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Left Tibial Plateau Leveling Osteotomy

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Case Information: 

Four year old female Vizsla, 56 lbs.  Presented for left hindlimb lameness following failed left cranial cruciate ligament repair.

Lateral Left Stifle CCL rupture ©Slocum Enterprises, Inc. (155248 bytes)

Evaluation:

Dog was presented with failed imbrication suture for cruciate ligament rupture.  Owner reported that dog had "traditional" cranial cruciate ligament surgery two months previously at another hospital.  Physical examination of the left stifle revealed a positive sit test, positive tibial compression test in both extension and flexion, and a positive drawer sign.  Palpation of the medial meniscus showed inflammation.  Radiographs of the left stifle revealed fibrosis of the caudal margin of the fat pad, fat pad inflammation and degenerative joint disease.

Diagnosis:  

Complete rupture of the left cranial cruciate ligament with failed imbrication repair.

Treatment: 

Left Tibial Plateau Leveling Osteotomy.  No arthrotomy performed.

Pathologic notes:

Abscess was found beneath lateral incision line which was cultured.  Pathology revealed moderate staphylococcus species, coagulase negative.   No arthrotomy performed due to infection.

Lateral Left Stifle Day of Surgery TPLO ©Slocum Enterprises, Inc. (131288 bytes) PA Left Stifle Day of Surgery TPLO ©Slocum Enterprises, Inc. (144444 bytes)

Recheck Examination:

Three year, five month follow-up.  

Lateral Left Stifle Three years Five months post TPLO ©Slocum Enterprises, Inc. (148410 bytes)

Letter from owner 7 1/2 years post-op:

Dec 13, 2001

Mrs. Slocum,

    Every year since Kelly's surgery (1994) I have sent a Christmas card letting your husband and his staff know how Kelly is doing.  This year I ran into a sled dog racer from central Oregon and we were discussing our working dogs and in conversation "Dr. Slocum" came up.  She told me Dr. Slocum had passed away this year.  I am so sorry.  I hope you don't mind me writing.  I just wanted you to know how much we thought about your husband and his staff.  Kelly is in her 12th year of hunting (and her best year yet!) and we owe it all to a very caring and professional person.  Dr. Slocum is greatly missed.  I will never forget what he said to me after I told him I didn't care if she would hunt again after a knee injury, I didn't want her to lose her leg.  He told me he cared and she would be back working in the field that fall.  Sure enough she was!

Sincerely,

Connie 

 

©Slocum Enterprises, Inc.  All rights reserved.  No portion of the written text or the graphic illustration of this work may be used or reproduced in any manner without written permission.  For information contact Slocum Enterprises, Inc.

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