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Orthopedic Services

J. Kevin Silver, DVM

 
Dr. Silver has maintained a special interest in orthopedic surgery throughout his career and has been performing orthopedic procedures for 20 years. He has attended The Ohio State Plating and Fracture Repair courses as well as numerous workshops at the Western States Veterinary Conference and other venues. Dr Silver has performed over 300 orthopedic procedures using our ASIF/Synthes bone plating equipment.
In 2011 Dr. Silver received training in the TTA surgery for the repair of ACL ruptures at the WVC and contracted Dr. Jeff Mayo to our Ferndale office for one-on-one training in the technique. Dr Mayo was trained in Switzerland by Dr. Tepic, (one of the originators of the technique) and was one of the first to bring TTA surgery to the US. Dr. Silver has now performed many of these surgeries using Securos titanium implants and we are very pleased with the results.

Cruciate Ligament Repairs

Tibial Tuberosity Advancement (TTA)

The TTA procedure involves making a cut in the front part of the tibia bone (tibial tuberosity) and advancing this portion of bone forward in order to realign the patellar ligament so that the abnormal sliding movement within the knee joint is eliminated. A specialized bone spacer, plate and screws are used to secure the bone in place. A special bone putty is placed in the gap in the bone to stimulate healing. These patients have a quicker recovery time and a more consistent return to full function.

 For young, large breed dogs, the TTA promises better long term joint stability and less chance of secondary osteoarthritis or degenerative joint disease.

Lateral Extracapsular Technique using Securos or Tight Rope Technique

The lateral extracapsular technique is a better choice for small dogs and cats. During the lateral extracapsular procedure, heavy suture material (monofilament nylon cord) is passed from the lateral fabella to the tibial crest in order to eliminate joint instability (drawer movement). It is this nylon cord that will act as the CCL ligament in the future by holding the joint together and keeping it stable.

Tightrope CCL is an extracapsular technique using the lateral suture stabilization (LSS) procedure in conjunction with a material called FiberTape to provide bone to bone stabilization. The Fiber Tape is placed in the dog's knee through a few small incisions which create tunnels through the bone. The Fiber Tape holds the joint in place while the knee forms scar tissue around the knee to permanently stablize the joint.

Gastrocnemius Tendon Repair ( Achilles Tendon )

The Achilles tendon is actually composed of three tendons with the gastrocnemius tendon being the superficial digital flexor tendon. When this tendon ruptures or is lacerated, the lower leg becomes hyperextended, and the animal may have trouble bearing weight on it's leg. Surgical treatment is preferred over conservative treatment if the entire tendon has ruptured. The most common form of injury to this tendon is laceration, but degeneration of the tendon can develop over time.

Fracture Repairs

Accidents happen and bones often break! While some smaller, less-displaced bone


fractures can heal with the help of a simple splint or cast (known as external fixation), most require a little more hardware (or internal fixation) to get the best healing results and maximum comfort. 

Dr. Silver has over 20 years of experience fixing bone fractures such as :

Long bones (such as the femur, tibia/fibula, radius/ulna, tibial and femoral fractures

Joint bones or small bones (such as metacarpal, carpal, metatarsal or tarsal bones)

Mandibular jaw fractures

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