Pegasus Post: August 24, 2023

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4 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 Open 7 days Cnr Hoon Hay & Coppell place ph: 338 2534 e. reception@mcmasterandheap.co.nz www.mcmasterheap.co.nz ZIG-ZAG: The carpet at the Coopers Rd home was taken from the Tivoli Theatre in Cathedral Square when it closed. Home on market with a magical old movie carpet • By Nikki Preston THE RETRO carpet rescued from the old Tivoli Theatre in the mid-1990s still has a starring role in a three-bedroom home for sale in Burwood. The red, orange and black zig-zag carpet was taken from the theatre in Cathedral Square when it closed in 1994 and laid in Brenda Coster’s rental property on Coopers Rd. Coster said the carpet was expensive back then, so she jumped at the chance to buy good second-hand carpet for her investment properties when she was offered it, paying about $500 for as much of the theatre’s carpet as she wanted. Coster, with help from two others, dragged the heavy carpet onto the back of her trailer and transported it to the rental property to replace the previous threadbare Axminster carpet. “It was beautiful carpet, it was good quality, but it had all the holes in it where HEAT PUMPs froM $ inc GsT 2449INsTALLED the stools were.” The cinema carpet has now been in the house for almost 30 years, matching the largely original home. The home’s long-term tenants also embraced its art deco vibe and created a different 1950s theme in every room, complete with tea trolleys and old ashtrays. “They used to have real tours through the house, showing all the stuff. They were there for years and years. It was quite remarkable what they had in there.” However, due to the rising costs facing landlords, Coster has decided to sell the property 0800 131 812 info@powersmart.co.nz powersmart.co.nz T’s & C’s apply SALE: The threebedroom home is being marketed to firsthome buyers and renovators. at auction next month. When asked about the unusual carpet, Bayleys listing agent Angela Webb said: “It’s nothing like I have ever seen.” The “budget-friendly” house has a price indication of about $400,000, suiting both first-home buyers and renovators. The listing says visionaries will grasp the potential of the expansive abode. “Originally built in the 1960s, it exudes a charming retro ambiance, evoking a sense of nostalgia,” the listing stated. – NZ Herald HEAT PUMP SALE NOW ON! 2022 2022 Heat Pumps Heat Pumps 2022 Heat Pumps frEE consultation from your local Accredited Heat Pump Expert
Thursday August 24 2023 5 Tamai Sports removing barriers to participation JOINING A LOCAL sports team or club can be a life-changing experience for children. It sets them up with healthy habits from a young age. But many are not getting that experience with declining participation rates and barriers that prevent young people from engaging in sports. Christchurch east-based Tamai Sports is bucking that trend by improving access to sports alongside inclusive and culturallycentred opportunities. Using sport as the vehicle for participation, the unique not-forprofit organisation adopts Māori and Pasifika values to nurture cultural identity and diversity in its programmes, building trusted relationships with whānau and the community. Tamai supports tamariki aged 8-12 who are selected to participate from the Tamai learning cluster of seven schools: Te Waka Unua, Linwood Avenue, Whītau School, Tamariki, Te Aratai College, Ngutuawa School and Bromley. Programme director Ben Hamilton said Tamai had been born out of community need. “Through extensive research and our work with the community, we have identified four key barriers to participation that we are committed to removing. These include transport, uniforms and equipment, food, and access to coaches or positive mentors,” he said. The programme is delivered on Tuesday afternoons, with children transported to Linfield Park where they are provided afternoon tea and take part in the cultural & hauora programme, delivered in partnership with He Waka Tapu. The programme’s focuses include waiata/kapa haka, cultural identity, wellbeing, goal planning, keeping your tinana well, healthy kai, mindfulness and mau rākau (Māori martial arts). Following these sessions, tamariki receive a 45-minute sports coaching session in either rugby, football, touch, cricket or netball and share nutritious kai. “Teams then compete in the relevant Saturday sports competitions against other clubs,” said Hamilton. “Our goal is to see tamariki transition into Linwood Rugby Club TEAM WORK: Programme director Ben Hamilton leads Kiana, AJ, Tara-Louise and others in team-building. or Coastal Spirit Football Club following their three years with Tamai Sports. We work closely with clubs to strengthen the pathway for tamariki and their whānau.” A 2022 impact evaluation report from Ihi Research found Tamai has been able to effectively mitigate participation barriers in several ways, including; proactively addressing barriers to participation, providing excellent role models, utilising sport as a vehicle for modelling and teaching life skills, and responding to the cultures of tamariki and whānau who attend. The research was conducted through a kaupapa Māori lens. Ihi chief executive John Leonard said the response from whānau about the programme’s impact was overwhelmingly positive. “Whānau interviewed for our evaluation were unanimously positive about the impact Tamai Sports has had on their tamariki. “They spoke about increased confidence, enhanced mana and self-esteem, improved self-management skills, greater positivity, increased physical activity, and improved attitude and attendance at school. “Whānau also conveyed their appreciation of the whānaucentred nature of Tamai Sports, noting they felt valued and GOAL: Hemi (back, far left), Te Ranginui, Kiana and Tara-Louise participating in one of many ball games. included.” During the 2022 winter season, more than 50 per cent of participants in the programme identified as Māori or Pasifika, with that number in 2023 now close to 62 per cent. Participation of boys and girls is relatively even, with the number of girls slightly higher (51.1 per cent) than that of boys (48.9 per cent). This winter season, they had enough registrations for two rugby teams, two football teams and three netball teams, and the success of the programme has also allowed Tamai to grow its partnerships with other community organisations in the Tamai Learning Cluster. He Waka Tapu chief operating officer Tanith Petersen said their partnership with Tamai aims to provide young people with skills and experiences to set them up for the future. “He Waka Tapu is all about supporting tamariki through Tamai Sports, helping them embrace tikanga and nurture their cultural identity,” Petersern said. Looking ahead, Tamai is expanding its nutrition programme, providing healthy meals to 80 tamariki following their sports training for the 16- week programme. A cookbook for participating whānau is underway, and there are plans for a new ‘teach tamariki to cook’ initiative, which will see them help chefs prepare their weekly meals. South Island funder Rātā Foundation and other significant funders like Te Pūtahitanga have supported Tamai Sports for the last three years. Tamai’s work to strengthen the hauora of tamariki by removing barriers to accessing training or games and designing a programme that is accessible and culturally appropriate aligns with the Rātā funding focus priority to provide equitable access to participation opportunities in sport and active recreation in communities of need. Rātā has provided $60,000 of funding since 2021, including capacity-building support to evaluate their mahi with Ihi Research. Said Rātā Foundation chief executive Leighton Evans: “The real strength of Tamai Sports is their holistic approach to health, wellbeing and participation, “Their programmes harness all of the great values of active participation in sport, allowing Tamai to connect with whānau, schools and community to support the wider hauora of tamariki. “The growth of their programmes and reach shows their commitment to removing barriers to participation and collaborating with other community organisations to achieve the best results for tamariki in Christchurch east.” CLUSTER: Jaxton, Khloe and Tara-Louise go to one of the seven schools involved. Matt Stock National Party Candidate for Christchurch East Authorised by Matt Stock, 2/142 Ferry Rd, Christchurch
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Pegasus Post: August 24, 2023

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