Trochlear block recession in an alpaca with traumatic lateral patellar luxation.
OBJECTIVE
To report surgical treatment of traumatic lateral patellar luxation using trochlear block recession in an alpaca.


METHODS
Clinical case report.


METHODS
Five-year-old female alpaca.


METHODS
Grade IV/IV lateral, left patella luxation and mild femoropatellar joint effusion was identified by palpation and visual assessment, and confirmed by ultrasonography and radiographs. Trochlear block recession combined with lateral retinacular release and medial imbrication to restore patella function.


RESULTS
Progressive improvement in weight bearing occurred during hospitalization (6 days) and at 3.5 weeks, no lameness was observed; radiographically, the patella was in normal anatomic alignment. At 15 months, there were no signs of lameness with unrestricted exercise and the alpaca had given birth to another cria.


CONCLUSIONS
In this alpaca with traumatic origin of the lateral patellar luxation and normal femoro-tibial alignment, a combination of retinacular imbrication, contralateral release, and trochlear block recession were successful for long-term treatment of lateral patellar luxation.


CONCLUSIONS
Although trochlear block recession is most commonly performed in small animals, this technique may be useful in treatment of traumatic patellar luxations in camelids.
Furman
Stephanie M
SM
Department of Clinical Sciences, New York State College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
Fortier
Lisa A
LA
Schnabel
Lauren V
LV
Krotscheck
Ursula
U
D000818:Animals; D001696:Biomechanical Phenomena; D002161:Camelids, New World / Q000293:injuries* / Q000601:surgery; D005260:Female; D007794:Lameness, Animal / Q000209:etiology; D031222:Patellar Dislocation / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery / Q000662:veterinary*; D011182:Postoperative Care / Q000662:veterinary; D011859:Radiography; D013264:Stifle / Q000000981:diagnostic imaging / Q000601:surgery*