VetTips: TTA & Stifle Surgery

Tip 1: What is the leading reason for lameness in dogs- that’s right, cranial cruciate ligament (CCL) disease!

Approximately 70% of dogs presented for hind limb lameness that weigh more than 18kg are most likely to suffer from a ruptured cranial cruciate ligament.

Tip 2: The importance of the CCL

The CCl is composed of two parts:

1. The craniomedial band – this band is taut in flexion and extension

2. A larger caudolateral band – the band is taut only in extension

The CCL limits internal rotation of the tibia relative to the femur to stabilize the knee in extension. Ruptures occur when the breaking strength of the ligament is exceeded. The breaking strength is thought to be four times the weight of the dog.

Tip 3: Tibial Tuberosity Advancement (TTA)

By advancing the tibial tuberosity cranially to the point where the patellar tendon and tibial plateau are perpendicular to each other in a standing angle of the canine stifle, the quadriceps can only pull the tibia caudally, eliminating cranial thrust and converting it to caudal thrust….thus creating a “cruciate ligament”

img ad

Want to learn more about the disease and how to fix it?

JOIN US at the TTA and Stifle Surgery Workshop

Tibial Tuberosity Advancement is the technique choice worldwide for many veterinarians treating cruciate disease in all sizes of dogs. Providing a modern approach to cruciate disease will increase practice profits and maximise patient health. Develop skills in this workshop that are immediately applicable to general practice. If you value the return on your CE investments then this is the course for you!

VetPrac provides Australian Veterinarians with an exclusive opportunity to develop and practice modern and established techniques in cruciate repair. With unprecedented access to elite surgical training equipment, you will have the chance to practice techniques, advance your skills and help your patients better than before. Classes are intimate, providing the ideal environment for building confidence in your techniques.

Click HERE to find out more about the two opportunities to JOIN US.

Click the link below to register!

February 9th – 10th University of Queensland, Gatton QLD

February 24th – 25th University of Adelaide Roseworthy, South Australia

VetTips: Equine Nerve Blocks & Lameness

Tip 1:

Signalment influences differential diagnosis in equine lameness. For example a common clinical presentation is proximal metacarpal pain but the causes often differ if the patient is a sports horse or racehorse. In a racehorse the primary suspicion may be primary suspensory desmitis, while in a racehorse and avulsion fracture is higher up the differential list.

Tip 2:

The calcaneal bursa ACTUALLY has two components!

1: A bursa underneath the gastroc tendon – gastrocnemius calcaneal bursa

2: A bursa between the gastroc tendon and Superficial Deep Flexor Tendon – the intertendinous calcaneal bursa AND – there may be a (3.+/-Subcutaneous bursa).

Tip 3: 

Differentiating Musculoskeletal from Neurological causes of lameness.

Most common musculoskeletal gait abnormalities that appear similar to neurologic abnormalities are:

– LAMINITIS – foot lameness is a much more common cause of a stumbling gait than neurologic disease
– Multiple limb lameness
– Muscle disorders (HYPP, exertional rhabdomyolysis)

If you want to get hands on experience and work with specialists come along to our Equine Nerve Blocks & Lameness Workshop!

Perform at your best and gain client confidence after attending this nerve blocks and lameness workshop. If you are a new vet, a mixed practitioner, an equine vet or coming back after a sabbatical and want to improve your lameness repertoire, then this is the workshop for you.

Join us April 12 – 13 in Wagga, Wagga NSW

Click the buttons below to learn more or to register >>

Canine Rehabilitation & Sports Therapy – Top Tips

Tip 1: What is the benefit of prehab and rehab?

Prehab: Sometimes prehab is considered a luxury but it can certainly make rehab easier. The better the range of motion, flexibility and strength prior to surgery, the easier and faster the rehab will be. Therefore working on these 3 areas, well within the comfort level of the patient, is a great advantage.

Rehab: Rehab can be broken down into 3 phases; acute, subacute and chronic.

ACUTE PHASE: Addresses pain and inflammation with modalities and manual techniques. We find that Laser and joint compressions are particularly helpful in accelerating the acute phase of rehab.

SUB-ACUTE PHASE: Promotes healing, range of motion, weight bearing and proprioception. This will include manual techniques to move the joint with proper arthrokinematics and stretching with emphasis on the belly of the muscle.

CHRONIC PHASE: Emphasizes on strengthening and advanced proprioception. In this phase we increase the demands of the muscle and add balance challenges.

Tip 2: Treatment goals and techniques are important in canine rehabilitation!

There are many treatment goals for manual therapy which include:

Increase circulation

Decrease swelling

Increase tissue extensibility

Reduce adhesions

Increase scar mobility

Eliminate trigger point

Promote tendon and ligament healing

Increase ROM

Decrease pain

Decrease muscle spasm

Facilitate or inhibit neuromuscular activity

The technique for a particular condition depends on the goals of the treatment. We must also consider the size and shape of the muscle, tendon, ligament, or fascia; and the pathological state of the tissue.

Tip 3: You don’t need fancy expensive equipment to implement therapy into your practice!

There are many therapeutic exercises that address proprioception, balance, muscle strengthening, endurance and gait retraining using common items. The important thing is to implement exercises that are safe for the patient as well as the handler.

Some of these tools can be physio balls, cavaletti poles, planks, blocks, land treadmill, balance discs, tunnels, air mattresses, weights, rocker boards and wobble boards.

Want to learn more?…..

JOIN US at the Canine Rehabilitation & Sports Therapy

Develop skills in clinical assessment, goal-setting, treatment planning and outcome measurement in canine rehabilitation from a physical therapy perspective. This case-based course highlights orthopedic conditions and injuries involving the extremities and the spine. Practical applications of joint mobilization, modalities and therapeutic exercise are covered. Participants get hands-on experience with dogs on site.

The business of canine rehabilitation is discussed as well as pertinent legal and ethical issues. This course will also cover canine neurological rehabilitation. Students get hands-on experience with dogs on site as they review how to perform a neurologic exam and apply neurophysiological facilitation techniques. Developing goal-focused treatment plans and assessing outcomes in canine neuro-rehabilitation patients are also covered.

Click HERE to find out more about the opportunity >>

BRAND NEW Canine Sports & Rehab Quiz

Dear Colleagues,

We know how much you LOVE our quizzes – we have HUNDREDS of you take our quizzes each and every month.

We’ve put together another Canine Sports & Rehabilitation quiz that you’re going to really enjoy.

Click here to take part in the quiz and but your knowledge to the test!

As you may already know VetPrac is hosting the Canine Sports And Rehabilitation Therapy Workshop – Jan 28th – 1st 2017. If you’d like to download the brochure click here or feel free to register here.

Happy New Year!!!

Dr Ilana Mendels