Medial Patella Luxation Surgery
Many pets with kneecap dislocation benefit from surgery. The key types of surgery which may be required include:
Tibial Tuberosity Transposition (TTT)
The aim of this surgery is to move a small piece of bone (the tibial tuberosity) at the top of the shinbone that is attached to the kneecap and reposition it so that the kneecap is correctly aligned with the groove in the thighbone. The bone is most often reattached with one or two small pins and wire, also known as quadriceps realignment surgery.
Patella Groove Deepening Surgery (Sulcoplasty)
If required, this can be done by removing a block or wedge of bone and cartilage from the groove, deepening the base, and replacing the block or wedge. This makes the groove deeper while preserving its smooth cartilage surface.
Soft Tissue Tightening (Lateral Imbrication)
This involves tightening the lax connective tissue on the outer aspect of the patella to prevent the kneecap from moving medially.
Distal Femoral Osteotomy Surgery (DFO)
This involves changing the shape of the deformed thighbone by cutting it just above the knee and stabilising it in a new position with a bone plate and screws. This may be all that is needed to prevent the kneecap dislocating. However, additional procedures, such as a tibial tuberosity transposition, may also be required.
Medial Patella Luxation Surgery Package
| Unilateral Package Cost (inc VAT) | Bilateral Package Cost (inc VAT) | |
|---|---|---|
| TTT * < 20kg | £3300 | £4800 |
| TTT * 20 - 40kg | £3500 | £5000 |
| What's Included | ||
|
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Should a DFO be required either in addition to or in place of a TTT, an additional £1000 will be added to the relevant section above.
Concurrent Conditions
All fixed-price packages include the surgery required to treat a single, commonly diagnosed clinical condition. Should the clinical condition be more complex (e.g., cruciate disease and concurrent medial patella luxation), or should the patient have medical co-morbidities (e.g., BOAS, diabetes, heart disease, hypothyroidism, etc), a supplemental charge may be applied.
Advanced Imaging
This package includes either radiographs or a single-area CT scan based on the surgeon's individual assessment of each patient. Additional CT scans conducted at the time of MPL treatment for other non-related conditions are not included and will be charged in addition to the package price.
Surgical Guides
There will be an additional charge if a bespoke 3D-printed surgical guide is required for a femoral osteotomy surgery.
Terms & Conditions
Post-op pain relief and antibiosis (if required) will be prescribed for up to 14 days. Any further prescriptions from Kentdale Vets will be payable. At the surgeon's discretion, a 14-day supply of anti-anxiety medication may be included in addition to the above to aid with restricting your pet while recuperating. Hospitalisation prior to surgery is only included if this is deemed necessary by the surgeon and is limited to a maximum of 24 hours.
Hospitalisation for longer than 48 hours post-op will be payable at our standard fees. Initial physiotherapy guidance will be given at discharge; however, further sessions are not included in the package price. Should the patient be considered high-risk for anaesthesia or require critical care, additional fees will be payable. Complications can happen with any surgical procedure, and any treatment outside of the package price is chargeable and will be fully discussed with you should this become necessary.
