To support a smooth referral process at Wear Referrals and for transparency of client costs, we offer fixed-price procedures for some of the more commonly performed orthopaedic procedures. Click here to learn more about our orthopaedics service.

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Included in Our Orthopaedics Fixed Price Packages

All of our orthopaedics fixed price packages include the following:

  • consultation
  • pre-operative radiographs as needed
  • general anaesthetic
  • surgery (including all necessary implants, medications and bandaging)
  • up to 3 days’ hospitalisation as required
  • routine post-op analgesia (NSAIDs or paracetamol) for up to 2 weeks.

Achilles Tendon

Calcaniotibial screw and cast placement

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4,000

Out-of-hours price (inc VAT) - N/A

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / cast removal (radiographs and general anaesthetic for screw removal not included)

Tendon repair and cast or ESF placement

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £5,500

Out-of-hours price (inc VAT) - N/A

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / cast removal (radiographs and general anaesthetic for ESF removal not included)

Amputation

Amputation Forelimb / Hindlimb Cat

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4,250

Out-of-hours price (inc VAT) - £5312

What is included in addition to the above?

  • Basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal

Amputation Forelimb / Hindlimb Dog

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4,750

Out-of-hours price (inc VAT) - £5937

What is included in addition to the above?

  • Basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal

Angular Limb Deformity Correction

Angular limb deformity - work up - consult, GA, radiographs, CT

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £2000

Out-of-hours price (inc VAT) - N/A

What is included in addition to the above?

  • basic blood test (EPOC)
  • Radiographs
  • CT

 Angular limb deformity surgery - acute correction with custom guides including costs of 3D cutting & reductions guides (estimate is patient dependent)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £6200 - £7000

Out-of-hours price (inc VAT) - N/A

What is included in addition to the above?

  • 2 post-operative appointments for wound check / bandage removal
  • 3D Modelling carried out by external provider
  • Follow up asssessment for radiographs at 6 weeks postoperatively not included

Angular limb deformity - complex correction - multiple osteotomies / hinged circular ESF

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £6000

Out-of-hours price (inc VAT) - N/A

What is included in addition to the above?

  • 2 post-operative appointments for wound check / bandage removal
  • Follow up asssessment for radiographs at 6 weeks postoperatively not included

Arthrodesis

Pancarpal Arthrodesis

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £5500

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal 
  • Six-week postoperative radiographs including sedation or GA

Pantarsal Arthrodesis

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £5500

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal
  • Six-week postoperative radiographs including sedation or GA

Partial tarsal arthrodesis

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £5000

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal
  • Six-week postoperative radiographs including sedation or GA

Stifle / elbow / shoulder arthrodesis (excluding 3D modelling)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £8000

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal
  • Six-week postoperative radiographs including sedation or GA

Arthroscopy

Arthroscopy – unilateral elbow

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4250

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check

Arthroscopy – bilateral elbows

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £5250

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check

Arthroscopy - unilateral shoulder

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4250

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check

Arthroscopy - elbow & shoulder

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £5500

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check

Cruciate & patella surgery (combined)

Combined Patella & TPLO simple - unilateral

CT, TPLO, tibial tuberosity transposition, sulcoplasty, imbrication

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £5500

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • Basic blood test (EPOC)
  • CT
  • up to 2 postoperative appointments for wound check and bandage removal (radiographs and sedation not included)
  • Follow-up assessment at 6 weeks post surgery (including sedation or GA and radiographs)

Combined patella & TPLO complex - unilateral

as 'simple' but including Distal Femoral Osteotomy or Patellar Groove Replacement

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £7000

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • CT
  • up to 2 post-operative appointments for wound check (radiographs and sedation not included)
  • Follow-up assessment at 6 weeks post-surgery (including sedation or GA and radiographs)

Cruciate Surgery

Tibial Plateau Levelling Osteotomy (TPLO)*

Standard price (Monday-Friday, 8am-6pm) (inc VAT) -  £4350

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • Post-operative radiographs on the day of surgery
  • 12-month surgical guarantee.**

Guarantee? - YES


Cruciate - TPLO surgery - bilateral surgery same session (small breed dogs only)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £6525

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • sedation and planning x-rays
  • General anaesthetic
  • Surgery
  • Hospitalisation for up to three days and medications as required whist hospitalised
  • 12- month surgical guarantee

Guarantee? - YES


Cruciate - TPLO surgery giant breed (>60kg)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4729

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • sedation and planning x-rays
  • General anaesthetic
  • Surgery
  • Hospitalisation for up to three days and medications as required whist hospitalised
  • 12- month surgical guarantee

