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  <content>&lt;h2&gt;Surgery&lt;/h2&gt;
&lt;h4&gt;Setting New Standards In Cutting Edge Medical and Surgical Techniques&lt;/h4&gt;
&lt;p&gt;&lt;img src="../../pictures/0000/0221/x-ray_1.jpg" alt="http://besupported-001.vm.brightbox.net/pictures/0000/0221/x-ray_1.jpg" /&gt;&amp;nbsp; &lt;img src="../../pictures/0000/0223/x-ray_2.jpg" alt="http://besupported-001.vm.brightbox.net/pictures/0000/0223/x-ray_2.jpg" /&gt;&amp;nbsp; &lt;img src="../../pictures/0000/0225/x-ray_3.jpg" alt="http://besupported-001.vm.brightbox.net/pictures/0000/0225/x-ray_3.jpg" /&gt;&amp;nbsp; &lt;img src="../../pictures/0000/0227/x-ray_4.jpg" alt="http://besupported-001.vm.brightbox.net/pictures/0000/0227/x-ray_4.jpg" /&gt;&amp;nbsp; &lt;img src="../../pictures/0000/0229/x-ray_5.jpg" alt="http://besupported-001.vm.brightbox.net/pictures/0000/0229/x-ray_5.jpg" /&gt;&lt;/p&gt;
&lt;h6&gt;Elbow&lt;/h6&gt;
&lt;p&gt;Subtotal coronoid ostectomy (SCO) is performed&amp;nbsp;for fragmented medial coronoid process (FMCP); autogenous graft and self-compressing cannulated screw (Acutrak&amp;trade;) for incomplete ossification of the humeral condyle (IOHC); self-compressing screw and ulnar osteotomy for ununited anconeal process (UAP). Sliding Humeral Osteotomy (SHO)&amp;nbsp;for medial compartment disease.&lt;/p&gt;
&lt;h6&gt;Knee (Stifle)&lt;/h6&gt;
&lt;p&gt;Tibial&amp;nbsp;Plateau&amp;nbsp;Levelling&amp;nbsp;Osteotomy (TPLO),&amp;nbsp;Tibial&amp;nbsp;Tuberosity&amp;nbsp;Advancement (TTA),Tightrope&amp;trade;&amp;nbsp;and conventional cruciate repairs are performed for ruptured cranial cruciate ligaments and cruciate disease; derotational osteotomies for limb alignment; patellar luxation and meniscal surgery.&lt;/p&gt;
&lt;h6&gt;Hip&lt;/h6&gt;
&lt;p&gt;Total Hip Replacement surgeries are performed regularly for large dogs and occasionally for small dogs and cats. Femoral Head and Neck Excision is a salvage procedure performed where Total hIp Replacement is inappropriate. Juvenile Pubic Symphysiodesis is performed in dogs where Hip Dysplasia is recognised at a very early age.&lt;/p&gt;
&lt;h6&gt;Joint replacement&lt;/h6&gt;
&lt;p&gt;Where function is impossible to maintain by other means, total joint replacement is now possible and regularly undertaken&amp;nbsp;for the hip, elbow, stifle and hock. Biomedtrix&amp;trade; cemented and uncemented technologies are employed.&lt;/p&gt;
&lt;h6&gt;Arthrodesis&lt;/h6&gt;
&lt;p&gt;Where function is irreparably impaired, joint fusion is possible and we have led the field in development of new technologies of internal and external skeletal fixation in this arena.&lt;/p&gt;
&lt;h6&gt;Osteochondral transplantation&lt;/h6&gt;
&lt;p&gt;We have pioneered a technique for use in the canine elbow -&amp;nbsp; Osteochondral Autograft Transfer System (OATS) for debilitating cartilage erosion of&amp;nbsp;the joints, especially those affected by osteochondritis dissecans (OCD).&lt;/p&gt;
&lt;h6&gt;Growth deformities&lt;/h6&gt;
&lt;p&gt;We have developed several adaptations of internal and external skeletal fixation offering consistently successful applications for these frustrating conditions of the thoracic or pelvic limbs.&lt;/p&gt;
&lt;h6&gt;Fractures and non-unions&lt;/h6&gt;
&lt;p&gt;We employ all conventional fixation techniques including newer internal fixation technologies in addition to more advanced technologies such as distraction osteogenesis and distraction-compression osteointegration using linear, circular and hybrid external skeletal fixation (Imex&amp;trade;).&lt;/p&gt;
&lt;h6&gt;Bone Cancer&lt;/h6&gt;
&lt;p&gt;Limb salvage options where tumours are indicated now include bone transport and customized osteointegration implants. Skull fractures are repaired using the most recent implant technologies; tumour resection for the skull and thorax is commonly performed with appropriate prosthetic reconstruction; thoracic trauma is routinely treated with state-of-the-art life-support equipment and surgical interventions; brain surgery is available for conditions such as tumours and syringohydromyelia.&lt;/p&gt;
