Text Box: Equipment Stryker system 2000 autoclavable battery drills Stryker system 2000 autoclavable ossicalating saw and reciprating saw to perform osteotomies AO/ASIF 20– 40 degree plates depending on the angle of rotation of the acetabulum required. 3M mini driver system Text Box: Hip dysplasia is a common cause of lameness in young large breed dogs. If detected early before the closure of the growth plates corrective surgery may be performed to improve the coverage of the femoral head by the acetabulum. This is usually done by a triple pelvic osteotomy (TPO) which for best results should be performed at 7-9 months of age and must be done before the onset of DJD or significant articular cartilage damage. The pelvis is cut in three places and a plate applied to the ilial osteotomy site to rotate the acetabulum between 20-40 degrees as needed. Some improvement is seen immediately in the post op radiographs however significant improvement is usually seen over the following 6 months as remodelling & growth occurs. Referral, Greenmount, Veterinary, vet, disc, disease, prolpase, Orthopaedic, orthopedic, clinic, fractures, joint, surgery, arthroscopy, endoscopy, spinal, northern, ireland, OCD, FCP, TPO, hip, dysplasia, dislocation, medial, patellar, luxation, broken, leg, wobbler, caudal cervical spondylopathy, lumbar, paralysis,ACL, anterior cruciate ligament rupture, dislocated, dislocation, plating, pinning, external fixator, triple pelvic osteotomy, portadown, co armagh northern ireland, www.vetortho.co.uk, www.vetclinic.co.uk, fracture repairText Box: Triple pelvic osteotomy & hip dysplasia Referral, Greenmount, Veterinary, vet, disc, disease, prolpase, Orthopaedic, orthopedic, clinic, fractures, joint, surgery, arthroscopy, endoscopy, spinal, northern, ireland, OCD, FCP, TPO, hip, dysplasia, dislocation, medial, patellar, luxation, broken, leg, wobbler, caudal cervical spondylopathy, lumbar, paralysis,ACL, anterior cruciate ligament rupture, dislocated, dislocation, plating, pinning, external fixator, triple pelvic osteotomy, portadown, co armagh northern ireland, www.vetortho.co.uk, www.vetclinic.co.uk, fracture repairReferral, Greenmount, Veterinary, vet, disc, disease, prolpase, Orthopaedic, orthopedic, clinic, fractures, joint, surgery, arthroscopy, endoscopy, spinal, northern, ireland, OCD, FCP, TPO, hip, dysplasia, dislocation, medial, patellar, luxation, broken, leg, wobbler, caudal cervical spondylopathy, lumbar, paralysis,ACL, anterior cruciate ligament rupture, dislocated, dislocation, plating, pinning, external fixator, triple pelvic osteotomy, portadown, co armagh northern ireland, www.vetortho.co.uk, www.vetclinic.co.uk, fracture repairReferral, Greenmount, Veterinary, vet, disc, disease, prolpase, Orthopaedic, orthopedic, clinic, fractures, joint, surgery, arthroscopy, endoscopy, spinal, northern, ireland, OCD, FCP, TPO, hip, dysplasia, dislocation, medial, patellar, luxation, broken, leg, wobbler, caudal cervical spondylopathy, lumbar, paralysis,ACL, anterior cruciate ligament rupture, dislocated, dislocation, plating, pinning, external fixator, triple pelvic osteotomy, portadown, co armagh northern ireland, www.vetortho.co.uk, www.vetclinic.co.uk, fracture repairReferral, Greenmount, Veterinary, vet, disc, disease, prolpase, Orthopaedic, orthopedic, clinic, fractures, joint, surgery, arthroscopy, endoscopy, spinal, northern, ireland, OCD, FCP, TPO, hip, dysplasia, dislocation, medial, patellar, luxation, broken, leg, wobbler, caudal cervical spondylopathy, lumbar, paralysis,ACL, anterior cruciate ligament rupture, dislocated, dislocation, plating, pinning, external fixator, triple pelvic osteotomy, portadown, co armagh northern ireland, www.vetortho.co.uk, www.vetclinic.co.uk, fracture repair

Bilateral Triple pelvic osteotomy with good acetabular coverage at a four year follow up radiograph. No evidence of DJD is visible in either hip.

If early corrective surgery is not performed, particularly in large breed dogs, which may also be overweight development of severe arthritis is likely. A femoral head & neck osteotomy may have to  performed to reduce the pain. A total hip replacement may also be considered in large dogs.

Severe bilateral hip dysplasia with development of advanced DJD in a dog which did not have a TPO

Femoral head & neck osteotomy for end stage hip dysplasia in a dog
Referral, Greenmount, Veterinary, vet, disc, disease, prolpase, Orthopaedic, orthopedic, clinic, fractures, joint, surgery, arthroscopy, endoscopy, spinal, northern, ireland, OCD, FCP, TPO, hip, dysplasia, dislocation, medial, patellar, luxation, broken, leg, wobbler, caudal cervical spondylopathy, lumbar, paralysis,ACL, anterior cruciate ligament rupture, dislocated, dislocation, plating, pinning, external fixator, triple pelvic osteotomy, portadown, co armagh northern ireland, www.vetortho.co.uk, www.vetclinic.co.uk, fracture repair

Left sided Hip dysplasia indicating sites of osteotomy

© GVC Digital vision
Referral, Greenmount, Veterinary, vet, disc, disease, prolpase, Orthopaedic, orthopedic, clinic, fractures, joint, surgery, arthroscopy, endoscopy, spinal, northern, ireland, OCD, FCP, TPO, hip, dysplasia, dislocation, medial, patellar, luxation, broken, leg, wobbler, caudal cervical spondylopathy, lumbar, paralysis,ACL, anterior cruciate ligament rupture, dislocated, dislocation, plating, pinning, external fixator, triple pelvic osteotomy, portadown, co armagh northern ireland, www.vetortho.co.uk, www.vetclinic.co.uk, fracture repair

© GVC

Digital vision

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Greenmount Veterinary Clinic 72 Gilford Road

Portadown Co Armagh Northern Ireland www.vetortho.co.uk www.vetclinic.co.uk