Dr. Andrew Sloyer and Dr. Klint Hockenberry perform orthopedic surgery with the most common procedures being repair of ruptured anterior cruciate ligament (ACL) and repair of the luxating patellas (dislocated knee caps) .
Dr. Sloyer performs the Tibial Tuberosity Advancement Technique for dogs, especially dogs over 60 lbs in weight. This procedure involves an osteotomy and metal implants. The dogs return to normal function more quickly and the success rate is higher than the lateral suture in larger dogs. However, both our surgeons continue to perform the lateral suture technique for small, medium, and large dogs.
Tibial Tuberosity Advancement is an orthopedic procedure to repair deficient cranial cruciate ligaments in dogs. This procedure was developed by Dr. Slobodan Tepic and Professor Pierre Montavon at the School of Veterinary Medicine, University of Zurich, in Zurich, Switzerland beginning in the late 1990s.
The cranial cruciate ligament in dogs, provides the same function as the anterior cruciate ligament in humans. It stabilizes the knee joint, called the stifle joint in quadrupeds, and limits the tibia from sliding forward in relation to the femur. It is attached to the cranial (anterior) medial side of the intercondylar notch of the tibia at one end and the caudal (posterior) side of the lateral femoral condyle at the other end. It also helps to prevent the stifle (knee) joint from over-extending or rotating.
Trauma to the equivalent ligament in humans is common, and damage most frequently occurs during some form of sporting activity (including football, rugby, and golf). The nature of the injury is very different in dogs. Rather than the ligament suddenly breaking due to excessive trauma, it usually degenerates slowly over time, rather like a fraying rope. This important difference is the primary reason why the treatment options recommended for cruciate ligament injury in dogs are so different from the treatment options recommended for humans.
In the vast majority of dogs, the cranial cruciate ligament ruptures as a result of long-term degeneration, whereby the fibres within the ligament weaken over time. We do not know the precise cause of this, but genetic factors are probably most important, with certain breeds being predisposed (including Labradors, Rottweilers, Boxers, West Highland White Terriers, and Newfoundlands). Supporting evidence for a genetic cause was primarily obtained by assessment of family lines, coupled with the knowledge that many animals will rupture the cranial cruciate ligament in both knees, often relatively early in life. Other factors such as obesity, individual conformation, hormonal imbalance and certain inflammatory conditions of the joint may also play a role. Uncorrected cranial cruciate ligament deficiencies have been associated with meniscal damage and degenerative joint diseases such as osteoarthritis.
TTA is a surgical procedure designed to correct cranial cruciate ligament deficient stifles. The objective of the TTA is to advance the tibial tuberosity, which changes the angle of the patellar ligament to neutralize the tibiofemoral shear force during weight bearing. A microsaggital saw is used to cut the Tibial Tuberosity off then a special stainless steel cage is used to advance the tibial tuberosity. A stainless steel plate is sued to hold the tibial tuberosity in position. By neutralizing the shear forces in the stifle caused by a ruptured or weakened cranial cruciate ligament, the joint becomes more stable without compromising joint congruency.
TTA appears to be a less invasive procedure than some other techniques for stabilizing the deficient cranial cruciate ligament such as Tibial Plateau Leveling Osteotomy and Tibial Wedge Osteotomy, as TTA does not disrupt the primary loading axis of the tibia.
When the ACL tears in your pet’s knee, the tibia is able to slide forward when your pet stands on the leg, which is normally constrained by the torn ligament. This is very painful and causes arthritis in the joint. TTA works by changing the way the quadriceps muscle (the large muscles on the front of the leg) pull on the tibia. After a TTA, the muscle pulls the tibia back into its normal position when your dog stands on the leg.
Benefits of TTA:
The first step in the process would be to schedule an orthopedic consult appointment. X-rays may be brought along to this appointment, or digital x-rays can be done at our hospital. We will also do pre-
op blood work at this appointment.
We are proud to announce our 2015 Father’s Day Pet Photo Contest.
Photos will be uploaded to our Facebook Page on Monday, June 15. It is not too late to enter, photos may be emailed to firstname.lastname@example.org.
The photo that receives the most “LIKES” on Facebook by Friday, June 19 (12 noon) will win a gift basket full of goodies for Dad and his fur child. The winner will be announced on Friday, June 19 after 12 noon.
Please only 1 entry per family.
Some of the entries:
The Pet Pantry of Lancaster is having their 3rd annual Proud Pet Weekend in Rothsville (near Lititz).
This event is Saturday and Sunday (June 13 and 14). Saturday is 10am to 3pm and Sunday is 1pm to 5pm.
