Wide articular surfaces should be narrowed and phalangeal wedge osteotomies may be required to provide an axial alignment.
2.
Samani SS, Kachooei AR, Ebrahimzadeh MH, Omidi Kashani F, Mahdavian Naghashzargar R, Razi S . Application of Orthopedic Dual Sliding Compression Plate ( ODSCP ) in High Medial Tibial Open Wedge Osteotomies.
3.
TTA appears to be a less invasive procedure than some other techniques for stabilizing the deficient cranial cruciate ligament such as TPLO ( Tibial Plateau Leveling Osteotomy ) and TWO ( Tibial Wedge Osteotomy ), as TTA does not disrupt the primary loading axis of the tibia.