Orthopedic Surgery

   Orthopedic surgery is the branch of surgery concerned with conditions involving the musculoskeletal system (muscles and bones).

    Here at Encina Veterinary Hospital in Walnut Creek, we are fortunate to have board certified surgeon Dr. Carl Koehler as our orthopedic surgeon. Utilizing our CT scanner and digital x-ray machine, we are able to diagnose your pets’ orthopedic needs.

COMMON DIAGNOSIS NEEDING ORTHOPEDIC TREATMENT
        Hip and elbow dysplasia
        Knee and hip replacement
        Fractures
        Torn or ripped ligaments
        Dislocation
        Bone cysts
        Limb deformities

    Once your pet has been diagnosed, a treatment plan between you and Dr. Koehler will be discussed. We offer both surgical and non-surgical treatment options, depending on what is best for your pet and you. Our goal is to provide the best possible treatment plan suited for you and your pet.

COMMON ORTHOPEDIC SURGERIES OFFERED:
        Amputation of the limbs
        Angular limb deformity correction
        Arthroscopy
                (joint repair)
        Arthrodesis
                (joint fusion)
        Extra-capsular technique
                (used to repair the crainial cruciate ligament)
        FHO (femoral head ostectomy)
                (used to alleviate pain in dogs with hip dysplasia)
        Fracture repairs
        Hemipelvectomy
                (partial removal of pelvis)
        TPLO (tibial plateau leveling osteotomy)
                (gold standard in knee surgery for large/medium sized dogs)
        TPO (triple pelvic osteotomy)
                (for hip dysplasia)

PAIN MANAGEMENT AFTER SURGERY
    Because these procedures are quite invasive, your pets’ pain management protocol will be customized to his or her specific needs depended on their medical history/health and surgical procedure. As always, we work with you to decide what is best for your pet.

Wound Soaker Catheter: This is a catheter that is placed at the site of surgery and releases lidocaine to your pet around the clock to minimize their pain. This is primarily used in amputations.
Epidurals: A catheter is placed in the spine region that releases pain and anesthetic medication to block the transmission of signals through nerves in or near the spinal cord.
Nerve Blocks: An injection is administered to block the nerves from accessing the point of pain; it numbs the nerves and does not let the pain receptors communicate pain to the brain.
Inject-able and Oral Analgesics: Injections and oral medications are used to treat pain while in the hospital, and also once the pet goes home; sometimes a combination of the two are used to ensure your pet is comfortable.
Constant Intravenous Infusions: Your pet may receive constant pain medications through his or her indwelling intravenous catheter; this ensures they have a constant stream of pain medication in their blood stream to keep them comfortable.

    Once surgery is complete, your pet will stay here at our hospital overnight (most likely) where trained technicians will monitor and administer pain medication, care and support around the clock. We encourage all pet owners to come visit their pet during this time.

Give us a call at (925) 937-5000 to schedule your orthopedic consultation with our board certified surgeon, Dr. Carl Koehler at Encina Veterinary Hospital