Updates; mini-THR, ALPS

48 Pages·2013·7.94 MB·English

KYON Symposium 2013
Innovations in Veterinary Orthopedics and Trauma
Boston, USA - April 12 - 14

Friday, April 12th
New Prospectives in the
19:00 Welcome Reception

Treatment of Hip Dysplasia

Saturday, April 13th
07:00 Registration
07:50 Welcome and meeting organization
Aldo Vezzoni, DVM, Dipl. ECVS, Cremona, Italy

[email protected] 15’
Session 1 – STIFLE
Wednesday, April 24, 13
08:00 Ultra-CL – Arthroscopic Application: Michael Bauer
08:10 Ultra-CL – Research: Juan Pu
08:20 LESS – Research & Clinical Application: Otto Lanz
08:30 TTA-2 – Introduction: Slobodan Tepic
08:40 TTA-2 – Clinical Experience: Joop Hopmans
08:50 TTA-2 – Research: Krista Adamovich
09:00 TT-Crown – Research & Clinical Experience: Zoran Lonĉar
09:10 TT-Crown – Clinical Experience: Simone Niederhäuser
09:20 TT-Crown – Clinical Experience: Hugh Davis
09:30 DISCUSSION
moderator: Andy Torrington
participants: STIFLE session speakers

10:00 Coffee break & BREAKOUT SESSION 1
Session topics and facilitators are listed below.

Session 2 – LANDSCAPES: BUSINESS
11:30 A Family Practice: Randy Acker
11:45 A Distinctive Business Model: Denny Aron
12:00 A Specialty Clinic: John Stephan
12:15 Franchise Operations: Dave Gersholowitz
12:30 DISCUSSION
moderator: Preston Stubbs
participants: LANDSCAPES: BUSINESS session speakers

13:00 LUNCH

Session 3 – LANDSCAPES: SURGICAL INFECTION
14:00 Microbiology and Minimizing Clinical Risk: Scott Weese
14:30 THR – Clinical Experience: Aldo Vezzoni
14:45 Internal Fixation – Clinical Experience: Ayami Nojiri
15:00 DISCUSSION:
moderator: Ursula Krotscheck
participants: LANDSCAPES: SURGICAL INFECTION session speakers

15:30 Coffee Break

! 1!
CANINE HIP DYSPLASIA
Key points
! CHD is a progressive diseases that develops during the
skeletal growth …... and it always worsens during life
Ferry, GSD, 5 mo. 15 mo. 7 yrs.
Wednesday, April 24, 13
CANINE HIP DYSPLASIA
Key points
! Early treatment, before OA development
‣ JPS
‣ DPO
! Late treatment, after OA development and progression
‣ THR
‣ All size dogs
Wednesday, April 24, 13
Disease modifying surgeries (JPS,DPO)
! Surgeries that modify hip biomechanics and development
in growing dogs
! To stop the subluxation tendency
! To restore hip congruity and save the joint from OA
! Before OA progression (narrow time window)
! Early diagnosis
Wednesday, April 24, 13
Disease modifying surgeries (JPS,DPO)
! Narrow time window
OA
> DAR
laxity
+ OA
> DAR
laxity
1 2 3 4 5 6 7 8 9 10 11 12
time
(months)
Wednesday, April 24, 13
Early treatment to modify CHD development
Surgical treatment:
! Juvenile Pubic Symphysiodesis (JPS)
" Mathews, Dueland, Patricelli et al., 1999-2001
" 3 - 5 months of age (breed variations)
" Selected indications, no clinical signs
" Preventive treatment
Wednesday, April 24, 13
JPS Surgical treatment
Before JPS After JPS
Dueland T et al. Effects of Pubic Symphysiodesis in Dysplastic Puppies. Veterinary Surgery 30:201-217, 2001
Wednesday, April 24, 13
JPS Surgical treatment
PELVIC GROWTH
Best potential residual
growth:
! 12-17 weeks
! 22%+8%
Riser’s radiographic pelvic growth study from birth to 52 weeks of age.
Wednesday, April 24, 13
JPS Surgical treatment
Results minor moderate major
Group 1 - JPS
60
45
30
15
Grade A 0
Grade B
Grade C
Grade D
Grade E
A. Vezzoni et al.: JPS versus conservative management in puppies with CHD VCOT 3/2008; 267-279
Wednesday, April 24, 13
JPS Surgical treatment
minor moderate major
Results
Group 2 - Conservative
80
60
40
20
Grade A 0
Grade B
Grade C
Grade D
Grade E
A. Vezzoni et al.: JPS versus conservative management in puppies with CHD VCOT 3/2008; 267-279
Wednesday, April 24, 13