TPLO/TTA vs. Extracapsular Stabilization in Small Breed Dogs

Small Animal

Contact Hours

3 Hours

Early Booking Deadline

Thu, 01 January, 1970

Registration Deadline

Thu, 01 January, 1970





Rehabilitation & Physiotherapy / Physical Therapy


Industry Partners


Veterinary Partners


Recorded on: 11th March 2021


Leilani Alvarez  DVM, DACVSMR, CVA, CCRT, CVCHM – Animal Medical Center, USA
Don Hulse  DVM, DACVS, DECVS – Texas A&M University, USA
Andy Moores  BVSc, DSAS(Orth), DECVS, FRCVS – Anderson Moores, UK


Antonio Pozzi  Prof., Dr. med. vet., DECVS/DACVS, DACVSMR – University of Zurich, Switzerland



Should I do a TPLO or an extra-capsular stabilization in a 4 Kg dog? This is an unanswered question that surgeons face when managing stifle problems in small breed dogs. The international multidisciplinary panel of experts will tackle the controversial topic of treatment decision making in CCL disease affecting small breed dogs using best available evidence and expert opinion. An expert in this area will moderate the exchanges between two surgeons and a physiotherapist and challenge them with clinically relevant topics in CCL rupture decision-making , amongst them:

  • Conservative treatment vs. TPLO/TTA vs. extracapsular stabilization
  • Surgical techniques: outcomes and complications, differences between extracaps techniques
  • Role of rehabilitation: conservative management, post-TPLO vs. extracaps rehabilitation, evidence in animals vs. people

Andy graduated from the University of Bristol Veterinary School. After a period in first-opinion practice, where he obtained the RCVS Certificate in Small Animal Surgery, he returned to Bristol for a three-year surgical training programme. In 2004, Andy passed the RCVS Diploma in Small Animal Surgery (Orthopaedics) and joined the Royal Veterinary College as a lecturer and consultant orthopaedic surgeon. In 2005, Andy became a Diplomate of the European College of Veterinary Surgeons. Andy has been recognised by the Royal College of Veterinary Surgeons as a Specialist in Small Animal Orthopaedics since 2006. Andy also holds the Postgraduate Certificate in Academic Practice (PGCAP), from King's College London's Institute of Learning & Teaching. He was Chairman of the Education Committee of the British Veterinary Orthopaedic Association from 2006 to 2009 and an examiner for the RCVS Diploma in Small Animal Surgery (Orthopaedics) from 2009 to 2011, being Chief Examiner in 2011. Andy is on the Board of Referees/Editorial Review Board for the journals Veterinary Comparative Orthopaedics and Traumatology (VCOT) and Veterinary Surgery, respectively.

Andy’s clinical interests encompass all aspects of musculoskeletal disease and traumatology, but he has specific interests in canine and feline hip replacement, arthroscopy (e.g for the diagnosis and management of elbow dysplasia and shoulder disease), fracture management (including minimally invasive plate osteosynthesis and the use of locking internal fixators), cervical disc replacement and incomplete ossification of the humeral condyle/humeral intracondylar fissure (IOHC/HIF). Andy has been invited to lecture, to general practitioners and other specialists, on various aspect of small animal orthopaedics in continental Europe, Asia and North America, as well as the UK. He has published widely with over 40 peer-reviewed scientific papers and reviews on subjects including fracture management, elbow dysplasia, humeral intracondylar fissure, stifle stabilisation for cruciate disease and tendon repair techniques.

In 2005 Andy initiated the canine total elbow replacement service at the Royal Veterinary College, University of London, as seen on the BBC1 series SuperVets.

In 2017 Andy was made a Fellow of the Royal College of Veterinary Surgeons for meritorious contributions to clinical practice. Fellowship is the highest status of membership of the College and is awarded for outstanding contributions to the veterinary profession.

Andy joined Anderson Moores in 2007 and helped to grow it from a small team with a just a handful of clinicians to the large hospital it is today. Although he is no longer an equity holder in the business he remains a Clinical Director and part of the senior management team.

Antonio Pozzi is the Director of the Clinic of Small Animal Surgery and head of the Small Animal Department at the University of Zurich. He completed an internship and residency at the Ohio State University. He became a Diplomate of the American College of Veterinary Surgeons in 2006 and a Diplomate of the American College of Sports Medicine and Rehabilitation in 2013. From 2007 to 2014 he worked at the University of Florida where he was appointed Associate Professor at the College of Veterinary Medicine and adjunct Professor at College of Medicine and College of Engineering. Since 2014 he worked at the University of Zurich, where he leads a team focusing on sport medicine, trauma and surgery. His special interests are canine sports medicine, minimally invasive surgery, regenerative therapies and joint surgery.

Dr. Hulse graduated from Texas A&M in 1970 and completed his surgical training at Kansas State University in 1973. After becoming board-certified in 1977, Dr. Hulse worked as a staff surgeon at Louisiana State University and Oklahoma State University until 1984. For the past 30 years, he has served as a Professor of Orthopedic Surgery at Texas A&M University.

Dr. Hulse is a recognized leader in veterinary orthopedics and is frequently an invited speaker at national and international veterinary conferences. He has developed techniques commonly used for treatment of bone and joint disorders in dogs and is a co-author of the industry-defining textbook, Small Animal Arthroscopy. His clinical research interests focus on minimally invasive surgery for joint disorders and for fracture treatment. Dr. Hulse has been performing surgery in the Austin area for over 10 years and is a partner at AVES.

Dr. Leilani Alvarez is the Director of the Tina Santi Flaherty Rehabilitation & Fitness Service and head of our Integrative and Rehabilitative Medicine Department. Dr. Alvarez is one of few specialists worldwide that is board certified in canine sports medicine and rehabilitation. She has been practicing rehabilitation medicine for over a decade. Her advanced training specializes her skills in diagnosis and treatment of soft tissue injuries such as joint injuries, ligament and tendon tears, and spinal injuries. Dr. Alvarez utilizes Integrative Medicine, which combines modern conventional approaches with Complementary and Alternative Medicine. Integrative Medicine includes therapies such as regenerative medicine (stem cells and platelet rich plasma), physical rehabilitation, acupuncture, spinal manipulation and herbal medicine, which help to increase the overall health of a patient and can often increase the success of conventional treatments.

Dr. Alvarez was the founder of a successful Integrative Medicine service at Katonah Bedford Veterinary Specialty Hospital prior to joining the staff of the AMC. She completed her rotating surgical and medicine internship and residency at AMC. She is also fluent in Spanish. Dr. Alvarez is a renowned national and international lecturer, research scientist, and accomplished author of peer-reviewed articles. She is the 2017 recipient of the prestigious John Sherman Award for Excellence in Veterinary Rehabilitation.

She leads one of only 5 accredited residencies nationwide for training residents in canine sports medicine and rehabilitation. Her research interests include soft tissue and sports injuries, geriatric medicine, joint supplements and nutraceuticals.

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