Atlas of orthopedic surgical procedures of the dog and cat by Ann L. Johnson DVM MS, Dianne Dunning DVM MS
By Ann L. Johnson DVM MS, Dianne Dunning DVM MS
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Extra resources for Atlas of orthopedic surgical procedures of the dog and cat
CHAPTER 16 I N T R A C A P S U L A R S TA B I L I Z AT I O N O F H I P L U X AT I O N P L AT E 1 6 A Deep gluteal muscle Incision in joint capsule Middle gluteal muscle retracted proximally Vastus lateralis muscle Tensor fasciae latae muscle retracted cranially Biceps femoris muscle retracted caudally Osteotomy of the greater trochanter Tensor fasciae latae muscle (retracted cranially) Superficial gluteal muscle (retracted proximally) Gemelli muscles incised Sciatic nerve Osteotomy of the greater trochanter Vastus lateralis muscle 43 44 PA RT O N E Toggle Pin Stabilization:3 Luxate the femoral head to visually inspect the cartilage surface for damage.
Place the joint through a range of motion to ensure stability and function. Stabilization with the Suture Anchor System: Drill two holes into the craniodorsal aspect of the acetabular rim at the 10-o’clock and 1-o’clock positions. Insert suture anchors threaded with heavy, nonabsorbable suture into each of these holes. Drill and insert a third suture anchor thread with the suture from the acetabular anchors into the trochanteric fossa (Plate 15D). Tie the sutures with the hip at a normal angle of flexion and slight abduction and internal rotation.
Return the patella to its normal orientation within the trochlear groove, and incise the lateral retinaculum and joint capsule from the cupola to the tibial plateau to release the patella and expose the joint. If the cranial sartorius and vastus medialis muscles inhibit patellar alignment, release the insertions of these muscles at the proximal patella. Examine the cruciate ligaments and menisci to check for tears caused by stifle instability, and excise as necessary. Delay closure of the joint until patella alignment and stability are assessed.