The winner for last week's vote was Charlie, with 11 votes. Have a picture of your pet getting his/her prize pack in the mail? Email it to info [at] azzore.com and we'll add it to the photo album on our website: You've Got Mail!
Who will be next? ~~~~~>>>
Angel is an Italian Greyhound who is 15yrs old and weighs 8#. She was sent to us by Dr. Doug Leach of Stanton Animal Hospital for acute onset of right rear lameness 2-3 weeks previous. Dr. Leach identified a LPL which was manually reduced.
Reluxation occurred shortly after reduction and Angel had progressive loss of right rear function since that time. Upon exam, grade IV LPL was noted.
Radiographs suggestive of changes in proximal tibia, but the owners stated that limb function and carriage had been normal up until the time of injury. Dr. Dew discussed LPL correction, prognosis and recovery. There was time spent discussing Angel's age. The owners wished to proceed with surgical correction.
TREATMENT:
Dr. Dew used a medial approach with lateral release for Angel's Tibial Tuberosity Advancement. He stabilized Angel's patella with divergent pins, sizes 0.062 and 0.045. Post surgically, he observed the patellas were central. There was good hardware placement, and adequate hip conformation. Her 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.
Shamus is a Wheaton Terrier. He is 11yrs old and weighs 43#. Dr. Wayne Wolfenkoehler at All Pets Animal Hospital referred him to us. He had a previous diagnosis of mandibular melanoma on the left. Rapid regrowth had been noted, the owners have consulted an oncologist and are willing to pursue melanoma vaccine treatment. They came to our office for partial hemimandibulectomy with an effort to obtain margins but more importantly to significantly reduce tumor bulk while maintaining quality of life. Dr. Dew discussed at length mandibulectomies, recovery and expectations. The owners wished to proceed with surgery.
TREATMENT:
Dr. Dew used a lateral approach for Shamus' hemimandibulectomy. He observed that the tumor extended from PMIII to mid body of the last molar. There were adequate margins at the tongue and lip. There was no evidence of tumor at bone or soft tissue margins. All tissues were submitted to Arkansas State Lab. The prognosis is good for soft tissue healing, improved comfort and ability to eat.
CASE HISTORY:
Stewart is a 12.3# 4mo old French Bulldog. Dr. Kendra Kaufman at All For Pets has sent him to us. Uknown trauma had resulted in left fore limb lameness. Dr. Kaufman identified a left humeral fracture, distal condyles-Y. Dr. Dew discussed intrarticular nature of the fracture and open growth plates as potential complications.
TREATMENT:
Dr. Dew used an olecranon osteotomy approach for Stewart's surgery. To stabilize the fracture, Dr. Dew used enhanced thread 3/64 trancondylar pin and 2 - 0.062 IM pins; the olecranon was stabilized with an 0.062 IM pin and periosteal tension sutures. He observed good reduction and hardware placement, good ROM, no crepitus post stabilization. Stewart's prognosis is good for normal osseous healing. Exercise restrictions, bandage care and physical therapy instructions must be followed to maximize the prognosis for uncomplicated healing.
CASE HISTORY:
Coco is a Papillon. She weighs 7# and is 1yr and 4mo old. Dr. Charles Wulz of North Hills Animal Clinic is not only her referring veterinarian, but also her grandpa. She has had intermittent bilateral rear limb lameness, Dr. Wulz had identified bilateral MPL.
TREATMENT:
Dr. Dew used a medial approach with medial release for Coco's surgery. He used 0.045 divergent pins to stabilize her patellas. Her 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.
Reagan is a 65# 6yr old Boxer sent to us by Dr. Jo Cochran at Park Avenue Animal Hospital. Reagan had a previous diagnosis of a left CCL rupture and previous discussion of TTA augmentation as well. Her owner was ready to proceed with a left TTA (tibial tuberosity advancement).
TREATMENT:
Dr. Dew used a medial approach with medial arthrotomy for Reagan's surgery. Kyon implants used in her TTA surgery were: a 12x22mm basket, 6 hole plate & fork combination, and 4 titanium screws. Reagan'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. With the TTA procedure, it is not uncommon to see some bruising and edema around the hock (ankle) and on the inside of the leg below the incision. These changes are not painful and will resolve without treatment in 3-10 days.
