Howell Animal Hospital 2354 Route 9 South
Howell, NJ 07731
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Sat: 9am-3pm
Sun: Closed (Emergency available by appointment only)
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orthopedic surgery at Howell Animal Hospital in NJ

Orthopedic Surgery for Dog and Cat

Orthopedic Surgery for Pets

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Orthopedic Surgery

A wide variety of surgeries can be performed at our facility. These include elective surgeries, such as spaying or neutering, to pinning and plating in orthopedic surgeries, bladder stone removal, spleenectomy, exploratory surgeries as well as many other soft tissue procedures. Dr. Hussein reviews and oversees all major surgeries. He draws on 20 years of experience that includes major orthopedic trauma, soft tissue surgery, tumor removal, etc. Every surgery is carefully monitored, and pre-surgical blood work is reviewed. If necessary, radiograph ultrasounds or other pre-surgical diagnostics are used. All post-surgery patients are nursed using special warming blankets and a good pain management program, anti-inflammatory, bowel modulators. We try to present a relaxing, home-like office for our clients and their pets.

Orthopedic Surgery Done In House

These are some of the orthopedic surgeries we do in our hospital. In case you need any of our services, just make an appointment with Dr. Hussein for a quote and further explanation of the procedure needed. Our prices are very reasonable and within the mainstream budget. Our goal is to help the animal and alleviate its pain.

The ACL Repair

The most common orthopedic condition of dogs at any age is a cruciate ligament tear. Because the dog’s knee is on a slope (not like our knee on a flat surface), the dog limps due to the femur bone sliding on the tibial bone. The tibial bone will externally rotate, so the joints will be unstable and lose their function. There are over 276 techniques which have been perscribed for an ACL repair (Don Hulse, a professor of orthopedics at Texas University) as the condition is very common in dogs and even cats. In our practice, we have much experience in fixing these cases. We use extra capsular repair, which includes applying a very sturdy multifilament ligament on the outside of the knee, mimicking the same direction of the ACL ligament. The femur will stop sliding on top of the tibia and prevent the tibial rotation by using the latest methods of extra capsular repair, and utilizing high quality implants similar to those used in humans. The prices are very convenient for the majority of our clients.

TPLO Tibial Platue Leveling Osteotomy

This procedure is for a very convenient price using the latest in locking plates. This procedure turns the sloppy dog knee into a flat human knee without fixing the broken ACL ligament and without producing a limp. With this surgery, we don’t repair the broken ligament, but we fix the angle of the joint during the weight bearing so the animal is not limping and this decreases the joint degenerative changes.

Meniscal Tear Removal (Inner Meniscus of the Knee)

In 75% of the cases, a torn ACL is injured due to the grinding force of the femur. It’s squeezed very hard so it tears and needs to be removed and released. In some cases, if it’s not torn and the surgery is done under arthroscopy or open joint if indicated during the ACl Repair Surgery.

N.B the torn meniscus in dogs we remove it only we don’t repair it like in human.

MPL: medial Patellar Luxation is a condition very common in small, toy breed dogs. It’s hereditary, so the dog affected with this condition ethically should not be bred to prevent the spread of the disease. It ranges from Grad I, II, III, VI. Grad one is minimal displacement of the knee cap to the inner side of the knee. When the knee joint flexes, it goes back to its original location when the leg is extended. Grad two and three do not go back into place easily as lammness is associated with it. Grade four is where the knee is just set on the inner side and it doesn’t go back to it’s place. This condition is sometimes associated with lameness. Sometimes a dog will hop on three legs and the owners find it cute and make fun if it, but the reality is the dog’s knee cap is luxating and the dog can’t extend its knee cap back.

