Our Vetriver Veterinary Clinic, which was opened in 1998, offers treatment for musculoskeletal conditions in animals, both on an outpatient and inpatient basis. Orthopedic surgery for dogs and cats aims to help pets regain their mobility following injuries and surgeries. We also provide treatment for animals with musculoskeletal conditions. Our veterinary clinic offers diagnostic assessments to determine the cause of your pet’s health problems and then prepares a plan for their orthopedic treatment.
Our facility receives pets with various conditions (from minor injuries to serious injury-related damage requiring surgical intervention or long-term orthopedic treatment). The treatments we offer include IRAP, TTA Rapid, and other, with the type of treatment always adjusted to the type and severity of the given ailment. Orthopedic treatment in pets starts only after we obtain a thorough history from the owner to determine the possible causes and the duration of the ailment.
1. Hip dysplasia
An imperfect fit between the head of the femur (hip bone) and its socket, as well as any shifting or dislocation in the hip joint are the most common consequences of hip dysplasia. This condition is classified as hereditary, which means it is passed down to offspring. However, recent studies showed that environmental factors may also contribute to hip dysplasia development. Signs of hip dysplasia include stiff gait, reduced mobility, being more careful when sitting down and lying down; problems walking up the stairs or jumping into a car.
2. Elbow dysplasia
Dysplasia of the elbow joint is a combination of three defects, leading to joint inflammation and degeneration. Although elbow dysplasia is mainly due to genes, diet and physical activity also play a role in the development of this condition. The first signs of elbow dysplasia appear in puppyhood and they include unsteady gait, pain in the elbow joint, difficulty moving and walking, reduced physical activity, altered running gait.
3. Aseptic femoral head necrosis
Insufficient blood supply to the head of the femur (or thighbone) is the main cause of Legg-Calve-Perthes disease, otherwise known as aseptic femoral head necrosis. This condition requires orthopedic treatment. The affected bone tissue starts to die and the necrotic foci in the ossification centers of the femoral head and neck disrupt bone formation and remodeling processes. Over time, the femoral head becomes flattened and deformed. This condition most commonly affects young, small-breed dogs while they are still growing and manifests typically with one-sided limping and a shortened leg already at the age of 4–7 months.
4. Patellar luxation (kneecap dislocation)
Shifting of the kneecap inward or to the side beyond the femoral trochlea (part of the thighbone) is commonly known as kneecap dislocation. This condition can affects all dog breeds but is most common in small-breed dogs. The problem may affect one or both stifle (or knee) joints. Patellar luxation is most common between the age of 2 and 6 months, when the pup begins to be more physically active. If the condition is mild, the signs (e.g. a slight change in gait) may be difficult to notice, while severe patellar luxation is accompanied by pain, swelling, and increased warmth in the affected area.
5. Patellar fracture (broken kneecap)
The patella (kneecap), which is a small flat bone, forms the stifle (or knee) joint together with the femur (thighbone) and the tibia (shinbone) and plays an important role in the animal’s locomotion. Intense physical activity or an accident may cause patellar fracture, which causes severe everyday discomfort and pain. Also, some dogs with weaker bones may be genetically predisposed to patellar fracture. The most common signs indicating this condition are stifle (or knee) joint swelling and pain and reluctance to move. This is when you should quickly take your dog to a veterinary clinic.
6. Bone fractures
One of the most common reasons behind visiting a veterinary orthopedic surgeon is a fractured (or broken) bone. Bone fractures may result from a serious accident or aggressive dog fight. During puppyhood, when the dog is still growing, fractures may occur during excessively intense running. If bone fractures happen often, the dog may be suffering from a serious condition, such as a degenerative disease or bone cancer. The most common signs of fracture are localized swelling and pain. There may also be evident problems with walking, and in some cases the dog practically completely stops moving around.