Lancaster Polo Club, Forney Field, 70 Church Road, Lititz/Rothsville
Doggie Kissing Booth
Field of Fortune
Fly Ball Demos
And MUCH MORE!!
Visit the Neffsville Veterinary Clinic booth and spin our prize wheel!!!
Our goal at Neffsville Veterinary Clinic is to educate pet owners so they can make the best choices for their pets.
There are several choices of flea and tick preventatives available to pet owners today. With a serious flea and tick season predicted, which product is best for your pet? Many pet owners try to save money and purchase their flea and tick protection at their local big box stores. Big box store products are not the safest nor the most effective and NOT the cheapest either.
You will see packs of flea and tick preventative that says “SAME ACTIVE INGREDIENT AS…”, so this must mean it’s safe and effective right? — Not Necessarily!! While these products do include some of the same ACTIVE ingredients, the proportions of the ingredients may NOT be the same. Sometimes only 1 of the 2 ingredients may be included, or the product’s soluble “carrying vehicle” may be inferior.
With tough economic times, it is understandable that pet owners want to save money on pet products. We have treated numerous pets with burns on their skin or neurologic problems from the use of low-quality flea and tick products. Unfortunately, in some cases, these pet owners ended up having major medical expenses for their pets that had acute, sometimes life-threatening, reactions to these poor-quality products.
Our doctors have chosen the flea and tick preventatives listed below as the best and safest products for your pet. The benefits of purchasing from us are:
The Products we offer and recommend:
Protection: Fleas, Chewing Lice, Ticks (Deer Ticks, Brown Dog Tick, American Dog Tick, Lone Star Tick)
$14.76 to $15.27 per dose (Rebates: $5.00 on 3 doses)
Applied topically every 30 days
Starts working in 5 minutes!!
Protection: Fleas, Ticks (Deer Ticks, Brown Dog Tick, American Dog Tick, Lone Star Tick)
$49.92 per dose (ONLY $16.64 per month) (Rebates: $15.00 on 2 doses and $35.00 on 4 doses)
Flavored Chewable Tablet given every 90 days
Starts working in 2 hours
Protection: Heartworm, Fleas, Hookworms, Roundworms, Ear Mites
$16.58 to $19.01 per dose (Rebates: Buy 6 doses, get 2 doses free — Buy 9 doses, get 3 doses free)
Topical applied every 30 days
Protection: Fleas, Chewing Lice, Ticks (Deer Ticks, Brown Dog Tick, American Dog Tick, Lone Star Tick)
$11.30 per dose (Rebates: $5.00 on 3 doses)
Topical applied every 30 days
**Prices are subject to change
Some local lodging, grooming, and training facilities have temporarily closed down because of outbreaks of Canine Infectious Tracheobronchitis. Clients are frequently inquiring about Canine Influenza, especially the new Asian strain. We would like to educate our clients on how to keep their pets safe from these two very prevalent diseases that are frequently discussed in the media.
Canine Infectious Tracheobronchitis is also known as kennel cough. This respiratory disease is highly contagious. Dogs that go to a grooming facility, lodging facility, dog park, or participate in any other activities that include close contact with other dogs are at risk for this disease. Symptoms can last up to 2 weeks and include a dry cough, lethargy, appetite loss, and fever. The best ways to keep your dog safe are by preventing exposure and vaccinating every 6 months. While vaccinating will not provide 100% protection for every strain of Infectious Tracheobronchitis, it will significantly decrease the risk of your dog contracting this aggravating disease. Canine Infectious Tracheobronchitis is usually treated with antibiotics and a cough suppressant and in most cases dogs will make a 100% recovery.
Canine Influenza (also known as the dog flu), is a relatively new disease that has affected thousands of dogs in the United States. Canine Influenza is a highly contagious disease in dogs caused by a specific influenza viruses. Just like the Canine Infectious Tracheobronchitis, Canine Influenza is a risk to any dog that goes to grooming facilities, lodging facilities, dog parks, or participates in other activities that include close contact with other dogs. The signs of Canine Influenza can include sneezing, coughing, runny nose, nasal discharge, and fever. The best way to keep your dog safe is by preventing exposure or vaccinating. The Canine Influenza Virus Vaccine is highly effective against the American strain, but the degree of cross-protection against the new Asian strain is unknown at this time.
We encourage pet owners to contact us if their dog exhibits any symptoms of these 2 diseases.
For the safety of our patients, we require the Canine Influenza Virus Vaccine as well as the Bordetella (Kennel Cough) vaccine for any dogs in our lodging or grooming facilities.
