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Left Femoral Alignment Osteotomy

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Case Information:  

Female Golden Retriever, one year old, weight 81 pounds.  Presented for hindlimb lameness.

Evaluation:

Owner reported limping after going for walks, and that the dog would fall down when it "turned fast", three months duration.  Physical examination showed a bowlegged conformation, positive sit test bilaterally and bilateral Grade II medial patellar luxations.  Radiographs revealed bilateral double condyle signs and bilateral distal femoral varus.

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Diagnosis:  

Bilateral Grade II medial patellar luxations secondary to bilateral distal femoral varus.

Treatment: 

Left 17° distal femoral medial opening wedge osteotomy.   

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Pathologic Notes:

Eburnation of cartilage on medial trochlear edge from previous luxation.  Corresponding lesion on distal pole of patella.  Cranial cruciate ligament was observed and suggestive of caudal band stress but insufficient to warrant TPLO surgery, correction of varus of distal femur to alleviate stress on cranial cruciate ligament.

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Click here for treatment of right hindlimb.

Recheck Examination:

Nine month follow-up.  Owner reported that dog had no pain or stiffness after a full day of activity.  Physical examination showed that dog was able to jump into the car and take stairs with no difficulty.  Dog was walking with normal weight bearing and no abnormalities noted.  Radiographs show good healing of surgery.

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