Clayton was a star patient, he had stifle surgery for tibial tuberosity distolateralisation. Clayton had a condition called medial patella luxation, where the conformation of the tibia (shin bone) pulls the patella (knee cap) in the wrong direction causing it to move out of its groove. This condition if left untreated can cause early arthritis and pain. The surgery involves moving some of the tibial bone into a new position with bone pins so that the patella (and Clayton) stays in its groove. Southpaws specialist surgeons have years of experience in orthopaedic surgery including elective and trauma related surgeries. Other canine knee related issues include cruciate disease and Southpaws surgeons can perform TPLO, TTA, CBLO and extracapsular techniques for this condition.