Cruciate ligament disease

Cranial cruciate ligament disease is a common condition, causing lameness and osteoarthritis of the stifle (knee) joint. At Wear Referrals we treat this condition with Tibial Plateau Levelling Osteotomy (TPLO), as the evidence base supports this surgery as offering a superior clinical result to other techniques.

Cruciate Ligament DiseaseCranial cruciate and lateral collateral ligament injury in a 4 year male working collie. The cruciate rupture was stabilised with a TPLO and the collateral ligament with a bone anchor and suture. The repair was protected for a 4 week period postoperatively with a transarticular fixator. The dog returned to work 14 weeks following surgery.

Patella luxation

Patella (kneecap) luxation is a common cause of lameness, especially in small breed dogs. This condition is commonly corrected by deepening the groove the patella should run in, coupled with tightening or loosening the soft tissues and transposing the tibial tuberosity. Less frequently, if significant deformity is present in the femur or tibia, corrective osteotomy of the bone can be performed.

Patella Luxation - BeforePatella Luxation - Before

Patella Luxation - AfterMedial patella luxation and cruciate rupture that has been unsuccessfully stabilised. A closing wedge ostectomy of the proximal tibia with concurrent valgus deformity and distal femoral osteotomies were performed to stabilise the stifle joint and straighten the limb.

Total knee replacement

Canine total knee replacement is a procedure reserved for patients with severe osteoarthritis of this joint. We use the BioMedtrix total knee replacement system and have experience of both cemented and cementless implants.

Cementless total knee replacement in a 4 year male Malamute with severe knee osteoarthritis due to patella luxation Cementless total knee replacement in a 4 year male Malamute with severe knee osteoarthritis due to patella luxation