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| TPLO: tibial plateau leveling osteotomy | The TTO procedure has been developed as a hybrid of two previously available orthopaedic procedures, the tibial tuberosity advancement (TTA) and the tibial plateau leveling osteotomy (TPLO). The TTA neutralises shear force within the stifle by advancing the tibial tuberosity until the tibial plateau is at right angles to the patellar ligament. The TPLO neutralises shear force by rotatin |