Carolina Animal Hospital of Creedmoor

2552 Capitol Drive, Suite 103
Creedmoor, NC 27522







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

Antibiotic 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 Suite                                                       
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.