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7 dogs, 8 stifles were included, with body weight ranging 8.7–65kg. All cases were initially operated elsewhere by MMP utilising a titanium foam wedge to achieve tibial tuberosity advancement and subsequently referred for assessment of persistent significant lameness. All stifles were considered clinically unstable, including on tibial compression test. Perceived cause of instability was under-advancement of the tibial tuberosity in 6/8 stifles and fracture of the tibial tuberosity in 2/8 stifles. 5/8 stifles underwent crescentic tibial plateau levelling osteotomy (TPLO) and 2/8 stifles underwent a cranial closing wedge ostectomy TPLO to achieve dynamic stifle stability. 1 stifle underwent arthrodesis as a salvage procedure. Complications included delayed osteotomy healing in 1/5 crescentic TPLO cases. 6/7 dogs returned to acceptable function. One dog that underwent arthrodesis and contralateral TPLO was euthanized due to poor function.

Revision strategies for persistent stifle lameness after tibial tuberosity advancement using the modified Maquet procedure (MMP)