7. Joint dislocation
Joint dislocation in dogs and cats happens when one bone slips out of its socket. Joint dislocation may be congenital, when the animal is already born with the condition, or it may be acquired. A dog or a cat may suffer a dislocated joint as a result of an accident but it can also happen during play. The most common sign of joint dislocation is when the animal avoids putting weight on the affected leg. An orthopedic surgeon examines the dog to determine the site and cause of the problem and suggests a method of treatment.
Osteoarthritis is a result of damaged cartilage. This condition may result from injuries, be idiopathic (i.e. due to unknown factors), or develop as the animal ages. The problems worsen in the case of overweight, which excessively strains joints. In dogs, osteoarthritis may manifest as reluctance to go for walks, run, and jump, or in the form of a careful gait. Affected cats tend to sleep for longer periods. Orthopedic treatment for dogs and cats includes the use of IRAP.
9. Cruciate ligament tears
Cruciate ligament tears are a more common problem in dogs than in cats. A ruptured, or torn, ligament manifests mainly with limping but also an overly bent and swollen stifle (knee) joint. This condition may be due to sudden mechanical injury and rupture or chronic degenerative changes. Cruciate ligament tears require surgical intervention. One of the methods used is TTA Rapid or tibial tuberosity advancement. This technique involves surgical placement of a titanium implant, which improves joint stability.
10. Spine conditions – surgical and conservative treatment
Reluctance to play, apathy, a lowered head stance, limping in front legs, lack of appetite, and a tucked tail are only a few of the signs indicating possible problems with the spine. Although spine problems most commonly affect older or ageing pets, some breeds may be more predisposed to developing spine conditions. The most common problems of the spine include intervertebral disc disease, which is a result of what is commonly known as a ‘slipped’ disc but more precisely involves intervertebral disc bulging, shifting or rupture. This condition requires surgical treatment.
Conservative (or non-surgical) treatments involve the use of subarachnoid or epidural injections (Interleukin-1 Receptor Antagonist Protein-based treatment, known as IRAP I and IRAP II)
11. Paresis (weakness) and paralysis
Pets may suffer from neurological conditions that may manifest as leg weakness or even paralysis. These problems may be caused by intervertebral disc disease or spondylosis. In our clinic we also see cases associated with the so-called lumbosacral stenosis, or cauda equina syndrome, which manifests with wobbly hind legs and stool incontinence. Paresis (weakness) and paralysis may also occur in dogs, cats, and other animals as a result of injury. Such conditions are an indication for orthopedic surgery. At our clinic we use a novel therapy for cauda equina syndrome, which involves epidural administration of IRAP I and IRAP II.
12. Skin lesions and organ tumors
Our veterinary clinic offers surgical procedures to remove skin growths and organ tumors. Cancer in dogs, cats, and other animals is always a very complex issue. It requires careful monitoring as well as accurate diagnosis and treatment that are adjusted to the type and stage of cancer. While tissue sampling and microscopic examination may be necessary, the first-line assessments in the case of internal organ tumors are X-ray and ultrasound imaging as well as laboratory tests.
13. Cervical vertebral instability
Stability of the spine is mainly determined by the condition and location of its ligaments. Damage to spinal ligaments may cause cervical vertebral instability. This condition manifests with neck pain, abnormal gait, and leg weakness or even paralysis. The key aim in treating cervical vertebral instability is distraction and stabilization of the cervical spine. In our clinic this type of conditions are treated with surgery.
14. The surgical techniques we use are: tibial tuberosity advancement (TTA), TTA Rapid, tibial plateau leveling osteotomy (TPLA), sliding humeral osteotomy (SHO), canine unicompartmental elbow (CUE) arthroplasty, tibial tuberosity transposition (TTT), Flo’s lateral suture technique, proximal abducting ulnar osteotomy (PAUL), femoral head osteotomy (FHO)
Contact us via phone: 22 721 00 75 or e-mail: lp.revirteviksal
ul. 3-go Maja 89, Warszawa - Laski
ul. Warszawska 236, Warszawa - Latchorzew, 05-082 Stare Babice