Triple Tibial Osteotomy

Triple tibial osteotomy is a veterinary surgical procedure used to treat dogs that have completely or partially ruptured the cranial cruciate ligament in one or both stifle joints. Rather than repairing the torn ligament, the surgeon makes three separate cuts in the tibia to reposition the tibial plateau so it sits perpendicular to the patellar ligament, neutralizing the shearing forces that would otherwise let the tibia slide forward relative to the femur. The technique was developed by Warrick Bruce, a veterinary orthopedic specialist from New Zealand, while he was practicing in Adelaide, South Australia. Dogs typically show substantial improvement in function within three to four months of surgery, with minimal long-term progression of arthritis.