Orthopedic and Soft-tissue Surgery
Care Animal Hospital's surgery team has been
successfully performing advanced surgical procedures for over 35
years, including TTA, total hip replacement, and external skeletal
Elective surgeries, such as spays and neuters, are scheduled throughout
the week. Our team is always ready to perform emergency surgery
whenever needed, seven days a week.
Tibial Tuberosity Advancement (TTA)
Tibial Tuberosity Advancement is the most advanced surgical procedure
available for treatment of cranial cruciate ligament injury in dogs.
Most dogs bear weight on the affected limb within 24 hours of surgery,
and many dogs are fully weight-bearing by 2 weeks. The cut bone
requires roughly 3 months to heal, during which time exercise and
activity are restricted. Full and unrestricted use of the affected
limb can be expected within 4 months of surgery.
Total Hip Replacement (THR)
with chronic hip pain due to osteoarthritis may be candidates for
Total Hip Replacement (THR). A canine THR is a prosthetic hip that
replaces the worn-out arthritic hip. The diseased hip joint results
in deterioration of the surrounding hip muscles and poor use of
the affected limb; the goal of Canine THR is to eliminate pain and
restore muscle mass, leading to normal functional use of the limb.
There are two classes of hip replacements available for use in dogs,
cemeted and cementless. The Zurich Cementless Canine THR was developed
as an alternative to the use of cement for attachment of the implants
to the hip bones.
External Skeletal Fixation
Skeletal Fixation is used in the repair of fractured bones and for
correction of conformational deformities. This approach, of applying
the orthopedic fixation device from outside of the limb, rather
than directly against the bone, allows for improved healing and
function of limbs with certain types of fractures. Skeletal fixators
are especially suited for use in bones with severe fractures or
with extensive damage to blood vessels. These devices are often
the only method of repair available for bones that have been shattered
or in limbs with large bone defects or tumors.
Arthroscopic surgery allows minimally invasive exploration and surgical manipulation in canine joints. Many disorders affecting the shoulder, stifle, and elbow joints can be evaluated and treated using small incisions into the joints and use of fiberoptic imaging of the magnified joint surfaces. Traditional open approaches to canine joints, arthrotomies, require longer healing time and result in more post-operative discomfort relative to arthroscopic surgical procedures.
There are three major joints that are amenable to arthroscopic surgery in the dog: the stifle in the hindlimb, and the shoulder and elbow joints in the forelimb. the ability to directly view the joint surfaces and structures within the joints greatly enhances the ability to diagnose and treat joint disorders.
Currently, arthroscopic surgical procedures are being used to treat injuries to the meniscus and cruciate ligament in the stifle joint, disorders of the tendon and ligaments that stabilize the shoulder joint, and osteochondrosis-type lesions affecting the joint surfaces (cartilage) of the stifle, shoulder, and elbow.
Laser Surgery is an option for certain surgical procudures, such
as declaws. In many cases, the laser can replace the scalpel and
provide a better alternative to traditional surgery.