Inulin J. Vet. Surg. 36(1): 64, June 2015 aD Management of lateral luxation of patella in a dog Ravi Raidurg'*, N. Dhana Lakshmi’, M.S.S.V. Phaneendra’, Vinay B.A”, M. Saibaba® and Ch Mallikarjuna Rao* Sri VenkateshwaraVeterinary University, Tirupati-517 502 (AP) ‘Assistant Professor & Head, Department of Surgery and Radiology, Veterinary College, Vinoba Nager, Shimoga 577204, Karnataka; *Associate Professor and Head, MVSe Scholar, ‘Assistant Professor, Department of Surgery and Radiology, College of Veterinary Sciences Jatellar luxation is a developmental orthopedic disease associated with other congenital abnormalities. These skeletal abnormalities include coxavara, femoral varus, genu valgum, shallow trochlear groove and decreased height of trochlear ridges. Medial luxations of patella account for 75% to 80% of cases in all breeds. The majority of patients are small breed! dogs (Tyagi etal, 2003; Raghunath etal, 2008). Lateral luxation of patella is less frequent but is more common in giant breeds. A case of lateral luxation of right patella ina six month old Labrador and its successful surgical management is described in this paper. ‘A male Labrador retriever aged 6 months was presented with a history of intermittent weight bearing lameness of the right hind limb for 3-4 weeks. Physical examination revealed an abnormal gait with the rear quarter in a crouched position. Palpation at right stifle joint revealed a laterally luxated patella. Radiograph (lateral and skyline view) also confirmed the findings. The case was nosed a lateral luxation of patella-Grade IV. The site was prepared for aseptic surgery and a craniolateral incision was made on the right stifle extending from distal third of femur to proximal extremity of tibia. Deepening of the trochlear groove was done by “trochlear wedge recession sulcoplasty”. An elliptical wedge of cartilage and subchondral bone from the trochlear groove was removed so as to deepen the groove and the wedge was replaced. Luxated patella was repositioned in the trochlear groove. The extensor mechanism of the stifle was corrected by transposition of the tibial tuberosity by osteotomy of the tibial tuberosity and repositioning it medially on an already prepared bed on craniomedial aspect of tibia from where the periosteum was removed. It was held in position by using two K wires and 24G stainless steel wire (Fig.). Tension on the lateral side was relieved by placement of longitudinal incision distantly on ‘Comesponding author; E-mail: raviraidurgiegmail.com Received: September, 2014 Fig. Transposition of tibial tuberosity done on craniomedial aspect of tibia and held in position by using two K wires and 24G stainless steel lateral retinacular capsule. Retinacular imbrication sutures were placed on medial side with Vieryl No. 1 in interrupted horizontal mattress pattern ‘Muscles and skin were sutured routinely. Limb was supported with modified Roberts Jones bandage for 3 weeks. The dog showed recovery and proper ‘weight bearing after routine postoperative care and a series of passive exercise and massage on right limb over a period of 4 weeks. References Raghunath, M., Anand Singh T., Mohindroo, J., ‘Sangwan, V and Gupta, P.2009. Wedge recession trochleoplasty and tibial tuberosity transposi- tion for correction of grade IV medial patellar Juxation in a dog. Indian J. Vet. Surg. 30¢ 131 ‘Tyagi, S.P, Adarsh Kumar, Sharma, S.K,, Varshney, ‘AC. and Singh, M. 2003. Translocation of tibial tuberosity along with trochlear recession and lateral capsular imbrication for correction of medial patellar luxation in a dog, Indian J. Vet. Surg. 24: 54-55.