Here are your potential Pets of the Week for the week of February 8th through February 12th!

Wow!!!  Can you believe the voting last week?  Not only did Kiwi win, but that baby's votes surpassed those of Belle, the POTM for January a few weeks ago pulling in 460 votes... Way to Go, Kiwi!!
Who will it be next?  Vote Here~~~~>>>

CASE STUDY:

Andre is a 5#, 9mo old Yorkie.  He was referred to us by Dr. Allison Patchell Patchell Veterinary Clinic.  He had a history of intermittent bilateral rear limb lameness.  Dr. Patchell has identified bilateral MPL.

TREATMENT:
Dr. Dew performed a bilateral TTT (tibial tuberosity transposition) on Andre.  He used divergent pins in both of his legs for stabilization.  Due to having both legs corrected simultaneously, Andre may require some assistance rising and walking for several days.  His prognosis is good for healing, improved function and decreased progression of degenerative joint disease (arthritis). 

CASE STUDY: 
Gordon is a  Corgi Mix who weighs 22# and is 8yrs old.  He was referred to us by Dr. John Miller with Otter Creek Animal Hospital because of the discovery of a Left Perineal Hernia.  Gordon's owner chooses to have Dr. Dew perform hernia surgery as well as neuter.
TREATMENT:
Dr. Dew used the caudal approach for Gordon's surgery.  He observed moderate dermal bruising and apparent soft tissue bleeding associated with a hernia.  Gordon endures open castration as well as oturator flap herniography.  His prognosis is good for resolution of the hernia. The use of the e-collar for 3 weeks will prevent self trauma and complications.

CASE STUDY:
Neo is a little Rat Terrier who is 8 wks old and weighs in at 4.25#.  Dr. Heather Curry at Animal Medical Center sent him to us.  Neo apparently fell out of bed and was acutely painful and non-weight bearing on his right forelimb.  Dr. Curry identified fractures of the metacarpals II-IV by radiographs (x-rays).
TREATMENT:
Dr. Dew used a cranial approach to repair Neo's fractured toes.  He observed good alignment of the metacarpals and wire placement was good.  To stabilize the fractures, Dr. Dew used 0.035 wires.  The prognosis is good for normal osseous healing.  Exercise restrictions must be followed to maximize the prognosis for uncomplicated healing. Bandage care and exercise restriction will play important roles in uncomplicated healing.

CASE STUDY:
Bosco is a Mix Breed who is 4yrs old and weighs 90#.  He was referred to us by Dr. Greg Hartman Hartman Animal Hospital, LLC for right rear lameness.  Bosco was diagnosed with a CCL/MPL problem.  Dr. Dew suggested a TTA (tibial tuberosity advancement) to correct both of those issues.
TREATMENT:
Dr. Dew observed Bosco's meniscus to be intact.  He used Kyon hardware as follows to correct his CCL issue:  9x22mm basket, 6 hole plate & fork, 4 titanium screws.  He also placed a bone graft underneatht he basket to promote good healing.  With post-surgical radiographs, Dr. Dew noted good hardware placement, and that the tibial plateau was perpendicular to the straight patellar ligament.  Bosco's prognosis is good for healing, improved function and decreased progression of degenerative joint disease (arthritis). Nursing care, physical therapy, exercise restriction and the use of Glycoflex will play critical roles in an uncomplicated recovery and optimization of long term function.

CASE STUDY:
Cyrano is DLH feline.  He weighs 15# and 1.5yrs old.  He was referred to us by Dr. Carolyn McCutcheon of Park Avenue Animal Hospital.  He had a history of unilateral rear limb lameness that had progressed to bilateral.  Dr. McCutcheon identified bilateral MPL.  Dr. Dew suggested a bilateral TTT (tibial tuberosity transposition) .
TREATMENT:
Dr. Dew used a medial approach with medial release for Cyrano's surgery.  He noted good alignment of patella mechanism, shallow trochlear grooves, and was unable to luxate post correction.  Prognosis is good for healing, improved function and decreased progression of degenerative joint disease (arthritis). It would not be unusual for Cyrano to be reluctant to stand or to stand and fall to the side after taking 1-2 steps, this is normal and would resolve in 3-5 days.

CASE STUDY: 
Pumpkin is an 11yr old, 45# Golden Retreiver referred to us by Dr. Kendra Kaufman of All For Pets.  Pumpkin had a previous diagnosis and debulking of oral squamous cells under the tongueon the right side.  Dr. Dew discussed the nature of oral tumors, that clean margins could be limited by tongue function, and that recurrence is likely.  Pumpkin's owner wished to proceed with thoracic radiographs and oral exam.  If adequate margins and tongue function can be maintained she wished to proceed with surgical excision.
TREATMENT:
Diagnostics:  There was no evidence of tumor observed on radiographs; the mass was located mostly in frenulum with some involvement on the lateral aspect of Pumpkin's mid-tongue.  There was no lymph node enlargement noted.
Procedure:  Dr. Dew excised the tumor tissue, and maintained 3mm mucosal margins.  The prognosis is good for healing; the pathology report will help define the prognosis to a greater degree.
 

CASE STUDY:
Emmie is a 26# Germ Shepherd Mix who is 1yr and 2mo old.  She was sent to us by Dr. Carolyn McCutcheon with Park Avenue Animal Hospital previously for bilateral MPL (medial patellar luxation) and came to us for bilateral TTT.
TREATMENT:
Dr. Dew used a medial with medial release approach.  Post-surgery, the patellas were central and good hardware placement was observed.  The prognosis for Emmie is good for healing, improved function and decreased progression of degenerative joint disease (arthritis). Nursing care, physical therapy, exercise restriction and the use of Glycoflex will play critical roles in an uncomplicated recovery and optimization of long term function.