Guarantee? - YES

Elbow

Humeral intercondylar fissure (HIF) screw - unilateral (exclusive of lameness investigation)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £2750

Out-of-hours price (inc VAT) - £3440

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal
  • Post operative radiographs including sedation if necessary
  • Flouroscopy


Humeral intercondylar fissure (HIF) screw - bilateral (exclusive of lameness investigation)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £3500

Out-of-hours price (inc VAT) - N/A

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal
  • Post operative radiographs including sedation if necessary
  • Flouroscopy


Ulnar osteotomy/ostectomy unilateral (exclusive of lameness investigation)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £2000

Out-of-hours price (inc VAT) - N/A

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal (radiographs and sedation not included)


PAUL surgery - unilateral (exclusive of lameness investigation)

Standard price (Monday-Friday, 8am-6pm) (inc VAT)
£3500 or £2250 if performed along with arthroscopy

Out-of-hours price (inc VAT) - N/A

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check / bandage removal (radiographs and sedation not included)

Femoral head & neck excision

FHNE - Femoral Head and Neck Excision

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4100

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check

Fracture repair

Grade I – Basic (unilateral)
e.g. physeal fracture, simple long bone fracture (e.g. transverse / spiral), simple pelvis (e.g. unilateral ilial wing or SI luxation), unicondylar fracture

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £3750

Out-of-hours price (inc VAT) - £4688


Grade II – Intermediate (unilateral)
e.g. long bone fracture (e.g. segmental / comminuted), pelvis (e.g. unilateral ilial wing and SI luxation)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4750

Out-of-hours price (inc VAT) - £5938


Grade III – Complex (unilateral)
e.g Y fracture, acetabular fracture

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £5750

Out-of-hours price (inc VAT) - £7188


CT

Additional cost (if required) - £550


Bilateral fracture repair

For bilateral injuries, the second leg is charged at half the price of the unilateral procedure.


What is included for all of the above?

  • Basic blood test (red cell count and kidney tests)
  • Focal emergency ultrasound scan
  • 2 post-op appointments for wound check and bandage removal (radiographs and sedation not included)
  • Follow-up radiographs at 6 weeks post-surgery
  • 12-month surgical guarantee.**

 For complex polytrauma cases, please contact us for an estimate.

Joint replacement

Total hip replacement (unilateral)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £9450

Out-of-hours price (inc VAT) -  N/a

What is included in addition to the above?

  • Post-op course of short-course antibiotics for up to 2 weeks, if required
  • Post-op anti-anxiety medication for up to 6 weeks, if required
  • Follow-up assessment at 6 weeks post-surgery (including sedation and radiographs).

CT (for templating)

Fixed cost (if required) - £550

What is included in addition to the above?

  • Post-op course of short-course antibiotics for up to 2 weeks, if required
  • Post-op anti-anxiety medication for up to 6 weeks, if required
  • Follow-up assessment at 6 weeks post-surgery (including sedation and radiographs).

TATE ankle repalcement (unilateral)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £9450

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • Post operative antibiotics for up to 2 weeks if required
  • Post-op anti-anxiety medication for up to 6 weeks if required
  • Follow-up assessment at 6 weeks (including GA & radiographs)
  • Medications as required whist hospitalised
  • 12- month surgical guarantee

Guarantee? - YES

Luxation

Luxation - Hip Toggle

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4250

Out-of-hours price (inc VAT) - £5312

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check (radiographs and sedation not included)

Luxation - Elbow - Closed reduction & Spica Splint

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £2300

Out-of-hours price (inc VAT) - £2875

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check (radiographs and sedation not included)

Luxation - Elbow - open reduction, prosthetic collaterals and Spica Splint

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £4250

Out-of-hours price (inc VAT) - £5312

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound check (radiographs and sedation not included)

Luxation - cruciate and collateral ligament reconstruction

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £7000

Out-of-hours price (inc VAT) - £8750

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound or external skeletal fixator check (if placed) (radiographs and sedation not included)

Luxation - Stifle derangement (3+ ligament rupture) + transarticular fixator

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £8000

Out-of-hours price (inc VAT) - £10000

What is included in addition to the above?

