Wedge TPLO remains a very effective procedure for Cruciate Rupture in small breeds with steep tibial plateau.
A few images from a patient today, a lovely 3 year old Yorkshire Terrier Cross called Rio. Rio had complete rupture of left CrCL.
Radiographically templated at 45degrees, a 40 degree wedge respected from his tibia and stabilised with a Vet Instrumentation 2.7mm TPLO plate.
Post-op, Rio having a fuss with nurse Jade too. Cruciate patients have two forms of intravenous pain relief, plus epidural and intra-articular local anaesthetic whilst they are under GA.
Bright and happy recoveries!
Referrals from Newquay, Truro, Camborne & the Scilly Isles
Dogs with Cranial Cruciate Ligament failure represent a large part of our orthopaedic case-load.
Nevertheless, four patients in the last two days, referred in from Newquay, Truro, Camborne and the Scilly Isles, and all requiring the same procedure is a little unusual and illustrates nicely the spread of these cases that we use Slocum TPLO as a first line procedure ( smaller breeds generally have Wedge TPLOs, athletic ruptures a lateral fascial imbrocation, and concurrent patella luxations often a TTA or TTArapid).
Within these cases we’ve used radial osteotomy blades ranging from 18mm in a Chow and a Bulldog, 24mm in a Rottweiler and 30mm in a Mastiff.
All stabilisations are with the Vet Instrumentation 3.5mm TPLO DCP plate, and we also stock both 2.7mm and 2.4mm TPLO plates for smaller breeds.
Hover over each x-ray image for more detailed information
The large oblique cranial fragment presents a challenge
International Women’s Day today…here’s anaesthetic nurse Sarah….
Early onset elbow arthritis meant he was becoming limited in his movement