TT & Plateau Avulsion
Aproximate Cost:
$1,800 - $2,300
What It Is
A tibial tuberosity avulsion occurs when the bony prominence on the front of the shin (where the patellar tendon attaches) is pulled away from the main bone. A tibial plateau fracture involves a break in the top surface of the tibia that forms part of the knee (stifle) joint. These injuries can occur together following significant trauma, and both require surgical stabilization. Repair typically involves pins and wires to hold the fragments in place, restoring normal alignment and allowing the bone to heal properly.
Why It’s Performed
Both the tibial tuberosity and the tibial plateau are critical for normal knee stability and function. When disrupted, the pet cannot properly bear weight on the leg, leading to severe lameness and long-term joint problems if untreated. Surgical repair is necessary to restore joint alignment, allow weight-bearing, and minimize the risk of chronic arthritis and pain.
Risks Involved
Possible risks include infection, loosening or migration of implants, delayed bone healing, or progression of arthritis within the joint. Because the tibial plateau is part of the weight-bearing joint surface, even with successful repair, some stiffness or arthritis may develop later in life. Rarely, additional surgery may be needed if implants fail or the fracture does not heal properly.
Typical Recovery Time
Most pets require strict rest for 6–8 weeks while the bone heals. Controlled leash walks and limited activity are introduced gradually. Follow-up x-rays are used to confirm healing before resuming full activity. With appropriate care, most patients regain excellent function, though pets with significant joint trauma may show some long-term changes.
Our Approach
At Howard County Animal Hospital in Ellicott City, MD, we perform tibial tuberosity avulsion and tibial plateau fracture repairs with advanced orthopedic techniques designed to restore mobility and minimize discomfort. Our focus is on providing high-quality, affordable surgical care 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.