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Tibial Tuberosity Advancement (TTA)
The TTA procedure developed by Tepic and Montavon is designed to bring the tibial plateau to sit at 90˚ to the straight patella ligament.This effectively neutralises the shear forces within the stifle under loading, making the stifle stable.
This is achieved by advancing the tibial tubercle and stabilising the created defect using a titanium cage and plate.The cage is selected for both thickness and width.The implants are secured using titanium screws.
Titanium is very osteoconductive resulting in rapid healing.The use of stainless steel implants is not recommended.
TTA Procedure
The TTA procedure is best learnt by attending a recognised training course and Veterinary Instrumentation supports numerous training providers with equipment and implants.
Before attending a course it is useful to review theVeterinary Instrumentation step by step guide.
The free Step by Step guide is a photographic sequence of a TTA case beginning with assessment of the radiographs and following the procedure.
BRTTA TTA Step by Step Guide
TTA Starter Kit
TTAPREM TTA Starter Kit in a Premium Aluminium Box Premium TTA Case
Please note the box is supplied empty – contents for illustration only
The TTA Starter Kit includes
• TTA Drill Guide (4 Hole)
• TTA Drill Guide (8 Hole)
• TTA Fork Holder
• TTA Spreader + Inserts
• TTA Plate Bender
• TTA 2.4 Cross Head Screwdriver
• TTA Plate and Fork Overlay
• TTA Mallet
• Depth Gauge
• TTA Cage Forceps
• Block End Serrated Dissecting Forceps
• 2.5 Hex Head Screwdriver and Sleeve
• Premium Equipment Box
• 1.8mm, 2.0mm, 2.5mm Drill Bits - Hard
• One of each Cage (3, 4.5, 6, 7.5, 9, 10.5 & 12mm)
• One of each Fork
• One of each Plate
• 2.4mm Self Tapping Screws 12mm – 38mm 4 of each
• 2.7mm Self Tapping Screws 12mm – 28mm 3 of each
• 3.5mm Self Tapping Screws 16mm – 36mm 3 of each
The TTA Starter Kit gives a good saving over component price.
Storage and autoclave case for TTA equipment and implants. Dedicated trays fitted for standard TTA equipment, with spaces for other useful items such as a small mallet, implants, and including a screw rack with space for 2.4, 2.7 and 3.5mm screws.The outer box is constructed of aluminium, with removable filters top and bottom. Internal racks are stainless steel. See Premium Boxes accessories in General Surgery for filters.
TTABOX Premium TTA Case (Box and Insert only)

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