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Orthopedic Surgery

Along with offering routine procedures such as spays and castrations, Kansas City Veterinary Care can also perform more intricate and complicated surgical procedures in our surgical facility.

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© 2020 Erdozain -- TPLO planning

Should your pet be diagnosed with a torn Cranial Cruciate Ligament (ACL in humans), or a medial patellar luxation (MPL), we are trained and equipped to offer you different surgical procedures to correct these conditions.

Torn Cranial Cruciate Ligaments

For torn cranial cruciate ligaments (CrCL), we are proud to offer our patients two different procedures:

  1. Tibial Plateau Leveling Osteotomy (TPLO)

  2. Lateral Fabelar Suture Repair
    (or extracapsular repair)

CrCL tears are the most common cause of hindlimb lameness in dogs, and the cause for these types of injuries are usually multifactorial, but can also be due to direct trauma. For a more detailed explanation on this condition, click this link or call us to talk about diagnosis and treatment options.  

Medial Patellar Luxation

Not all patients with luxating patellas will require surgery, but for those with chronic or debilitating pain, we offer a corrective surgery that addresses three areas around the knee joint contributing to the luxation.

  1. Deepening the shallow groove where the patella sits on the femur - this portion of the procedure is called a wedge trochleoplasty. By deepening the trochlear groove, it is harder for the patella to slide out of place.

  2. Tibial crest transposition - this is the area of the tibia where the patellar tendon attaches to. In dogs with medial patellar luxation, this part of the tibia is located slightly off midline, towards the inside of the leg, which then "pulls" on the patella towards that same side.

  3. Tighten the stretched joint capsule - patients with medial patellar luxation tend to have stretched, or excess tissue on the outside of the leg. By trimming/tightening some of that tissue, we are physically pulling the patella towards the outside of the leg.

These three procedures, performed at the same time, will help stabilize the patella and relieve the patient from pain. In those patients that suffer from a torn CrCL and MPL at the same time, the TPLO procedure can be modified in a way that it would address both issues at the same time. If you have any questions regarding any of these conditions or procedures, please give us a call at 816.333.4330. We are here to help.

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