🔍 Key Findings
- m-TTT yielded a low overall major complication rate (4.3%) and minor complication rate of 15%, consistent with or better than previous techniques.
- Patellar reluxation occurred in only 4.3% of stifles, with high-grade reluxation seen in just 0.6% of cases—lower than the 12.4–21% range reported for other techniques.
- Implant migration rate was 3.7%, lower than previously reported for smooth pin fixation (7.7–24.6%).
- Use of a tension band with single Steinmann and Kirschner wire reduced stress risers and fixation failure, supporting better stability.
- Tibial tuberosity fracture occurred in only 1.3% of cases, lower than the 1–6% seen in other reports.
- All long-term major complications (1.3%) were related to pin migration, but were easily resolved.
- Radiographic follow-up confirmed complete bone healing in all examined cases, even up to 9 years postoperatively.
- Owner satisfaction was 100%, and 95% rated quality of life as good to excellent based on CBPI surveys.
