Provet Veterinary Instrumentation

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Joint Surgery

In practice, the most common orthopaedic procedure is the surgical management of cranial cruciate disease in the dog.

Thinking about trying a new procedure? We have a range of Step by Step guides to the common techniques. And check our DVD on Surgical Management of Canine Cruciate Disease containing surgical video footage of common techniques. It’s available on request. This is of course no substitute for a full training course but will provide a good introduction.

Equipment for dealing with other joint based procedures such as patellar luxation and femoral head and neck excision are also available. As usual, for help with any of our products, just contact our team.

Cranial Cruciate Disease Management Techniques

The choice of surgical techniques is huge, suggesting that none are perfect. They may be divided broadly into two groups: those which attempt to replace the anatomy or function of the original ligament, and those which seek to moderate the effects of a cruciate deficient stifle.

Techniques which replace either the physical ligament or its function include:

  • Patsaama
  • Over the Top technique (OTT)
  • DeAngelis lateral suture and derivatives
  • TightRope and similar techniques

All of the above attempt to stabilise the stifle by replacing the ligament or its function.

Techniques which moderate the effects of the cruciate deficient stifle by altering the dynamics of the forces acting on it include:

  • Tibial Plateau Levelling Osteotomy (TPLO) radial cut
  • Tibial Plateau Levelling Osteotomy (TPLO) wedge cut
  • Tibial Tubercle Advancement (TTA)
  • Triple Tibial Osteotomy (TTO)
  • Modified Maquet technique (MMT)
  • TTA Rapid

Ultimately it will be a decision for the individual surgeon as to which techniques will be offered to the client. The client will make their choice based on their own circumstances. We have taken the view that until there is evidence to the contrary we will support all the available techniques through the provision of training materials, instrumentation and implants.

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