Orthopaedics

Fracture Repair

Selected basic fractures in young pups and kittens can be effectively managed with splints and casts provided care is taken to prevent rub sores from developing and the vet is sure that the bone will heal. More complex fractures and those that occur in large and older dogs are best referred to a specialist surgeon for surgical repair. Specialists have expertise, more experience, better equipment and trained assistants. You are able to request referral to a specialist from your regular vet. It is important to appreciate that each and every fracture is slightly different and that each patient is different in terms of their size, activity and their healing capacity.

 

Joint Reconstruction

Cruciate ligament rupture is the most common cause of hindlimb lameness in dogs. Dr Chris Preston was the first Melbourne specialist to perform the popular TPLO technique. This procedure is the most advanced reconstructive technique available to allow return to high levels of ability. We also offer reconstructions for medial patellar luxation, of seen in both knees in smaller dogs. If you have financial limitations, you can explore having a PESC resident-in-training assist with your pet as we can offer competitive packages.

 

Joint Replacement

Hip replacement surgery has been available for many years and represents a reliable way to treat disabling arthritis and restore pain free ball-and-socket function in all sized dogs. The surgery requires expertise and experience with a range of pathologies and patient sizes. Dr Chris Preston is regarded as Melbourne’s leading joint surgeon with experience over twenty years with hip replacements surgery. We are currently using cementless titanium implants . PESC can also offer elbow resurfacing and total knee replacement surgery.

 

Intraoperative Fluoroscopy

We have a high quality mobile fluoroscopy unit for minimally invasive orthopaedic surgery which allows many fractures in puppies and kittens to be repaired closed without the need to make an incision. This is common in ‘human orthopaedic surgery’ and greatly reduces the pain and complications. The unit delivers x-rays, just like a stationary machine. The semicircular arm is referred to as a ‘C-arm’ and the orientation of this arm can be changed to allow imaging in any position. Radiolucent patient tables (x-ray transparent) allow us to image through the table. The use of intraoperative imaging allows optimal placement of surgical implants and reduces the postoperative complication rate.

 

Arthroscopy

Keyhole joint surgery is available for dogs but requires expertise. The techniques are difficult due to the small size of the telescopes (2.3mm, 2.7mm & 4.0mm) and the small size of most canine joints. Dexterity and skill are required. Additionally the equipment is expensive. However, the advantages for your pet are immense with improved visualization of structures and no wound to lick at or chew. Most dogs are discharged the day of surgery and do not require overnight hospitalization. We record the representative part of the procedure and play it back to you at discharge so you are fully informed of the cause of the lameness.