MMP technique for CCL Rupture

Re: MMP technique for CCL Rupture

Braden Collins — Wed, 25 Feb 2015 12:59:50 GMT

Thanks everyone for the input. I reckon I'll head along to the course and get a bit more info and some prices for things.

Re: MMP technique for CCL Rupture

Kate Richardson — Tue, 24 Feb 2015 13:25:52 GMT

[quote user="Will McMullan"]Also, I don't know that TPLO could be considered 'more painful' than MMP. Both involve cutting into the proximal tibia. I would like an epidural in either case. MMP being marketed as quick and simple vs TPLO may contribute to a perception that those dogs don't need epidurals. I'm not so sure...[/quote]

All I can say is that we are an orthopaedic referral centre previously doing TPLOs, now doing MMPs, prob doing several each week, and the orthopaedic team do not feel the need for an epidural. I am not closely involved in that area, but I haven't noticed more dogs in pain than previously. Our nurses are VERY hot on pain relief, and there would an outcry from them if they felt pain relief was being withheld

Re: MMP technique for CCL Rupture

Martin Atkinson — Tue, 24 Feb 2015 13:19:10 GMT

[quote user="Hannah Wynne Richards"] I actually know that TPLO stands for tibial plateau levelling osteotomy, but when people use initials without even knowing what they stand for, well words fail me![/quote]Even more than this. From even my fairly rudimentary knowledge of anatomy I can work out what a tibial plateau levelling osteotomy involves but 'modified macquet procedure' tells me sweet FA!

As an addition to your PC joke Wynne, I was wondering around the soulless streets of Slough a while ago looking for a well know computer store. I stopped and asked a policeman if he knew where PC World was and quick as flash replied, 'he's not on duty today'. For the life of me I still don't know to this day if he was very quick witted or the opposite!

Re: MMP technique for CCL Rupture

rachaelyost — Tue, 24 Feb 2015 12:22:14 GMT

I have used the MMP kit. From what I remember I think the start up kit was about £1500+vat for the large kit but that was about 18 months ago. Then add in the wedge and staples. I only did a few before I moved jobs but the recovery was very quick compared to lateral suture just more hassle with post op xrays 4 weeks after the op.

Re: MMP technique for CCL Rupture

Will McMullan — Tue, 24 Feb 2015 12:14:52 GMT

Does anyone know of a good overview/comparison of the MMP vs TTA rapid? We're going to start one or the other hopefully soon and my boss has asked me to look into it. My concern about MMP is that TTA rapid seems to be becoming very prominent and popular and MMP may become fairly niche or even obsolete soon. I know all the osteotomy techniques have little between them in terms of outcome and no-one has really 'proven' one to be superior to the others, but if 90% of people are using rapid TTA in general practice it might be foolish to start doing one of the lesser known techniques.

Also, I don't know that TPLO could be considered 'more painful' than MMP. Both involve cutting into the proximal tibia. I would like an epidural in either case. MMP being marketed as quick and simple vs TPLO may contribute to a perception that those dogs don't need epidurals. I'm not so sure...

Re: MMP technique for CCL Rupture

Hannah Wynne Richards — Tue, 24 Feb 2015 12:04:43 GMT

I can't do it either - although I can cope with basic ortho stuff.

Wynne

Re: MMP technique for CCL Rupture

Kate Richardson — Tue, 24 Feb 2015 11:57:09 GMT

Wrist slapped! I don't touch orthopaedics with a barge pole is my only excuse, but I do now know what it stands for- doesn't help me though, as far as I am concerned its still some fancy surgery that I can't do for treating cruciate ligament disease!

Re: MMP technique for CCL Rupture

Michael Woodhouse — Tue, 24 Feb 2015 11:36:34 GMT

I thought the prices were on the Orthomed site when logged in, but it seems not

http://www.orthomed.co.uk/

It's £150 for the wedge plus £45 per staple in consumables before you start.

Re: MMP technique for CCL Rupture

Hannah Wynne Richards — Tue, 24 Feb 2015 11:31:08 GMT

If there are any students reading this, who are thinking ahead to next Christmas' panto/revue, then a good (but inoffensive ) way of deflating a pompous member of staff who's addicted to unexplained lists of incomprehensible initials would be a 4 way conversation.

Have a politician, a policeman, a computer nerd and a rider talking, and let someone say PC.

The politician would be pontificating about political correctness without actually saying anything.

The policeman would be discussing constables.

the computer nerd would be enthusising about the latest development in personalcomputers.

The rider would be convinced that the topic of conversation was the Pony Club!

Wynne

Re: MMP technique for CCL Rupture

Hannah Wynne Richards — Tue, 24 Feb 2015 11:15:34 GMT

I actually know that TPLO stands for tibial plateau levelling osteotomy, but when people use initials without even knowing what they stand for, well words fail me!

My theory from a lot of CPD (continuing professional development, not orf) courses is that very often the other delegates are as bewildered as I am, and are grateful when I point out to the lecturer that he/she sounds exactly like a scrabble player who's cursing being landed with a whole lot of consonants and no vowels at all!

Re: MMP technique for CCL Rupture

Kate Richardson — Tue, 24 Feb 2015 09:51:36 GMT

MMP= Modified Macquet Procedure.

Our mmp nurse who has been auditing results says that the surgery is much quicker and simpler and good results once experienced with the procedure (as with anything). Dogs go home the same day, whereas with TPLOs they used to stay in overnight as they had epidurals which they don't with the MMP so presumably less painful. Results possibly not so good for very large dogs eg >50kg.

Hope that helps.

Re: MMP technique for CCL Rupture

Kate Richardson — Tue, 24 Feb 2015 09:29:06 GMT

Hi Braden,

My boss Ian Macqueen did a lot of the work with Malcolm on developing this technique and he uses it for most CCLs now. It seems to be quick and simple and dogs recover well post op and return to normal function very quickly. I will see if I can get further info for you on costs from one of our nurses who has been monitoring outcomes.

Wynne- I don't know what MMP actually stands for either!!!! Probably medial is one of the Ms, Patella the P!! I must go and ask!!!

Re: MMP technique for CCL Rupture

Hannah Wynne Richards — Tue, 24 Feb 2015 09:18:40 GMT

What's MMP? (Malevolent Member of Parliament?)

Wynne