Nor'West News: August 24, 2023

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8 Thursday August 24 2023 PATELLA SURGERY Recently I have had the opportunity to learn a technique for patella luxation in dogs, under the guidance of Specialist Surgeon, Dr Helen Milner. Helen worked as a specialist surgeon at MMH a few years ago so we have a very good working relationship. Helen is now primarily working alongside veterinarians as a surgical coach so I thought it would be as good time for myself and a colleague to learn a new technique so we can offer our patients more when it comes to patella luxations. Essentially patella luxation is a dislocation of the kneecap either medially or laterally to the trochlear groove. Luxations can be medial or lateral. Medial patella luxation ( MPL) is relatively common in small breed dogs. Breeds most at risk of MPL are Poodles, Pomeranians, Chihuahuas, Yorkies, Bichon Frise and Retrievers. The disease can be bilateral. It is considered an inherited, developmental disease, that starts early on in life. Some dogs with MPL will rupture their cranial cruciate ligament necessitating repair. MPL also predisposes dogs to developing degenerative joint disease. Charlie, a 3 year old Chihuahua was the patient I selected for the surgery. Charlie has a grade 2-3 patella luxation, meaning the patella mostly pops out medially with each stride, but can slide back into place. Charlie is difficult to assess awake as he’s not a fan of vets in general, not just me. We needed to perform sedation and radiographs to really evaluate the stifle and decide if he was a good candidate for surgery. He often lifts the left hindleg when standing or running, skips and double jumps on the left side. Most days the owners reported he lifted the left hind leg. Charlie is otherwise extremely healthy. Patella luxations are graded 1-4 based on the severity of disease. Once the animal is relaxed and sedated the patella can be manually assessed and graded. The anterior cruciate ligament can be palpated. Radiographs are important as we can see if there is pathology or osteoarthritis in any other joints, which may contribute to surgical success. Surgical correction was considered the right approach for Charlie based on his MPL grade and frequent lameness and daily pain exhibited. The main goal was to realign the stifle extensor apparatus and normalise forces acting on growth plates and joint surfaces. We wanted him to be able to run on all 4’s, without pain or lameness, enjoying his life to the full. A “Tibial Tuberosity Transposition” ( TTT) surgery was planned for Charlie to move the patella tendon over, realigning the quadriceps muscle through the centre of the trochlear groove. Helen is an expert here and you can observe from the X-ray attached, that a section of cranial tibia was sawn off and repositioned laterally with the help of pins and a figure of 8 wire. After completion of this technique, the patella couldn’t be subluxated out of position. Some soft tissue suture patterns were also employed to help keep the patella in its correct position - the trochlear groove. A large padded bandage was placed on Charlies leg for 48 hours, to help provide stability, stop licking of the suture line and help with pain. He was discharged with excellent pain and anti inflammatory medications and exercise instructions. Activity is restricted for 6-8 weeks following surgery, but physio and hydrotherapy can be started after the sutures are removed. Radiographs need to be repeated at the 8 week mark to make sure the osteotomy site has healed, then exercise can be adjusted accordingly. All in all it was a procedure that we want to be able to offer at McMaster & Heap vets. We have all the orthopaedic equipment and the perfect surgical coach to teach a couple of keen vets (one young and one a senior!) that want to learn a new technique that will benefit many of our patients in the future. Dr Michele McMaster IN THE BUSH: Riccarton Bush ranger Mike Steenson (left) and board chairman Bob Shearing are helping to improve tracks in the forest. PHOTO: BRIAR ALLEN Fundraising for paths • From page 1 “We have been making approaches to major fundraisers and we also have a funding source from the city council’s Long Term Plan, as well as our own funds we have been putting aside since 2021,” Willis said. Riccarton Bush ranger Mike Steenson said the project is being done on a needs basis. “The tracks have reached the end of their use by date, they are rotten, are trip hazards and we want to make them more accessible to the public for prams and wheelchair access,” he said. Board chairman Bob Shearing said they want to do it all properly and look at the bigger picture. “It is a major asset to the area, and we are relying on the community to support us. It is near everything in town, but it feels like a different world when you step into it,” he said. • People can donate to the project at christchurchfoundation. org.nz/giving/project/ putaringamotu-riccarton-bushfund and can contact Shona Willis for more information at manager@riccartonhouse.co.nz UNIQUE: Riccarton Bush is the only area of podocarp forest remaining in Christchurch. PHOTO; NEWSLINE Open 7 days Cnr Hoon Hay & Coppell place ph: 338 2534 e. reception@mcmasterandheap.co.nz www.mcmasterheap.co.nz Read local
Thursday August 24 2023 11 9 Northwood Supa Centa WITH YOUR NEXT DELIVERY ORDER Online code: DOLLARBREAD Get a garlic bread for $1 when you use the code DOLLARBREAD for delivery. Online only. BUY ONE DELUXE PIZZA & GET ONE FREE Online code: BOGOF Deluxe Pizza - pickup, online only DOUBLE VALUE DEAL 2 LARGE PIZZAS + 2 SIDES TRIPLE VALUE DEAL 3 LARGE PIZZAS + 2 SIDES *T&Cs apply. Redeem a $1 Garlic Bread using the code DOLLARBREAD, available for delivery orders only. Buy One Deluxe & Get One FREE Deluxe Pizza (online code BOGOF) pick up, online only. Standard $20 minimum spend for delivery orders. Offers end September 4th 2023. Offers valid at Pizza Hut Northwood only. Sides to choose from: Large Fries, Garlic Bread, Cheesecake, Mousse, Hershey's Chocolate Lava Cake or 1.5L Drink. Prices are for large pick up pizzas on a standard base unless otherwise stated. A surcharge may apply to upgrades on pizzas and combo deals. Combo deal offers do not include half & half or create your own pizzas. Credit Cards accepted on delivery. Offers are not redeemable with any other offers. Contactless service options available. Minimum delivery order of $20. Please refer to the Pizza Hut website for pricing on pizzas and combos. Drivers carry no cash. Service fee may vary based on delivery distance from store. Delivery not available in all areas. For full terms and conditions go to www.pizzahut.co.nz DOWNLOAD THE APP LIKE US PIZZAHUTNZ FOLLOW US PIZZAHUTNZ PIZZAHUT.CO.NZ ORDER YOURS NOW
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Nor'West News: August 24, 2023

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