Tibial Tuberosity Avulsion
Aproximate Cost:
$1,500 - $2,000
What It Is
A tibial tuberosity avulsion occurs when the bony prominence on the front of the tibia (shin bone), where the patellar tendon attaches, is pulled away from the main shaft of the bone. This injury is most common in young, growing dogs after trauma. Surgical repair typically involves stabilizing the fragment with pins and somtimes a tension band wire to counteract the pull of the quadriceps muscles and allow the bone to heal in its normal position.
Why It’s Performed
The tibial tuberosity is essential for normal knee (stifle) function, as it anchors the patellar tendon. Without surgical stabilization, the knee cannot extend properly, leading to pain, lameness, and permanent loss of function. Repair restores the ability of the quadriceps muscle to move the leg and ensures the bone heals in correct alignment.
Risks Involved
Potential risks include infection, loosening or migration of pins or wires and delayed healing. Long-term complications such as arthritis or altered gait are uncommon if the injury is repaired promptly and the patient is properly restricted during recovery.
Typical Recovery Time
Most pets begin using the leg within a few days after surgery. Strict activity restriction is required for 6–8 weeks to allow full healing. Follow-up x-rays are taken to monitor progress, and implants may be removed once healing is complete if they cause irritation. Most young dogs return to normal, pain-free function with an excellent long-term outcome.
Our Approach
At Howard County Animal Hospital in Ellicott City, MD, we repair tibial tuberosity avulsion fractures with precise surgical techniques designed to restore normal limb function. Our mission is to make advanced orthopedic care both accessible and affordable, with clear, upfront estimates so families can confidently plan for the cost of treatment.
We are committed to offering affordable surgery options with transparent pricing. The cost shown are general estimates only, and a personalized estimate will be provided after your consultation.
We accept all major credit cards, Zelle, and cash. For clients interested in payment plans, we also work with CareCredit.
What’s Included in Our Surgical Costs
Our surgical prices are designed to be as transparent as possible and include:
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All charges typically associated with the day of the procedure
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Preoperative exam the day of the procedure
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Anesthesia and monitoring required throughout the procedure
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All perioperative injectable medications administered before, during and after the procedure to keep your pet safe and comfortable
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IV catheter and fluids to maintain vascular support during your pet’s surgery and recovery
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Detailed discharge instructions for at-home aftercare
What’s NOT Included in Our Surgical Costs
The following items are not included in the surgical costs and may be recommended or required depending on your pet’s individual needs:
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Pre-operative diagnostic workups to determine the underlying problem (e.g., bloodwork, radiographs, ultrasound)
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All diagnostics associated with your pet's procedure would be included (e.g. orthopedic surgery requiring post-operative radiographs, cystotomy with stone analysis).
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Pre-anesthetic blood work
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Optional for healthy pets under 3 years old for routine procedures, but recommended to help ensure the safety of anesthesia.
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Radiographs (X-rays) associated with diagnosing or planning the procedure
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Medications to take home (such as pain meds, antibiotics, sedatives or safety collars).
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If needed: Continued care at a local ER for monitoring and stability, recommended for unstable and sick patients.
We will discuss all recommended or required services with you in advance so you have a complete understanding of your pet’s surgical plan and costs.