How it Works (the basics): Over the last 25 years it has been shown that osteotomy techniques (TPLO and TTA) have distinct advantages over other procedures for addressing cranial cruciate tears in dogs. Orthomed’s MMP technique is a variation of the Tibial Tuberosity Advancement (TTA). It is a much more simplified procedure compared to most other TTA systems on the market. It utilizes an adjustable template to perform the osteotomy in a consistent, repeatable fashion for uniform results and minimal complications. The technique also utilizes an implant unique to the TTA realm: OrthoFoam titanium wedges. OrthoFoam provides extremely secure re-attachment of the tibial tuberosity with broad support and rapid ingrowth of new bone through the implant.
Compared to the more common TPLO and conventional TTA, it is less invasive, technically less challenging to perform, and does not involve cutting across the weight-bearing portion of the tibia. The inherent stability and decreased risk of catastrophic failure means less confinement post-operatively.
For optimal return to normal function MMP can be combined with stem cell therapy. We always utilize PRP in an MMP procedure to minimize inflammation, increase the ingrowth of new bone through the OrthoFoam wedge, and improve the healing of soft tissues affected by the procedure. We regularly recheck our post-op patients and institute an individualized rehabilitation plan for all.
Dr. Gratton has performed the majority of this practice’s orthopedic procedures for over 20 years. He added this technique to his repertoire after completing Orthomed’s training course in the spring of 2019.
Patients of any size with cranial cruciate ligament tears.
How it Works (the basics): Historically, most luxating patella cases have been treated with one or both of 2 procedures:
Orthomed’s RidgeStop is a less traumatic alternative to sulcoplasty and often eliminates the need for a transposition. Traditional sulcoplasty involved cutting into the articular cartilage and underlying bone of the distal femur to deepen the trochlear groove. RidgeStop uses an implant that is placed along the trochlear ridge. “Building up” the ridge effectively traps the patella within the existing groove. The biggest advantage is that the articular cartilage is not damaged by the procedure.
The Ridgestop implant is manufactured of the same material used in many human joint replacement systems (Ultra High Molecular Weight Polyethylene-UHMWPE). The implant is secured in place with two or three cortical bone screws. The location of the screws and the implant are determined using templates for exact positioning. In most cases, this is used as a stand-alone procedure. More severe cases may need to be combined with a tibial crest transposition.
For optimal return to normal function MMP can be combined with stem cell therapy. We always utilize PRP in a RidgeStop procedure to minimize inflammation and improve the healing of soft tissues affected by the procedure. We regularly recheck our post-op patients and institute an individualized rehabilitation plan for all.
Dr. Gratton has performed the majority of this practice’s orthopedic procedures for over 20 years. He added this technique to his repertoire after completing the required course from Orthomed in 2019.
Small dogs and cats up to giant breeds patients with grade 2 or higher medial or lateral patella luxation, or those that are clinically lame with grade 1 luxations.
Routine wellness and preventative care are provided on an annual basis for all patients of University Veterinary Care Center to maintain the patient's health as a whole. This can include; yearly physical examinations, vaccine boosters or titers, bloodwork, parasite checks, and dispensing of parasite preventative medication.
Rehabilitation and regenerative medicine is a passion of ours here at University Veterinary Care Center. We believe by offering physical therapy, animal chiropractic, and cold laser as additional integrative treatment options, a pet's health outcomes improve.
We offer several critical care and emergency related services for current patients regardless of species. Our doctors remain on-call for current patients seen within the past 12 months experiencing after-hours emergencies.