Written By Leanne Welch, Client Relations Specialist
What are Roundworms?
Roundworms are the most common intestinal parasite found in cats and dogs. Roundworms are parasites that live in and eat off of the intestines. They are usually white/light brown and look like spaghetti. Almost all dogs and cats become infected with roundworms at some point in their lives, usually as puppies and kittens.
How will I know if my pet has Roundworms?
Some pets do not show symptoms of an infection. You may notice a “potbelly” appearance and diarrhea. Some other symptoms include weakness, vomiting, stomach pain, weight loss and a dull coat. You might see roundworms in your pets stool/vomit. A fecal analysis (a test of the stool) is the best way for your veterinarian to diagnose a roundworm infection and an important part of your pet’s annual exam.
How did my pet get Roundworms?
Animals that are already carrying roundworms shed the eggs in their feces, other animals become infected after coming in contact with the contaminated feces. Puppies and kittens can be born with roundworms if their mother is a carrier; larvae can develop during pregnancy and move from the placenta into the fetes. Roundworm larvae can also enter the mother’s mammary glands and be passed to puppies and kittens through her milk.
Is my family at risk?
Although uncommon, it is possible for humans to have a roundworm infection (Toxocariasis). You or your children can develop Toxocariasis by accidentally swallowing contaminated dirt/feces. Many people who are infected do not show symptoms. Toxocariasis is more likely to develop in young children since they often play in or eat dirt. It is very important to practice strict hygiene to protect yourself. Be sure to wash your hands after playing with your pets, after outdoor activities and before handling food. The CDC (Centers for Disease Control & Prevention) recommends cleaning your pets living area thoroughly once a week. Feces should be bagged and disposed in the garbage right away. Toxocariasis is difficult to diagnose because the symptoms are so similar to other medical problems. A blood test is available that checks for evidence roundworm larvae. If you think you or your child may have come in contact with roundworms or for more information please contact your Family Physician.
How can I protect my dog against Roundworms?
The best way to treat and control Roundworms is by using a monthly de-worming treatment, such as Sentinel Spectrum. Sentinel Spectrum also protects dogs against heartworms, tapeworms, whipworms and hookworms.
How can I protect my cat against Roundworms?
The best way to treat and control Roundworms in cats is by using a monthly de-worming treatment, such as Revolution. Revolution also protects cats against fleas, heartworms, hookworms and ear mites.
To order Sentinel Spectrum or Revolution please contact Neffsville Veterinary Clinic (717) 569-5381.
The Centers for Disease Control and Prevention (CDC)
American Animal Hospital Association (AAHA)
Companion Animal Parasite Council (CAPC)
Pyometra is a life-threatening infection of the uterus. Pyometra only occurs in intact (not spayed) female dogs. By 9 years of age two-thirds of bitches have changes to their uterine lining that allow for pyometra to develop. Pyometra can lead to sepsis (bacteria in bloodstream), kidney failure, and liver failure. Treatment of pyometra is surgical ovariohysterectomy (spay). However, the surgery is much more difficult, risky, and costly compared to spaying early in life.
May is Adopt a Pet Month. When you are considering adding a new member to your family, please consider adoption.
Each year, an estimated 3-4 million animals waiting in shelters for someone to give them a safe, loving home never find a hero to adopt them and tragically are euthanized.
If you are thinking about getting a dog or cat, be a hero and consider adopting from your local shelter or rescue group. You will be saving a life and greatly improving yours.
Remember, saving one dog or cat may not change the world, but for that one dog or cat the world will change forever.
Cancer is an uncontrolled growth of abnormal cells and is the leading cause of death in companion animals. As with people, we don’t know exactly what causes each type of cancer to occur, but there are certain genetic and environmental factors that influence the growth of abnormal cells. It seems more people have either had one of their own pets or know someone that has had a pet diagnosed with cancer. Keep in mind there is a larger population of geriatric dogs and cats due to advances in health care which allow them to live longer. Also, our ability to detect cancer with radiographs (X-Rays), ultrasound and blood work has led to the next step in treatment options like surgery and chemotherapy.
Early detection of cancer is our best hope for successful treatment. Early warning signs that pet owners can be watching for include:
Remember you know your pet best! If you think your pet is having any of these symptoms or they are not acting normal, please have your pet seen by your veterinarian. The first step to diagnosing cancer is a thorough history and physical exam. Blood work, radiographs, and ultrasound are all tools to help “stage” or get the big picture of where and what the cancer is doing, and what course of action is best. In addition, your veterinarian may recommend a consultation with a veterinary oncologist (cancer specialist) to discuss additional treatment options like chemotherapy and radiation.
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