The Moores Orthopaedic Clinic

05/07/2024

Great session today on total hip replacement in cats and dogs. Huge thanks to the programme committee for the invitation to contribute 🙏🏻🙂☀️

26/06/2024

Lovely to see Black Jack back yesterday doing so well 8 weeks after his pancarpal arthrodesis (fusion) 😊. Dogs bounce back from this surgery with really good limb use despite the lack of movement at the carpus.

Thanks to Vets for Pets Andover for referring Black Jack 🙏🙏🙏

21/06/2024

Olive certainly deserved her rosette! She took her total hip replacement surgery this week in her stride, walking on the leg the morning after surgery. Olive had a vey arthritic hip with virtually no cartilage left on the femoral head. Her new KYON total hip replacement will allow her to get back to full activity without hip pain 😊

Take it easy at home Olive!

Thanks to Culverden Vets - Tunbridge Wells, Crowborough and Wadhurst for referring Olive 🙏🙏🙏



Movora
Darlow Rosettes
Freelance Surgical - Veterinary Division

14/06/2024

Almost 20 years ago Andy performed one of the first canine elbow replacements in the UK, on a lovely GSD called Tango (and featured in the BBC1 series ’Super Vets’!). Tango did incredibly well on his new elbow (he died of old age having lived a very active life) but the system we had then was relatively unreliable. We used a different and more reliable system -the TATE Elbow- in the 2010s at Andy’s previous clinic. The TATE was better, but not perfect, with implant loosening being a concern in some dogs. The TATE system has now been completely redesigned and improved and Andy was fortunate to be invited to the first TATE Technology course for the 3rd generation implant in Boston last week, where he became one of a very small number of surgeons worldwide to be certified to perform TATE 3rd gen elbow replacements. Despite the improvements in the implant and the technique elbow replacement remains a challenging technique with a long rehabilitation process. It's certainly not going to be right for every owner or dog. However, for the right case, elbow replacement can offer a good chance of significant improvement in joint function and pain for dogs that would otherwise be permanently uncomfortable. No doubt canine elbow replacement will continue to evolve but it feels like we are heading in the right direction 😊

Movora BioMedtrix

30/05/2024

Humeral condylar fractures can be devastating for dogs and owners. Because they go through the elbow the outcome is very dependent on the expertise and experience of the surgeon. An accurate repair is essential to maintaining normal joint function. We love these fractures and have a huge amount of experience managing them. The fabulous Fergus here had a lateral humeral condylar fracture repaired with a 4.5 transcondylar lag screw and a 2.7 Fusion Implants LEAP plate. Check out the video of Fergus in our story -completely sound with full elbow range of motion 6 weeks after surgery.

Thanks to St Peter's Vets - Petersfield & Liss for referring Fergus 🙏🙏🙏

24/05/2024

Say hello to the very handsome Hamilton, channelling his inner ‘E.T.’ on recovery from surgery this week 😍

21/05/2024

We love long-term follow-up! This handsome old-timer is Spingo and Spingo's owner recently got in contact to let us know how he's doing nine years on from his first TPLO:

"Dear Andy, I hope you are keeping well and your new business is thriving.
You may recollect doing two TPLO's on Spingo, 2015 and 2018. This is an update on how he's been as he approaches his 14th birthday. Until two years ago he was still doing long walks, although not working as a gun dog anymore . Sadly athritis had limited his rear leg comfort but he still manages one to two hours exercise each day. Andy, without your expertise and dedication Spingo would not be as well as he is, so we owe you a BIG thank you!
All the very best to you. Yours Sincerely Maxwell & Spingo"

Thank you so much Maxwell and we hope Spingo has many more days enjoying the the beautiful IOW!

