Management Plan

We recommend surgery for Titan because sheÕs a young dog and 
intermittent patellar 
luxation can cause degenerative changes in the articular cartilage 
of the stifle over time.  
This is a Grade II patellar luxation because of the intermittent, 
non-weight bearing 
lameness noted.  Because of the luxation, the femur and stifle are 
subjected to abnormal 
forces upon flexion/extension.  The goal of the surgery is to 
realign the extensor 
apparatus.  Commonly a combination of surgical techniques may be 
used Ð a tibial crest 
transposition and release of the medial joint capsule. 

Tibial Tuberosity Transposition
The cranial tibial tuberosity is removed and realigned relative to 
the medial trochlear 
groove.  This is secured with Kirschner wires.

Release of the Medial Joint Capsule
Our patient may have a thicker than normal and contracted joint 
capsule.  The clinical 
sign indicative of this was the medial buttressing.   The joint 
capsule is incised, allowing 
lateral placement of the patella. 

Post Surgical management Plan
Rest for six weeks post surgery.  Reassessment of orthopedic 
function and radiographic 
reevaluation at that time.  Administer Rimadyl PO during healing.  
Limit activity (ie 
separate) from other family dog for the six week time period.