When do we intervene and recommend to fix the luxating patella? If the animal is a small breed/toy and in pain, then the leg luxats more often, limping, etc. or if there is evidence of degenerative changes of the knee on the radiographs. In the case of a large breed dog, we must repair the knee in these cases, or it could lead to bowing of the bones and the dog would need a corrective surgery to fix the bowed bone. The surgical repair entails four steps to repair the knee (deepen the joint groove, tibial crest transposition, tightening the outer patellar ligament and releasing the inner patellar ligament). Sometimes a pet may need bone corrective surgery if the luxating patella is due to bowed femoral bones.

Hip Surgery

We perform FHNO (Femoral Head and Neck Ostectomy)

In cases of hip dysplasia, in medium, small or sometimes large breed dogs, the hip joint undergoes a degenerative change and forms extra bones inside and outside the joint. The cartilage wears off, and inner fluids dry out, so the animal suffers from pain and lameness. As a result, the dog won’t use it’s legs that much, leading to muscle atrophy which affects the quality of life for the dog. The solution is to remove the head and the neck of the hip joint completely and close the joint capsule so we can eliminate the pain. The femur will be attached to the torso with the compression of muscles around it. After, the dog will undergo physical therapy to strengthen the muscles around it and live and walk pain free.

Sometimes in young dogs, a condition leads to the death of the femoral head and causes a lot of pain and lameness called (Legg Pethesis). The solution for this case is to remove the femoral head and neck, and afterwards the dog can walk normal again.

Double Head Osteotomy for Candidate Cases

This is one of the solutions of hip dysplasia. At early stages, where there is early diagnosis and on an Arthroscopy, there are no signs of degenerative changes in the joint, the aim of the surgery is to change the angel of the hip bones and give more coverage of the femoral head into the hip socket. The outcome usually is very good for the candidate (dogs who have a degenerative change needs a THR) or FHO.

Hip Displacement Reduction

In some cases, the femur bone may get out of the hip joint. Usually, there is a tear of the ligament from the inside and tear of the joint capsule on the outside. The repair would be with a Toggle Technique using a high quality implant to prevent the hip from getting out again.

Arthroscopy scanning of the joints should be done before surgery.

OCD Repair (Osteochondritis Dissecans)

These repairs are of the shoulder or the knee (these are a joint mice, very small cartilage fragments detached from the poor quality localized dead area in the cartilage) of the articulating surface of the joint leading to a severe pain. The treatment of choice is to remove it surgically. It happens in large breed dogs who eats a high protein puppy food and their growth rate was very fast. These cases usually can be done under arthroscopy or open joint surgery.

In cases of young large breed dogs, sometimes before the first year of age and sooner, the earlier the surgery the better the outcome. Some dog owners try and use aspirin or anti-inflammatory and claim it works to relieve the pain, but it comes back after that. As long as this joint mice is still there, the joint will get osteoarthritis, an irreversible cartilage thickening and extra bone formation and chronic lameness. If the surgery is preformed early rnough, the animal will get a much better outcome.

Elbow Dysplasia

This is a condition of osteoarthritis of the elbow due to congenital mal formation, mostly due to (UAP: Un-united Anconeal Process), (CP: Fragmented Coronoid Process) where there is a bone fragment loose inside the joint, causing constant irritation and then osteoarthritis. This condition won’t resolve until these bones are removed. These cases can be removed arthroscopically or with open joint.

Joint Arthrodesis (Joint Fusion)

In some cases we need to fuse the joints with plates and screws.

Amputations

In some cases we need to amputate a dead tissue or to remove a tumor and the only way to salvage the dog’s life is to amputate the leg (osteosarcoma of a long bone in a large dogs).

Dr. Hussein is the best. He always goes over and above to give my pets the best care and always takes the time to speak with me and reassure me that my dogs will be okay. I have had dogs as pets my entire life and have experienced many different veterinarians; however, Dr Husseins work ethic is top notch. You can feel the love he has for every animal he comes in contact with and to speak on behalf of my dogs, he always makes their visit as positive and comfortable as possible. He also has a great staff that compliment his practice as well. He is definitely the best vet in town and he always takes such good care of my dogs as if they were his own. Amy Baird

amyb, HOWELL

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