20/05/2024

These femoral neck fractures are very common, most often affecting young male cats such as Bobby here. If a young male cat goes suddenly lame with hip pain, take an x-ray. Don’t ‘wait and see’. When caught early these fractures can be very successfully repaired, as we see here, but if left for more than a week or so then repair is unlikely to be an option (and THR or femoral head and neck excision will be required). We recently saw Bobby back 4 weeks after surgery walking really well and very glad to still have his hip! 😊

🧑‍⚕️**Top Tips**
1. To diagnose take a VD extended and a VD frog-legged x-ray: sometimes the fracture will only be apparent on one or the other view. They're not always as obvious as Bobby's fracture.
2. At surgery, no need to use more than two K-wires in a cat. More than two will cause additional vascular injury to the femoral neck, which you want to avoid.
3. Accurate K-wire placement is critical. You will only get a few mm of pin purchase in the epiphysis. I always place these retrograde from the femoral neck to ensure I get good placement in the neck, then I reduce the fracture and drive the K-wires through the joint surface a fraction before backing them off until the tip is just below the subchondral bone of the articular surface (you can check this visually or by palpation with an instrument such as a Freer elevator).
4. These fractures can often affect both hips -warn the owner!

Thanks to Walkabout Vets for referring Bobby 🙏🙏🙏

14/05/2024

During our time at .worldham last weekend we ran a competition - guess the number of implants in the jar. If you were there and are the lucky winner then you’ll be hearing from us in the next day or two but if you weren’t there, why not have a guess anyway and we’ll post the answer below 😁

10/05/2024

10/05/2024

We're very excited to be at Dogs Day Out in Alton this weekend! The weather is going to be amazing and we can't wait to meet you!

See .worldham for more details.

Who's going?










Grovely Pets Alton




Cedar Vets

09/05/2024

Canine total hip replacement -ever wondered what happens during surgery? Here’s the team in action performing a KYON cementless THR.




Movora Freelance Surgical - Veterinary Division

01/05/2024

How cute is Lulu! 🥰 Lulu came to us recently with a nasty fracture of the pelvis. This was repaired with a 3D-printed titanium FLIP plate from Fusion Implants. Love these anatomic plates for this type of fracture! Take it steady at home Lulu!

Thanks to Seadown Veterinary Group for referring Lulu 🙏🙏🙏

26/04/2024

The gorgeous Cleo came to us this week with a very nasty collection of injuries. Pelvic fractures, bilateral sacroiliac separations, a nasty femoral fracture and a dislocated hip. Her repairs involved stabilising the sacroiliac joint on one side (the other side was pretty stable), 'toggling' the hip and plating the femur. Despite the severity of her injuries her prognosis is good and we all hope she is recuperating well at home now.

Huge thanks to Adelaide Veterinary Centre for referring Cleo 🙏🙏🙏

25/04/2024

Following on from our recent post on Jacob's limb deformity correction, this video shows how the 3D-printed guides help create an accurate correction.

Reposted with permission from and Vet3D

19/04/2024

Jacob has been a star patient! 🤩 He had a severe forelimb deformity, with a large rotational component. Bill at Vet3D provided the 3D-printed guides to allow us to precisely correct Jacob's deformity at surgery. We hope you are recuperating well at home Jacob! 😀

Huge thanks to Vets4Pets Newbury South for referring Jacob 🙏🙏🙏

17/04/2024

Free CPD! It might be tomorrow evening but it's not too late to reserve your place for Andy's HIF talk tomorrow. Our understanding of the aetiology of this condition and our approach to treatment has changed over the past 10 years or so -come and find out how. Get in touch at [email protected] to reserve a place. Vets, nurses and rehab practitioners all welcome, and come and take a look around the clinic at the same time!

15/04/2024

Arthroscopic surgery for elbow dysplasia. In the right hands arthroscopy (key-hole joint surgery) is a low-risk means of removing a fragmented medial coronoid process (as we see here) and improving joint comfort. It’s not an easy technique to learn so choose your surgeon carefully! Andy and Chris have over 30 years of arthroscopy experience between them.

, right elbow, medial portals, 1.9mm scope, Arthrex Vet Systems Synergy

In the last few seconds, note the cartilage erosion on the side of the radial head (middle of the screen, rotating) where the fragment had been impinging on the radius. Better out than in!

Thanks to GKG Vets for referring Ffion 🙏🙏🙏

11/04/2024

Join us for our second CPD evening at the Moores Orthopaedic Clinic on Thursday 18th April. Andy will be talking about Humeral Intracondylar Fissure (previously known as incomplete ossification of the humeral condyle, or IOHC), a condition that is most often seen in but can affect other breeds too. Andy has published more on this condition than anyone else in the world and has been invited to speak on this condition at major international conferences. It is an evening you won’t want to miss!