&lt;h6&gt;Endoprosthesis&lt;/h6&gt;
&lt;p&gt;Endoprostheses are internal surgical implants used to fill a gap left by removal of a large section of bone or even an entire joint. We have used this technology for management of bone cancer in dogs very successfully over several years.&lt;/p&gt;
&lt;h6&gt;Intraosseous Transcutaneous Amputation Prosthesis (ITAP)&lt;/h6&gt;
&lt;p&gt;We were the first surgical centre worldwide (either veterinary or human) to offer the ITAP technology developed by Stanmore Implants Worldwide Ltd. for weight-bearing limb salvage procedures in any species. We have treated both dogs and cats with this innovative technology in circumstances where amputation or euthanasia were the only possible alternatives.&lt;/p&gt;
&lt;h6&gt;Intervertebral disc disease&lt;/h6&gt;
&lt;p&gt;We have developed a very efficient and expeditious protocol for treatment of acute spinal disease of all kinds. We have been involved for several years in the development of a uniquely successful technology for distraction fusion of vertebral instability associated with disc disease and deformation affecting the cervical and lumbosacral spine (cervical spondylomyelopathy and cauda equina syndrome).&lt;/p&gt;
&lt;h6&gt;Neuromuscular disease&lt;/h6&gt;
&lt;p&gt;Investigations including advanced imaging, electro-diagnostics, blood and cerebrospinal fluid analysis, histopathology and appropriate medical or surgical intervention are regularly undertaken for our neurological cases.&lt;/p&gt;
&lt;h6&gt;Trauma&lt;/h6&gt;
&lt;p&gt;Fractures and other orthopaedic injuries are routinely treated with the&amp;nbsp;newest implant technology and surgical techniques.&lt;/p&gt;
&lt;h6&gt;Bioabsorbable implants&lt;/h6&gt;
&lt;p&gt;Polylactide bone fixation nails (Smart Nail&amp;trade;) may be used for reconstruction of small articular fragments where metallic implants may interfere with joint function.&lt;/p&gt;
&lt;h6&gt;Cannulated self-compressing screws&lt;/h6&gt;
&lt;p&gt;Placing screws accurately across complex articular fractures and compressing fracture lines is facilitated by use of k-wire-guided cannulated variably pitched titanium screws (Acutrak&amp;trade;), for which we have pioneered the use in small animals.&lt;/p&gt;</content>
  <created-at type="datetime">2008-11-12T11:07:11Z</created-at>
  <header-quote>Just to say thank you. Cassie the Boxer is back running at top speed after her elbow operation. It's great to see her running around again. Thank you so much!...</header-quote>
  <header-quote-author>Elizabeth and Alec</header-quote-author>
  <id type="integer">2</id>
  <meta-description>Total hip replacement for canine hip dysplasia, total knee replacement, TPLO, TTA, slipped disc and bone fracture management are a few of the operations we perform on a daily basis.</meta-description>
  <meta-keywords>surgery, rehabilitation, Fitzpatrick, referrals, small animal, orthopaedic, neurology, veterinary specialist, vets, nurse, health, care, dog boarding, pet, veterinary emergency, referral service, dog veterinary, animal hospital, veterinary hospital, mri, scan, xray, ultrasonic, hydrotherapy, canine</meta-keywords>
  <meta-title> Veterinary Surgery | Knee and Hip Pathology</meta-title>
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  <sidebar-links>20,25,34,45</sidebar-links>
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  <sidebar-text>We are continually introducing new technologies to remain at the forefront of neuro- orthopaedics and to consistently improve our service to referring clinicians, clients and patients.</sidebar-text>
  <slug>surgery</slug>
  <title>Surgery</title>
  <updated-at type="datetime">2009-09-04T11:47:13Z</updated-at>
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