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We offer different types of orthopedic surgeries. Occasionally, there will be a need for a referral to a board certified orthopedic surgeon for complex surgeries.

  • Bone Fractures - Our experienced veterinarians can place metal pins to repair fractures.
  • Pinning - Stabilizes the fracture by inserting a long stainless steel rod into the middle of the bone across from the fractured area.
  • External Fixation - Stabilizes fractures using a series of pins on the outside of the leg that pass through the skin and into the bone on either side of the fracture.
  • FHO (Femoral head osteotomy) - This procedure removes the head and neck of the femur to help alleviate pain.
  • Patella Luxation - This procedure deepens the groove in which the dog’s kneecap sits.
  • CCL Repair - The cranial crucial ligament in a dog's knee can be torn completely.

Cranial Cruciate Ligament (CrCL) rupture is the most common cause of rear limb lameness in the dog.  The CrCL is the equivalent of the Anterior Collateral ligament (ACL) in humans.  This is the common football injury most of us have heard of.

It is one of 2 ligaments that cross inside the stifle (veterinary term for canine knee) joint.  These ligaments prevent the femur and tibia from sliding back and forth on each other.  These ligaments are especially important for our canine and feline companions because their hind limbs are flexed (bent) most of the time.  When they put weight on their hind legs, the tendency is for the femur to roll or slide back and down the top of the tibia.  The CrCL stops this downward slide, and because their legs are usually bent, these ligaments are under constant stress and strain.CCL Ortho

The biomechanical stress strains the ligament which leads to fraying, partial and complete tear.  There are other factors that can cause or exacerbate this issue, like obesity, poor diet, joint inflammation, limb deformities, poor or extreme exercise, and several other genetic factors.  The combination of factors that cause Cruciate Rupture is part of why this is often referred to as Canine Cranial Cruciate Disease.

Due to the frequency of the injury and need for a solution, the veterinary profession has focused tremendous energy on this problem.

If your pet does have a CrCL rupture, Dr. Jason Heezen can fix it.  He usually repair's these using a technique called a TTA-2.  This stands for Tibia Tuberosity Advancement Type 2.  Dr. Heezen is the only surgeon in South Dakota that is certified to use this specific type of CrCL repair.  Click on the following link to YouTube so that you can see the procedure animated: 

This procedure is less invasive than other CrCL repairs and is very effective at correcting the damage done by a rupture of the CrCL.

Dr. Heezen has been doing these procedures for about 10 years.  This procedure has been very effective at preventing the damaging effects of long-term osteoarthritis that is associated with chronic CrCL damage.  During the surgical procedure Dr. Heezen will also examine the other causes of lameness associated with knee injury, and repair them if it is possible.

If you suspect that your companion has suffered a CrCL injury.  Give us a call and we can make an evaluation of your pet's knee.

Please contact us if you have any questions regarding these procedures or if you think your pet may benefit from a procedure.


Our Contact Information

  • Creekside Veterinary Clinic
  • 1111 West Spruce Street
  • Mitchell, SD 57301
  • Phone:  605-990-3388
  • Fax: 605-990-3389

Our Office Hours

  • Monday:  8:00 am - 5:00 pm
  • Tuesday:  8:00 am - 5:00 pm
  • Wednesday 8:00 am - 5:00 pm
  • Thursday 8:00 am - 5:00 pm
  • Friday 8:00 am - 5:00 pm
  • Saturday 8:00 am - 12:00 pm
  • 24/7 Emergency Service 

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