Surgery

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The patella or kneecap is the largest sesamoid bone in the body and one of 4 in the stifle, the other three being the 2 of the gastrocnemius and the popliteal muscle. The patella lies within the tendon of insertion of the quadriceps muscle. The part of the tendon between the apex or distal aspect of the patella and its insertion on the tibial tuberosity is called the patellar ligament.

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The most significant change in recent years in the management of fractures has been the more recent emphasis on "biologic fixation" as opposed to "mechanical fixation". The latter refers to the direct fixation techniques whereby fractures are reconstructed anatomically, and the former refers to indirect fixation techniques whereby the fractures are spanned (or "bridged").

Surgical procedures performed on the spleen include biopsy, partial splenectomy, and total splenectomy. Techniques employed for each procedure varies with the clinical presentation and, to some degree, surgeon preference. Splenic disease represents an important source of morbidity and mortality in aging dogs.

This text is not intended to cover each and every aspect relating to wounds presented in veterinary medicine. It is, however, designed as a simplified handbook, which will assist members of the veterinary medical team in properly assessing patients and their wounds.

Veterinary physical therapy is the process of reconditioning body tissues that have been injured or diseased to their previous state or to a manageable state. Potential applications include recovery from medical cases, injuries, or post-surgical cases. There are three factors to consider in a designing rehabilitation regimen.

The elbow joint or cubital joint is composed of three joints: humeroradial, humeroulnar and proximal radioulnar. The joint capsule includes all three joints with one space. The radial head articulates with the capitulum of the humerus whereas the ulna articulates with the trochlea.

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An understanding of the functional anatomy is the prerequisite for successful application of the fracture fixation devices in the unfamiliar location of the mandible. These biomechanical principals must account not only for the very large forces generated, but also the position of the teeth that can – and often do – interfere with implant application.

The liver, the largest gland in the body, is divided into six lobes (from a surgical perspective): left lateral, left medial, right lateral, right medial, quadrate, and caudate lobes. The caudate lobe has two processes - papillary and caudate. Biopsy of the liver is frequently performed during exploratory laparotomy.

Restorative dental problems, although not as involved as those in human dentistry, can be very technique-sensitive and difficult to resolve. The resolution of particular problems is usually dependent upon the choice and imagination or inventiveness of the operator.

As with any surgical procedure in any species; prior to cutting it is important to familiarize oneself with the relevant anatomical and physiological details of the species. A very detailed discussion of these two topics is beyond the scope of this presentation but the reader is strongly advised to familiarize oneself with these topics by the references listed below.

Reptile surgery is performed under general anesthesia, observing sterile technique, with appropriate monitoring and supportive care. The true strength layer for reptiles is the skin. To prevent dysecdysis after a skin incision heals, an everting suture pattern is used.

Columbia, Mo. - While Dr. James Cook decided early on in life to tackle joint replacements, it was a circuitous route-a path that involved professional water skiing, substitute teaching and a man named Robert Gordon-that led him to the brink of a major discovery.