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SERVICES WE PROVIDE

Please find below a list of the most common procedures we can help you with.

We understand the needs and the pressures of first opinion practice, so please do get in touch for ANY case that would benefit from our care, whether this is for advice only or to discuss options.

We have a fixed price policy to help you communicate easier with your clients.

ALL the procedures include an initial consultation face to face with the owner.

Please don't amputate a limb without giving us a ring!

ADVICE ON REFERRAL PROCESS AND INTERPRETATION OF RADIOGRAPHS

Our priority is to help you, the vet, and of course, the patient. We will strive for a professional approach, consider the available options and reach the most appropriate solution for you and the patient.

Radiographs and history can be sent to our email or via wetransfer (which is free, accepts files up to 2GB and all it needs is an email address).

For urgent cases, don't hesitate to give us a ring, should we not be able to answer at the time, we will no doubt get back to you as soon as possible.

CRANIAL CRUCIATE LIGAMENT DISEASE

There are numerous techniques for the management of cranial cruciate ligament disease. An increased number of high quality studies have shown that tibial leveling osteotomies have a better outcome than lateral suture techniques. 

Our preferred techniques are Triple Tibial Osteotomy TTO and TPLO.

PATELLA LUXATION

We use one or a combination of the following techniques to manage patella luxation: tibial tuberosity transposition, block recession sulcoplasty, femoral osteotomy or patella groove replacement.

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ELBOW DYSPLASIA

Following arthroscopy for diagnosis of elbow dysplasia, surgical management may be advisable, particularly in cases refractory to medical management.
Proximal ulna osteotomy (PAUL) or canine unicompartmental elbow resurfacing (CUE) provide good function of the elbow and a good outcome for these patients.

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MANAGEMENT OF HIP DYSPLASIA

Hip dysplasia can be managed from a young age.
Double pelvic osteotomy is used in selected cases to reduce the risks of degenerative joint disease. 
Total Hip Replacement is the gold standard for treating the painful hip. The effects are noticeable almost immediately and owner satisfaction is high. 
Due to the particular surgical and postoperative requirements, THRs are only performed in selected practices.
Please contact us for an alternative location.

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FRACTURE MANAGEMENT

We use locking and non-locking equipment as well as external fixators to manage a vast range of fractures. If appropriate, minimally invasive procedures are used to ensure reduced surgical trauma.

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ARTHROSCOPY

Arthroscopy is most often used for management of elbow dysplasia and shoulder pathology but also for diagnosing partial cranial cruciate disease. We have even used it to assess hip joints.
We use 3-chip full HD equipment to allow visualisation and recording of the arthroscopic findings for future reference.

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ARTHRODESIS

Arthrodesis is a salvage procedure with a high success rate if used properly. It offers a pain free, functional limb. Arthrodesis of the carpus and tarsus are commonly used. Elbow and shoulder arthrodesis can be performed, albeit with a less desirable outcome.
We also use custom made plates particularly for limb salvage procedures such as radial osteosarcoma.

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JOINT RESURFACING

For large osteochondrotic lesions, where a simple cartilage flap excision would not suffice, joint resurfacing such as OATS or Synacart can be successfully performed. These procedures provide a good function and outcome to a diseased joint.

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REGENERATIVE MEDICINE

Stem cells from bone marrow concentrate (BMAC) or activated platelets (VPET) are used to stimulate regeneration in selected cases. Regenerative medicine is used mainly in musculo-tendinous conditions but also intra-articular.

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SPINAL SURGERY

Disk herniations and lumbosacral disease can be managed by hemilaminectomy, dorsal laminectomy, ventral slots or spinal distraction-fusion.
For diagnostic purposes, MRI is the gold standard, followed by CT. Myelography is reserved for cases where MRI and CT are not an option.
Due to particular surgical and postoperative requirements, spinal surgeries are performed in selected practices.
Please contact us for an alternative location.

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SOFT TISSUE SURGERY

Soft tissue surgeries most commonly requested are TECA-LBO, BOAS (alarplasty, staphylectomy, everted laryngeal saccules), laryngeal tye-backs, excision of masses including maxillectomy/mandibulectomy, perineal/perianal surgery, skin reconstruction, anal gland excisions, thyroidectomies, abdominal surgeries. 
Please contact us for further details.

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