Decision Making in the Treatment of Canine Medial Patellar Luxation
Decision Making in the Treatment of Canine Medial Patellar Luxation
Decision Making in the Treatment of Canine Medial Patellar Luxation
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Wheat Ridge<br />
Veter<strong>in</strong>ary Specialists<br />
EXPERTISE YOU CAN TRUST.<br />
Trochlear Block Recession<br />
Similar approach to <strong>the</strong> above<br />
Outl<strong>in</strong>e osteotomy with No. 15 blade<br />
Abaxial marg<strong>in</strong>s are angled <strong>in</strong> by 10 degrees<br />
Press-‐fit<br />
Proximal from suprapatellar; distal to <strong>in</strong>tercondylar fossa<br />
Start osteotomy perpendicular and <strong>the</strong>n slowly level out <br />
parallel to <strong>the</strong> trochlea<br />
Width <strong>of</strong> osteotomy = width <strong>of</strong> <strong>the</strong> osteotome<br />
Need wide variety and <strong>the</strong>y need to be SHARP<br />
Avoid lever<strong>in</strong>g and fracture<br />
Deepen <strong>the</strong> groove with a th<strong>in</strong> osteotome (~4 mm)<br />
Resect <strong>the</strong> base <strong>of</strong> <strong>the</strong> fragment with f<strong>in</strong>e rongeurs 22<br />
Tuesday, September 24, 13