Orthopedics at Arizona Avenue Animal Clinic
Here at Arizona Avenue Animal Clinic, our veterinarians perform a number of orthopedic procedures on pets under general anesthesia on a referral basis, including ruptured ACL repair, luxating patella surgery, TPLO, TTA, and fracture stabilization.
All patients receive advanced pain management which include preoperative epidurals and regional block anesthesia, continuous rate infusion intravenous drips for perioperative pain control, and fentanyl patches and meloxicam for post-operative pain management.
Patella (knee cap) luxation is a common problem in small breed dogs and occasionally affects large breeds as well. It is caused by the patella slipping out of its groove in the knee joint and leads to lameness.
At Arizona Avenue Animal Clinic, we offer surgical repair to address this problem. To complement the surgery we offer a comprehensive pain management program to make sure your pet is comfortable before, during, and after the procedure. We also offer physiotherapy to help your dog gain confidence in its stride again after the procedure.
For more detailed information, please follow this link: Patella luxation in dogs
TPLO Cruciate Repair Surgery
At Arizona Avenue Animal Clinic, we are able to perform TPLO cruciate repairs. Over the years we have gained considerable experience with the surgery and have used this technique successfully in dogs up to 220 lbs. This technique is favored by most experts in the larger breeds (Labrador, Golden Retriever, Rottweiler, Akita, Mastiff), but we do carry the instrumentation to serve smaller dogs as well.
We have an excellent pain management program in place to ensure your pet's comfort before, during, and after the procedure. We offer physiotherapy after the procedure to get your four-footed loved one back on its feet as quickly as possible.
For an in depth explanation of cruciate disease in dogs and the various options available, please follow this link: Ruptured anterior cruciate ligament (ACL) in dogs
Tibial Tuberosity Advancement (TTA)
Tibial tuberosity advancement is a technique similar to the TPLO method for cruciate repair of the stifle. It was developed in 2001 by Dr. Slobodan Tepic at the University of Zurich, Switzerland. His research showed that by advancing the patellar tendon, it stabilizes a cruciate deficient stifle. He developed a tension band plate and spacer to achieve this goal.
TTA has a similar success rate as the TPLO but has a faster return to function. It take less surgical time than a TPLO, and as a result the cost is less at our facility. The TTA implants are made of biocompatible titanium and can also be used to treat combined ACL rupture and patella luxation.
There are some specific conformational conditions that will prevent some dogs from getting TTA. Dogs that have a steep tibial slope, low patellar tendon insertion point, and/or very large dogs are not good candidates for the TTA. For these patients we recommend our TPLO surgery.