-At FWPH we offer repair for "uncomplicated" patellar luxations.
+Pets that fall into this category are those that have:
>Grade II or less luxation
>Ability to hold the patella in place while performing ROM without major tension.
>Appropriate placement of the patellar ligament insertion into the tibial tuberosity.
>Non-significant femoral curvature.
+Pets that have one or more of these - would best be served seeking a consultation and potential surgery with a board certified orthopedic surgeon as more cutting of bone/re-aligning ligament insertion/etc is needed.
-Dr Seth performs a technique that generally involves 2-3 steps:
+Check the patellar groove to ensure that it has appropriate depth, and deepen it if needed.
+Loosen the overtightened fascia/tissue on the inside of the knee over-pulling on the patella.
+Tighten the floating patella/ligament to the appropriate place using surgical steel suture.
-The surgery is not fail safe as the success depends upon the appropriate creation of scar tissue to keep the patella from sliding in and out again.
+However most pets that are appropriately subdued and activity kept to a minimum for the 6-8 weeks after surgery have done very well.
>Those pets who have for one reason or another failed to produce appropriate scar tissue or re-injured the healing leg - a second surgery to repeat the procedure has had close to100% success in the past.