CARE PLAN: MEDIAL PATELLAR LUXATION SURGERY
AKA: MPL / "TRICK KNEE"
A medial patellar luxation, or MPL, is a condition where the patellar (kneecap) luxates / dislocates from the normal up and down motion in the center of the knee groove and pops out towards the inside aspect of the knee. It is sometimes referred to as a "trick knee". In some patients this condition, while anatomically abnormal, does not cause significant clinical issues. However in many others this results in pain, limping, arthritis changes and gradual disuse of the leg.
There are several different surgical procedures which can be performed which help reduce these problems. In our practice, we generally perform three separate corrective techniques in one surgical procedure on most of our MPL patients requiring surgical stabilization. We perform the patellar groove wedge resection deepening procedure, the tibial crest transposition and pinning technique and the lateral imbrication of the joint capsule.
Our veterinary practice surgical protocols for FHO surgeries include our hospital standards of physical examination, blood profile, IV catheter and IV fluids, pre and post operative pain relief, anesthesia, Pre and post operative radiograph x-rays, surgical procedure, a bite not or e-collar, post-operative medical management in the hospital from 1 day, pain relief and antibiotics to go home and the post operative follow-up appointment for suture removal.
Medial Patellar Luxation Surgery Package Group
Office Visit & Medical Records
Exam: Anesthesia Procedure
Hospital Day Care: Pre/Post Operative
Complete Blood Count
Blood Chemistry - Major
Acepromazine Inj. Sedation
Butorphanol Inj. Sedation
Anesthesia Support: IV Catheter
Anesthesia Support: IV Fluids
Narcotic Pain Relief Injection
Anesthesia Induction Drugs
Isoflurane Inhalant Gas: First 30 Min. / Additional Minutes.
Pre and Post Operative Radiograph X-Rays
ECG, Blood Pressure, Temperature Monitor
Staff Monitoring: Anesth. Support
Surgical Sterile Preparation
Surgical Instrument Pack
Orthopedic Surgical Instrument Pack
Surgical Materials, Misc.
Laparotomy / Sponges, Excess
Suture Materials, Excess
Gown, Mask, Gloves
Medial Patellar Luxation Surgery
NSAID Pain Relief Injection
Hospitalized Medical Management For 1 Days
Narcotic Pain Relief Tabs To Go Home
Antibiotic Tabs To Go Home
Bite Not Collar / E-Collar To Go Home
Progress Evaluation Suture Removal Appointment
Medial Patellar Luxation Surgery $ 1000.00 - $ 1300.00
If the surgical pins from the tibial crest transposition technique need to be removed after 16-20 weeks post procedure, we perform this at a flat fee of $ 100. We usually do not need to remove the pins unless they start to migrate (move around) after normal healing has been achieved.