Ike is a Border Collie Mix and is 3yrs old and weighs 80#. Dr. Rodney Balthrop at Eastgate Animal Clinic is his referring veterinarian. Ike has had orthopedic issues in all four limbs, his left fore has been historically his best "Leg to stand on". Recently he became acutely lame on his left forelimb. Upon Dr. Dew's exam, pain was consistently demonstrable on palpation and extension of biceps tendon. He discussed biceps tendonitis. Ike had been scheduled for bioscaffold implantation for hip pain, but it was suggested that since restricted activity was appropriate for shoulder and would be required after bioscaffold that we follow through with bioscaffold, also implanting elbows, and left shoulder as well. His owner wished to proceed with bioscaffold implantation and transport to Russellville.
TREATMENT:
Dr. Dew proceeded with Bioscaffold implantation on the following: bilateral coxofemoral, elbow and left shoulder. He used a closed approach to all of these injections. 0.5 units bioscaffold were implanted into all of the above noted locations. Ike's prognosis is good for improved function due to bioscaffold procedure. Leash restriction for 3 weeks will help provide the optimal conditions for improvements. Ike's video post surgery is remarkable.
Queenie is a Boxer. She is 5.5yrs old and weighs 56#. Her referring veterinarian is Dr. Carolyn McCutcheon with Park Avenue Animal Hospital. She has had intermittent right rear lameness, and medial buttress suggestive of a partial CCL rupture. Dr. Dew discussed TTA and EFS augmentation, her owner chose to proceed with a right EFS and removal of 2 small areas of gingival hyperplasia.
TREATMENT:
Dr. Dew used a lateral approach with lateral arthrotomy for Queenie's External Fascial Strip surgery. The prognosis is good for healing, improved function and decreased progression of degenerative joint disease (arthritis). Nurrsing care, physical therapy, exercise restriction and the use of Glycoflex will play critical roles in an uncomplicated recovery and optimization of long term function.
Copper is a 7mo old 45# Golden Retriever pup. He came to us by way of Dr. Robert Mills at North Arkansas Veterinary Clinic. Copper was HBC the previous Saturday, and radiographs demonstrated a fracture of the proximal supraglenoid tubercle. Dr. Dew discussed internal fixation or fragment removal and biceps tenotomy. His owner decided to proceed with said surgery.
TREATMENT:
Dr. Dew used a greater tubercle osteotomy approach for Copper's surgery. He observed that the fragment has only small articular component and oblique nature would make reduction inadequate; opt for fragment removal and biceps tenotomy. The fracture was stabilized using divergent 0.062 wires. The fragment of bone was completely removed. Copper's prognosis is good for normal osseous healing. Exercise restrictions must be followed to maximize the prognosis for uncomplicated healing.
Louie is a Boxer who weighs 34# and is 4mos old. Dr. Kendra Kaufman with All For Pets has referred him to us. Unknown trauma had resulted in right forelimb lameness. Dr. Kaufman's radiographs demonstrate transverse mid-diaphysis fracture of metacarpal bone II-V. Dr. Dew discussed IM pin stabilization, need for bandage care post surgery, and good prognosis for healing and return to normal function.
TREATMENT:
Dr. Dew used an anterior approach for Louie's surgery. He used 0.045 IM wires to stabilize the fracture, and left the wire exposed distally with shepherds crook. The prognosis is good for normal osseous healing. Exercise restrictions must be followed to maximize the prognosis for uncomplicated healing.
Millie is a 2yr old 37# Lab mix. Dr. Lynn Worley at Pet Vax sent him to us for a Right femoral fracture, distal diaphysis, comminuted with fissures. Millie was transported from Memphis for surgical stabilization, prior to surgery discussed use of ESF with owner, she wished to proceed with stabilization.
TREATMENT:
Dr. Dew used a mini-lateral approach to aid in reduction. He placed a 3/16 IM pin, 2 large enhanced thread transcortical pins, and 2 - 7/64 smooth transcortical pins placed at divergent angles. They were tied together with 1" acrylic bar. Millie's prognosis is good for normal osseous healing. Exercise restrictions must be followed to maximize the prognosis for uncomplicated healing.
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