Periostitis Periostitis Periostitis, also known as periostalgia, is a medical condition caused by inflammation of the periosteum, a layer of connective tissue that surrounds bone. The condition is generally chronic, and is marked by tenderness and swelling of the bone and pain. Acute periostitis is due to infection, is characterized by diffuse formation of pus, severe pain, constitutional symptoms, and usually results in necrosis. It can be caused by excessive physical activity as well, as in the case of medial tibial stress syndrome (also referred to as tibial periostalgia, soleus periostalgia, or shin splints). Congenital infection with syphilis can also cause
Triple tibial osteotomy required for the TPLO and 9-12mm of tibial tuberosity advancement with the TTA. Return to normal function is rapid, with most dogs having good use of the leg and a normal appearing gait within 3–4 months; long-term progression of arthritis is minimal. Triple tibial osteotomy The triple tibial osteotomy (TTO) is a surgical procedure used to treat dogs that have completely or partially ruptured the cranial cruciate ligament in one or both of their stifles. The cranial cruciate ligament (CrCL) is a ligament connecting the femur with the tibia, which functions to stabilise the canine stifle joint from the forces