Cranial closing wedge ostectomy (CCWO). Dynamic stabilisation surgery for Terriers.
CCWO as a surgical treatment for cranial cruciate disease, aims to eliminate cranial tibial thrust by levelling the tibial plateau to achieve stability of the cruciate ligament injured stifle during weight bearing.
Excessive Tibial Plateau Angle (TPA) is often associated with a deformity in the proximal aspect of the tibia which occurs frequently in terrier breeds.Tibial plateau angles in excess of thirty degrees have been considered unsuitable candidates for TTA surgery from the original inception of the TTA technique.
The modified variation of the CCWO prevents tibial long axis shift. When combined with the exceptional Synthes TPLO locking plate results in early weight bearing following surgery, low rates of implant loosening, low rates of infection and favourable returns to full activity for our small terrier patients.