Hi Doctor. Thanks for this informative video. When my dog was initially diagnosed with a CrCL tear I couldn't find the info I needed online to know which questions to ask or which path to take. I certainly wouldn't have known back then to look for videos like yours. In my opinion, a video like this can be beneficial for dog owners that want to know the steps their chosen surgeon has taken to ensure a smoother, more well planned procedure. I've immersed myself into learning about this topic at a deeper level and have some questions. Please forgive my lack of surgical understanding and how it affects the questions I ask as I'm not in the veterinary field. You mention at 3:14 that you look to achieve a post-op TPA of around 4 or 5° ideally and the final measurement was 7.9°. It's vastly better than the steep pre-op angle, but when you're in surgery how is rotation measured to help you achieve the angle you aimed for using the software planning? My next question is about planning for any of the osteotomy procedures. Do all (or a majority of) vets use software to plan ahead of time or do some perform procedures and make decisions when the dog is being operated on? My final question ties into the last one. Some vets tell clients, " Your dog will get either a TTA or TPLO depending on what I see when I get into the joint." With the detailed planning I see in your video, it doesn't make sense that they wouldn't know ahead of time which procedure would be most appropriate for their patient. Thanks in advance for answering.
thanks alot for sharing,James, the post CrCd ray, I found a small gap between proximal bone and plate just above the perpendicular cut line, how dose it happen? and is that a big issue for recovery? looking forward to your reply, thx
Great question. The gap is not an issue because this type of plate has all locking screws in the proximal segment. Locking plates don't rely on contact with the bone and friction between the bone and the plate for stability.
Hi James thanks alot for sharing pre and post op TPLO planning and assessment. Looking forward to learn more on TPLO. Cheers, John.
great channel for vet students. thank you for sharing this videos.
Our pleasure!
the best veterinary educational channel in youtube!
Hi Doctor. Thanks for this informative video. When my dog was initially diagnosed with a CrCL tear I couldn't find the info I needed online to know which questions to ask or which path to take. I certainly wouldn't have known back then to look for videos like yours. In my opinion, a video like this can be beneficial for dog owners that want to know the steps their chosen surgeon has taken to ensure a smoother, more well planned procedure. I've immersed myself into learning about this topic at a deeper level and have some questions. Please forgive my lack of surgical understanding and how it affects the questions I ask as I'm not in the veterinary field. You mention at 3:14 that you look to achieve a post-op TPA of around 4 or 5° ideally and the final measurement was 7.9°. It's vastly better than the steep pre-op angle, but when you're in surgery how is rotation measured to help you achieve the angle you aimed for using the software planning? My next question is about planning for any of the osteotomy procedures. Do all (or a majority of) vets use software to plan ahead of time or do some perform procedures and make decisions when the dog is being operated on? My final question ties into the last one. Some vets tell clients, " Your dog will get either a TTA or TPLO depending on what I see when I get into the joint." With the detailed planning I see in your video, it doesn't make sense that they wouldn't know ahead of time which procedure would be most appropriate for their patient. Thanks in advance for answering.
Great video. Thanks!
thanks alot for sharing,James, the post CrCd ray, I found a small gap between proximal bone and plate just above the perpendicular cut line, how dose it happen? and is that a big issue for recovery? looking forward to your reply, thx
Great question. The gap is not an issue because this type of plate has all locking screws in the proximal segment. Locking plates don't rely on contact with the bone and friction between the bone and the plate for stability.
Excellent material!!! Thank u
You are welcome!