• Orthopaedics Case Studies from West Midlands Veterinary Referrals

Orthopaedics

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  • Temporary shoulder joint immobilisation with a locking plate

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  • Fixation of hip luxation with a “toggle”

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  • Elbow arthrodesis

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  • Closing wedge osteotomy for cranial cruciate ligament rupture in a hind limb amputee

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  • Bilateral cruciate ligament rupture in a 65kg dog

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  • Tibial Plateau Levelling Osteotomy (TPLO) for treating cranial cruciate ligament rupture in dogs

    Rupture of the cranial cruciate ligament is one of the commonest problems that is referred to us. The rupture of this ligament can be partial or complete and the cartilage in the knee can be damaged because of the instability that results.

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  • Ulna osteotomies to treat bone growth issues in a young Labrador resulting from synostosis

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  • Flexor tendon problems in pups

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  • Joint mouse .. or joint elephant?!

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  • Total hip replacements

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  • Arthroscopy, general

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  • Arthroscopy for medial coronoid disease

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  • Arthroscopy, humeral intercondylar fissure (incomplete ossification of the humeral condyle), typically in Spaniels

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  • Combined patella luxation and cruciate ligament rupture

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  • Collateral ligament injury in the hock

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  • Bilateral metaphyseal osteodystrophy

  • Un-united anconeal process removal

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  • Excision arthroplasty of a metacarpal-phalangeal joint for lameness

    Harvey, a 7-year active male Labrador, presented to us at West Midlands Referrals lame with degenerative joint disease (DJD) affecting digits 2, 3 and 5 of the left forelimb. The metacaro-phalangeal joint of the 3rd digit seemed the most painful on palpation, and this joint was one of the three that involved a principal weight-bearing digit.

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  • Tarsal (hock) arthrodeses (fusions)

    Fusion of the tarsal joints is often indicated when there is irrevocable traumatic damage to the joint(s) often involving ligament damage. Some breeds like Shelties are especially prone to spontaneous collapse of the tarsal (and carpal) joints under normal loading.

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  • Dynamic ulna osteotomy for elbow incongruity in a Shi Tzu pup

    An 8-month-old Shi Tzu pup presented at West Midlands Referrals with right forelimb lameness and elbow incongruity with short ulna syndrome. This occurs because the ulna stops growing earlier than the radius, so that the ulna acts like the taught straight string of a bow and arrow, while the radius keeps growing and becomes the curved “bow”.

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