Surgical support

Advanced orthopaedic surgery

Orthopaedic surgical support
within your practice

 

Expert orthopaedic surgical support for veterinary practices across North East England – from frequently performed procedures to complex reconstruction and selected advanced cases.

Maciej has more than 15 years in clinical practice, including many years working in UK referral hospitals. His surgical caseload includes more than 3,000 TPLO procedures, over 350 total hip replacements, complex fracture reconstruction, corrective osteotomy, arthrodesis and advanced arthroscopy.

The aim is straightforward: to bring appropriate orthopaedic surgery into a well-equipped practice while working alongside the veterinary and nursing team already responsible for the patient.

Veterinary orthopaedic surgical team working together in theatre

Surgical support

From established procedures to
complex reconstruction

 

Established orthopaedic procedures

Experienced support for commonly performed orthopaedic surgery, including TPLO, patellar luxation surgery and fracture repair.

 

Advanced reconstruction

Complex and periarticular fractures, revision surgery, arthrodesis, corrective osteotomy and limb deformity correction.

 

Advanced joint surgery

Arthroscopy and selected advanced joint procedures, with case selection based on the patient, procedure and facilities available at your practice.

Procedures

Procedures available

The following represents the main areas of surgical support. Unusual or complex cases are always welcome for discussion before deciding whether surgery at the practice is appropriate.

Stifle surgery

✓ TPLO
✓ Patellar luxation surgery
✓ Corrective femoral and tibial osteotomies
✓ Selected complex stifle reconstruction

Fracture repair & reconstruction

✓ Routine fracture repair
✓ Complex and periarticular fractures
✓ Revision fracture surgery
✓ External skeletal fixation

Limb deformity & corrective osteotomy

✓ Angular limb deformity correction
✓ Corrective osteotomy and ostectomy
✓ 3D-assisted planning where appropriate
✓ Pelvic osteotomy in selected cases

Arthrodesis

✓ Carpal and pancarpal arthrodesis
✓ Tarsal and pantarsal arthrodesis
✓ Shoulder arthrodesis
✓ Elbow and stifle arthrodesis

Arthroscopy & joint surgery

✓ Elbow arthroscopy
✓ Shoulder arthroscopy
✓ Stifle arthroscopy
✓ Tarsal arthroscopy
✓ Selected joint-preserving procedures

Joint replacement & advanced reconstruction

✓ Total hip replacement
✓ Complex hip and joint reconstruction
✓ Revision cases by prior discussion

Spinal surgery

✓ Hemilaminectomy
✓ Ventral slot
✓ Vertebral fracture repair
✓ Spinal stabilisation

Other orthopaedic procedures

✓ Ligament and tendon repair
✓ Femoral head and neck excision
✓ Selected salvage procedures
✓ Unusual cases by prior discussion

Planning

Surgical support starts
before the operation

Case selection, imaging, surgical approach, implant requirements and practical theatre considerations can all be reviewed before the day of surgery.

Maciej has extensive experience assessing CT and MRI studies and is confident working with fluoroscopy when required. Where advanced imaging or additional referral-hospital resources are necessary, this can be identified before surgery is arranged.

01

Imaging review

Radiographs and available advanced imaging can be reviewed before planning the procedure.

02

Case selection

The patient, procedure and practice facilities are considered together.

03

Equipment & implants

Requirements can be agreed in advance so the theatre is ready for the planned procedure.

Peripatetic surgery is not intended to replace referral hospitals.

Some patients are better managed in a multidisciplinary referral environment, particularly where advanced imaging, intensive care, multiple specialist disciplines or other hospital-level resources are likely to be required.

If a case is unlikely to be suitable for surgery within the practice, this will be discussed before arrangements are made.

How it works

A straightforward process

1

Discuss the case

Send the clinical history and available imaging.

2

Plan together

The surgical plan, implant requirements, practical arrangements and fixed price are agreed in advance, so the practice and owner know what to expect before surgery is booked.

3

Surgery at your practice

Maciej attends with the required surgical equipment and works alongside your veterinary and nursing team.

4

Post-operative support

Clear communication and advice remain available following the procedure.

Work together

Your practice. Your patient. Your team.

Not sure whether a case is suitable for on-site surgical support? Send the history and available imaging and discuss the options before making arrangements with the owner.