Canine Elbow Realignment Osteotomy (CERO)
CERO is a prototype system designed by Orthomed for the correction of elbow incongruity secondary to elbow dysplasia or premature growth plate closure. Wear Referrals in County Durham is one of only a select few hospitals worldwide trailing this system.
It permits precise lengthening of either the radius or ulna bones in 1mm increments to restore normal alignment of the elbow joint, based on measurements taken from CT scans of the elbow.
We are happy to accept referrals for assessment of suitability for this surgery.
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Proximal Abducting Ulnar Osteotomy (PAUL)
Elbow dysplasia, specifically medial coronoid process disease (MCPD), is a common and debilitating condition which results in damage to, and progressive loss of, cartilage from the elbow joint. This typically affects the inside of the elbow joint first.
PAUL surgery involves making a cut in the proximal ulna bone and applying a stepped plate to the bone to abduct the ulna which, in term, may re-distribute load from the inside to the outside of the elbow joint. Subjectively, 80 per cent of dogs have improved lameness six to 12 months after this surgery.
Full thickness cartilage loss affecting the medial compartment of the elbow on arthroscopy in a 6 year Bearded Collie. The PAUL procedure abducts the proximal ulna shifting load to the lateral joint compartment.
