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Diagnosis was confirmed by arthroscopy or arthrotomy, followed by tibial tuberosity advancement surgery. Six weeks after surgery, the dogs were re\u2010evaluated with clinical examination and radiography. Mid\u2010 to long\u2010term outcome was assessed using client questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intraoperative complications consisted of four osteotomy\u2010related fissures through the cranial cortex; two complete fissures were stabilised with a screw, the others healed without intervention. After surgery there were two tibial fractures and two incisional complications. Six weeks postoperatively, limb function was good to excellent in 43 dogs (94%). Two late meniscal injuries occurred. The overall major complication rate was 7\/48 14\u00b76%). Mid\u2010 to long\u2010term follow\u2010up information was available for 43 stifles: 34 stifles (79%) were free of lameness at a median of 72 weeks postoperatively. The outcome was rated excellent by 88% of the clients and good by 7%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>The use of<jats:styled-content style=\"fixed-case\">TTA<\/jats:styled-content>Rapid implants is an alternative for treatment of cranial cruciate ligament insufficiency in small\u2010breed dogs, with complication rates comparable to those recorded in larger breeds and to other techniques, and with a high degree of owner satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jsap.12654","type":"journal-article","created":{"date-parts":[[2017,3,1]],"date-time":"2017-03-01T12:17:25Z","timestamp":1488370645000},"page":"314-322","source":"Crossref","is-referenced-by-count":25,"title":["Tibial tuberosity advancement in small\u2010breed dogs using<scp>TTA<\/scp>Rapid implants: complications and outcome"],"prefix":"10.1111","volume":"58","author":[{"given":"B.","family":"Dyall","sequence":"first","affiliation":[{"name":"Evidensia Specialistdjursjukshuset 734 94 Str\u00f6msholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Schm\u00f6kel","sequence":"additional","affiliation":[{"name":"Evidensia Specialistdjursjukshuset 734 94 Str\u00f6msholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,3]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12486"},{"key":"e_1_2_5_3_1","volume-title":"Mechanics and Design in Musculoskeletal Systems","author":"Bartel D. 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