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I have a spoiled rotten,10 yr old neutered male Shih Tzu, named Kuro. He's also blind, but still my sweet baby! 

Although it's only him and me now, there's a lot of talking around our house. I didn't realize he knows so many words! Some people say it's repetition, but I prefer to think he's that smart....... 
We moved to Michigan from Indiana 4 years ago, and for the first 7 years of Kuro's life, the only expense I had was vaccinations, grooming,and buying toys. ( Lots of toys) 
But time passes on and age starts taking a toll, and he started having problems: bladder, tumor on paw,liver enzymes too high, dental work, eye problems,and for the past few months, skin problems. 
Dr. Dhaliwal has done all of Kuro's surgeries, and worked with me on the other problems. He never loses his patience, and stays calm while I am asking my 100 questions . 
Dr. Dhaliwal is definitely in the correct profession. It seems he has a passion for not only helping animals, but he takes every opportunity to learn new techniques so he can help them even more. 
The staff is also very nice. They greet you with a smile, take the time to talk, explain meds,etc. and if Dr. D. doesn't call to check on Kuro after a procedure, the staff will, and that means a lot to me. 
Michigan Avenue Animal Hospital is a caring place, and everyone makes sure your pet is given the best care. Whatever it takes to make you and your pet "HAPPY!"


Judi Perdue

Patella_Alta
                                Patella Alta
 
Patella alta (high riding patella) refers to an abnormally elevated position of the patella within the femoral trocheal groove.  

 
When the patellofemoral  articulation is proximal to the femoral trochlear groove, the buttressing effect of the trochlear ridges will be lost, resulting in an increased risk of patella luxation as the patella tends to move distally during flexion.  
                                                                                                                                                                                                                                                              
A tentative diagnosis is based on the relative position of the patella with respect to the groove in a standing position, as well as the ability of the patella to ride off axis and proximal to the groove, when the limb is extended and rotated, without pressure applied to the patella.

Post_Op_XrayA lateral radiograph is taken with the stifle in a semi-flexed position and with the patellar ligament taut. This true lateral radiograph gives a good visualization of the proximal patella placement to femoral tracheal groove.

 Surgical treatment of patella alta consists in a distal transposition of the tibial tuberosity,typically combined with a lateral transposition. The tibial tuberosity is then immobilized via K-wire. 

Post-Op X Ray
 


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