Attendance is free of charge, but spaces are limited, so reserve your spot today by emailing Marie via [email protected]. Vets, nurses, rehab practitioners and interested spaniel owners all welcome.

• When? Thursday 18th April, arrival from 7pm for a 7.30pm start
• Where? At the Moores Orthopaedic Clinic, Manor Farm Yard, Upton Grey, Basingstoke RG25 2RQ

09/04/2024

08/04/2024

Lovely to see the delightful Amba back last week doing so well at 8 weeks after right total hip replacement (she had a left THR two years ago). Go Amba!

Thanks to Ark Veterinary Practice for referring Amba 🙏🙏🙏

29/03/2024

We have had some gorgeous cats in this week, including two with dislocated hips. Percy here in particular was super smoochy 😘. Both cats had the dislocated hip stabilised with a hip toggle, which preserves normal hip function. Jack also had pelvic fractures and bilateral sacroiliac separations (and an old femoral head and neck excision). Jack's pelvis was however remarkably stable and so although we would usually stabilise such sacroiliac injuries with implants, in Jack's case he only needed the hip surgery and he was walking around the day after surgery (and stronger on the toggle side than the FHNE side!!) 😊 We might be able to operate, but sometimes it's important to know when not to operate!

Thanks to Hawksdown Vets for referring Percy and Falkland Veterinary Clinic for referring Jack 🙏🙏🙏

26/03/2024

It was a busy week for Andy in Manchester last week. Wednesday was the British Veterinary Orthopaedic Association's spring meeting, at which Andy took over the reigns as Chairman of the organisation for the next two years. And on Friday Andy was lecturing on humeral intracondylar fissure ( ) for Congress, alongside some very esteemed colleagues. Huge thanks to the rest of the BVOA committee and to BSAVA for the speaking invitation. If you would like to learn more about HIF (or cruciate disease, hip dysplasia, etc) then do check out Andy's blog on our website (link in bio) and we will be hosting a CPD evening on HIF at Upton Grey in April... watch this space 😊 (and if you are in the UK, interested in orthopaedics and not yet a member... please join the BVOA, you won't regret it!)

14/03/2024

How handsome is Spencer! He has been a super chilled-out and generally purfect patient this week after his cementless Movora KYON total hip replacement.

This is only the start of the journey for Spencer. He has suffered femoral neck fractures of both hips and in time he will need surgery on the right side too.

Cementless hip replacement is a very new option for cats with very few centres (any other?) offering it in the UK. It offers the immediate good function and pain relief associated with conventional cemented hip replacement, without the long-term concerns that there may be cement-related complications.

Thanks to Medivet Basingstoke for referring Spencer 🙏🙏🙏



5mm Narrow HA-coated Ti stem with locking screws, 12mm HA-coated PEEK cup, 8mm ceramic head

12/03/2024

Spencer is super-happy after his KYON total hip replacement yesterday and he's loving his spacious Technik Veterinary cat kennel 😊

06/03/2024

Small dogs deserve TPLO too!
They might be small, but most small dogs, like Tinkerbelle here, are highly active. If you think about how active the average little dog is compared to the average human, then these little guys (and gals!) are proper little canine athletes. They deserve TPLO when they rupture their cruciate, just like the bigger dogs 😀

Movora Veterinary Orthopedic Implants Biocurve 2.0 locking TPLO plate

Thanks to House Vets for referring Tinkerbelle 🙏🙏🙏

01/03/2024

Fortunately stem failure is a very rare complication of total hip replacement. Stems such as this Kyon stem which are designed to incorporate into the bone are extremely challenging to remove and revise which is why we were thrilled recently to see Bear doing so well at his 8 week check 😊

29/02/2024

Every day’s a school day! Thank you everyone who attended our first MOC CPD evening. We hope you found it useful! Watch this space for news of more CPD in the future.

24/02/2024

Looking for orthopaedic CPD?

Join our FREE evening of CPD at the Moores Orthopaedic Clinic. Thursday 29th February. Places still available.

🦴 Hip Dysplasia – what’s new and when should I refer? with Andy Moores

🦴Fractures – Management in general practice, with Chris Jordan

Come and meet us and take a tour of the clinic from 7, CPD starts 7.30. Open to all veterinary professionals. Email Marie at [email protected] to reserve your place 😊