leg consistently at this point.

There will be rechecks along the way at weekly intervals as directed by your veterinarian.  Between 6 to 8 weeks the bone itself should have completely healed – and this will be visible on xray of the joint.  In total, the healing process will take 8 to 12 weeks depending on your pet.

Read More: TTA Post Op Recovery

Estimated Cost of TTA Surgery

The cost of TTA surgery varies, you can generally expect to spend $2800-4000+ (and more if your dog needs a repair on BOTH legs at the same time).

Factors that influence the cost of TTA include:

Size of Your Dog – Smaller dogs require less;  many of the medications, supplies and even the metal used to hold the joint together are calculated based on weight

Geographic Location – Veterinary hospitals and clinics within major cities tend to be more expensive than smaller veterinary offices

Type of Veterinary Facility – Veterinary universities and smaller clinics typically charge less than orthopedic specialty clinics

What is Included – Are you paying ONLY for the surgery, or are post-operative x-rays, visits and medications included?

Read More: TTA Surgery Cost

Additional Information on TTA Surgery

The TPLO surgery is often compared to the TTA surgery due to that fact that they both create stability within the joint by manipulating the angle of the bone by surgically altering the tibia bone…

Read More: TTA vs. TPLO Surgery

Read Owner Experiences

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TTA Surgery and Recovery

TTA Surgery and Recovery to 1 Year – Dakota’s Story

Let me introduce you to my baby Dakota. She is a 70lb Rotti mix with elbow dysplasia in both front legs and she had a fully torn CCL in her back right leg. Needless to say, she only had one good leg left. Because of this, we decided to have surgery. I met with a […]

TTA Surgery for Dog Knees

TPLO and TTA Surgeries – Zuma

TPLO and TTA Surgery for Dogs – Our Experience The first knee was repaired in 2008 by a freelance orthopedic vet (surgeon) using the TPLO procedure, on our then 8 yr old lab/pit mix, 55 pounds. The repair went well, recovery time was rather uneventful, we were patient and forewarned of what to expect. The […]

TTA Surgery Bandage

TTA Surgery Recovery Advice – Lucy

Lucy is an energetic, athletic Sheprador (Australian Shepherd/Lab Mix). At this writing, she is 3 1/2 years old. I believe that Lucy’s initial injury occurred when she was about a year old when she stepped in a deep hole at a dog park while tearing around. She is pretty tough and did not seem disabled […]

Physical Therapy for Dog Ligament Surgery

Bilateral TTA and Physical Therapy – Kendra

My Kendra slipped and fell on a very icy day in my yard. She was running and hit an ice patch in the yard with a slight slope. At 180 lbs, she hit so hard that the gouge in the yard where she hit remained for a year. She tore both ACL’s to near complete […]