Damage to tendons and ligaments often requires a specialist to evaluate and recommend the best treatment available. You may need us to repair a torn Achilles tendon, a paw hyperextension injury, or to replace a collateral ligament. We are here to be able to help you make the best decision should your dog or cat require tendon/ligament surgery.
Hip dysplasia in dogs frequently leads to arthritis, which sometimes necessitates surgical treatment. The good news about hips is that they are amenable in many instances to medical treatment. There are, however, a number of distinct instances where surgery may be beneficial.
Above: A Triple pelvic osteotomy on the left and a Hip replacement on the right. We stopped performing hip replacements several years ago.
Hip Surgery: Triple Pelvic Osteotomy (TPO)
Triple Pelvic Osteotomy (TPO) is performed in young dogs before the onset of arthritis. TPO is considered a specialist surgical procedure and it is important to use a surgeon who has experience in evaluating dogs for TPO because some dogs will have better outcomes with surgery than others. TPO is generally done in dogs between 5-10 months of age.
Hip Surgery: Femoral Head Ostectomy (FHO)
Femoral Head Ostectomy (FHO) can be performed in dogs with dislocated hips, broken hips, or hips that are very arthritic. This procedure is appropriate for smaller dogs and cats when done for chronic hip dislocation or where the head of the hip is fractured or broken. It can be performed by general practitioners. In some instances we have seen poor outcomes with FHO, especially if it was an inappropriate selection for the pet. Proper treatment selection is essential for the patient with FHO and we caution anyone to choose this procedure for hip dysplasia unless pain is intractable and not responsive to medical management.