This technique, although it can be considered a variation of the original TTA, has some peculiarities that make it unique in the method. In particular, its ability to determine the cyclic compression of the tibial ridge during loading and the osteoinductive characteristics of the implants drastically reduce the time required for the formation of the bone callus.
The technical characteristics of the procedure make it an affordable method by most orthopedic surgeons, but the specific features of some of the steps suggest that they attend a training course even for surgeons who already know and apply similar procedures.
Distractor for tibial crest advancement
Technique for tibial crest advancement by the distractor- X-Porous TTA