  • basic blood test (EPOC)
  • 2 post-operative appointments for wound or external skeletal fixator check (if placed) (radiographs and sedation not included)

Lameness investigation

Lameness investigation 1

Consultation, General Anaesthetic, Radiographs (up to 6 views)

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £1225

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • Basic blood test (EPOC)
  • Radiographs - up to 6 views

Lameness investigation 2

Consultation, GA radiographs (up to 6 views) + Joint Taps for Cytology

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £1750

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • Basic blood test (EPOC)
  • Radiographs - up to 6 views
  • Joint taps - cytology report

Lameness investigation 3

Consultation, GA, CT scan forelimbs or hindlimbs + contrast + Specialist report

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £2000

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • Basic blood test (EPOC)
  • CT scan forelimbs or hindlimbs
  • Contrast
  • Specialist Radiology report

Lameness investigation 4

Consulation, GA, CT scan forelimbs or hindlimbs + contrast + Specialist report + joint taps

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £2400

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • Basic blood test (EPOC)
  • CT scan forelimbs or hindlimbs
  • Contrast
  • Specialist Radiology report
  • Joint taps - cytology report

Lameness investigation 5

Consultation, GA, CT scan forelimbs or hindlimbs + contrast + Specialist report + MRI scan 1 area

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £3950

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • Basic blood test (EPOC)
  • CT scan forelimbs or hindlimbs
  • Contrast
  • MRI scan 1 area
  • Specialist Radiology report CT & MRI

Patella luxation surgery

Patella luxation - unilateral simple

CT, tibial tuberosity transposition, sulcoplasty, imbrication

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £3500

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • CT
  • up to 2 post-operative appointments for wound check (radiographs and sedation not included)
  • Follow-up assessment at 6 weeks post-surgery (including sedation or GA and radiographs)

Patella luxation - bilateral simple (small breeds)

CT, tibial tuberosity transposition, sulcoplasty , imbrication

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £5500

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • CT
  • up to 2 post-operative appointments for wound check (radiographs and sedation not included)
  • Follow-up assessment at 6 weeks post-surgery (including sedation or GA and radiographs)

Patella luxation - unilateral complex

complex- as 'simple' but including either Distal Femoral Osteotomy or Patellar Groove Replacement

Standard price (Monday-Friday, 8am-6pm) (inc VAT) - £6200

Out-of-hours price (inc VAT) - N/a

What is included in addition to the above?

  • basic blood test (EPOC)
  • CT
  • up to 2 post-operative appointments for wound check (radiographs and sedation not included)
  • Follow-up assessment at 6 weeks post-surgery (including sedation or GA and radiographs)

Our Orthopaedics Fixed Prices

*All TPLO cases will be seen via a consultation within 48 hours of referral (Monday to Friday) unless we encounter unforeseen circumstances, in which case the earliest appointment will be offered. Terms and conditions apply, available upon request.

Contact Us to Discuss Other Procedures

For other procedures, our Specialists are happy to discuss cases and provide estimates as needed.

Contact Us

**12-month Surgical Guarantee for TPLO and Fracture Repair

What’s covered?

  • daytime consultation and assessment of any complication related to the procedure
  • all additional diagnostics / investigations of problems directly related to the procedure (e.g. x-rays and joint taps)
  • any revision surgery including implants, anaesthesia and hospitalisation (including medication and bandaging while hospitalised)
  • any internal lab tests required (e.g. blood tests)
  • discharge medications for up to 2 weeks.

What’s not covered?

  • additional dispensed (take-home) medications (e.g. additional painkillers or antibiotics)
  • external lab fees for any samples that need to be sent away (e.g. bacterial cultures or pathology samples)
  • complications not directly related to the procedure (e.g. post-procedural vomiting, diarrhoea, medical problems associated with the anaesthetic, or infections in patients with a history of skin or ear disease)
  • complications in recovery post-procedure arising from a pre-existing health condition (e.g. diabetes or hypothyroidism)
  • costs from investigations incurred by a primary care vet
  • ongoing lameness not related to a specific complication (e.g. ongoing osteoarthritis).

What do we expect?

  • post-operative instructions are followed strictly to minimise the risk of complications***
  • all problems to be reported to us within a 7-day period of their onset
  • the guarantee lasts for 12 months from the date of the original surgery.

***We reserve the right to remove this guarantee if we do not deem post-operative instructions have been followed with due care and attention.

View Our Other Fixed Prices          Refer a Case


Terms and Conditions

Our fixed price packages assume no other injuries that may require additional treatment, stabilisation or investigation (e.g. soft tissue wounds, chest or abdominal injury).

Although major post-operative complications are unusual, any costs incurred relating to unexpected post-operative complications are not included in our fixed price packages.

Post-surgery instructions must have been followed appropriately.

Prices correct as of February 2025.