ACL Surgery - Page One | Home Page
  11. The forcep is holding the part of the ligament that has torn free of the femur. Notice how thick it is.
12. Once the torn pieces are removed, the joint is flushed to remove any remaining particles and blood clots.
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  13. This is the inside of the joint. The meniscus (cartilage), is examined. In many cases, the medial meniscus is also torn and must be removed. You can also see the place the anterior cruciate ligament (ACL) should have attached.
14. The joint capsule is then closed.
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  15. The large nylon suture is then brought together and Securos clips are placed to help with tightening.
16. The clips are in place; note the middle clip has both ends of the suture crossing through it.
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  17. A special instrument is then used to tighten the suture to the proper tension to mimic the torn ACL.
18. Notice how far the clips are apart now.
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  19. A special instrument is then used to crimp and tighten the middle clip. This securely holds the suture without a large knot. This is more comfortable for the patient as it remains in the body. The other two clips are snipped off.
20. The fascia (muscle layers) are imbricated which means tightened. This will add additional support to the knee.
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  21. Bupivicaine, a pain reliever, is injected into the joint to assist with postoperative comfort.
22. The subcutis (area under the skin) is closed.
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 23. Then the skin is closed.
Post-operatively, we apply a temporary compression bandage to support the knee and help reduce swelling. Rehabilitation is started immediately with icing of the knee as well as range of motion exercises. Rehabilitation makes a large difference in the outcome of the surgery and the speed at which the dog will return to pain free use of his leg. Instructions specific to the needs of each pet are sent home with the family of the patient.
ACL Surgery - Page 1
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Veterinary supervision is vital to the health of your pet. Whitney Veterinary Hospital assumes no liability for injury to you or your pet incurred by following these descriptions or procedures.
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