| Course Details | |
| Description | CBLO-Based Cranial Closing Wedge Osteotomy (CCWO) 2-tägiger Intensivkurs |
| Course Fee | € 990.00 (Refreshments & Lunch included) |
| CE Credits | 13 hours (ATF-approved CE credits) / 13 Stunden ATF-Anerkennung |
| Course Language | in German / deutsch |
| Faculty | Nikola Heblinski, DVM, Dipl. ECVS |
| Registration | Register here → |
| More Info | Download flyer here → |
| Course Description / Beschreibung |
| The Cranial Closing Wedge Osteotomy (CCWO) is a surgical technique used to treat cranial cruciate ligament (CCL) ruptures in dogs and cats. Similar to TPLO (Tibial Plateau Leveling Osteotomy) and CBLO (Cranial Biased Closing Wedge Osteotomy), CCWO involves altering the position of the tibial plateau to stabilize the stifle joint. However, CCWO offers distinct advantages by addressing several specific challenges, including secondary (late) meniscal injuries, stress on the caudal cruciate ligament, reduction of axis shift, secondary translation, and mismatches in articulating surfaces.
A key feature of CCWO is its CORA-based (Center of Rotation of Angulation) approach, which allows for detailed, individualized preoperative planning based on the patient’s unique anatomy and load distribution. This precision ensures that the surgical correction aligns closely with the dog’s or cat’s specific biomechanical needs. Benefits of CCWO:
The RITA LEIBINGER LeiLOX CCWO System incorporates anatomically shaped titanium implants, ensuring optimal biocompatibility and reducing the risk of adverse reactions. These plates are fully compatible with the broader RITA LEIBINGER Titanium LeiLOX Systems range, such as TPLO Swing and CBLO, using the same screws and instrumentation. This compatibility enhances surgical efficiency by standardizing tools and hardware across multiple procedures. Course Outline: During the course, participants will first engage in a comprehensive theoretical session covering the pathophysiology of cranial cruciate ligament ruptures and the specific indications for CCWO. This will be followed by hands-on practical sessions, allowing attendees to practice the CCWO technique and experience the new implants firsthand.
Die Cranial Closing Wedge Osteotomie (CCWO) ist eine Technik zur Behandlung von Kreuzbandrissen bei Hunden und Katzen. Diese Korrekturosteotomie ist ähnlich zur TPLO und CBLO, da sie die Position des Tibiaplateaus verändert. Die CCWO adressiert jedoch die Problematiken wie sekundäre (späte) Meniskusschäden, Überbelastung des Kaudalen Kreuzbandes, Reduktion der Achs- und Sekundärverschiebungen, sowie die Fehlstellung der Gelenksflächen. Darüber hinaus ermöglicht der CORA-basierte Ansatz eine genauere und individuelle präoperative Planung, die auf der spezifischen Anatomie und Gewichtsverteilung des Patienten basiert. Zudem ist die Technik ideal für junge Patienten, da die Osteotomie außerhalb der Wachstumsfugen liegt. Ein weiterer Vorteil ist, dass auch extreme Fälle mit steilen Tibiaplateaus korrigiert werden können. Zudem müssen bei dieser Methode lediglich gerade Osteotomien durchgeführt werden. Eine oszillierende Säge ist ausreichend. Das RITA LEIBINGER LeiLOX CCWO System verwendet anatomisch geformte Implantate aus Titan, um die bestmögliche Biokompatibilität zu gewährleisten. Die Platten sind mit dem RITA LEIBINGER Titan LeiLOX Systems-Reihe kompatibel und nutzen dieselben Schrauben und Instrumente. Während des Kurses wird zunächst die klinische Aufarbeitung eines vorderen Kreuzbandrisses sowie der Indikation für eine CCWO besprochen. Anschließend erfolgt die Einführung in die Technik. Dabei wird es ausreichend Zeit für praktische Übungen geben, um das theoretisch Gelernte direkt umzusetzen und die neuen Implantate kennenzulernen. |
| Instructor |
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| Dr. Nikola Heblinski, DVM, Dipl. ECVS |
| Dr. Nikola Heblinski began her veterinary studies at the Freie Universität Berlin in 2001 and obtained her veterinary license in 2007. She then worked as a research associate and doctoral candidate at the Institute of Veterinary Pathology at the same university, successfully defending her doctoral thesis in 2010 on the topic: “Is digital histological morphometry suitable for diagnosing feline cardiomyopathy?”
In 2011, she moved to southern Germany, where she completed a twelve-month rotating internship followed by a twelve-month surgical internship at a small animal referral clinic in Augsburg. She subsequently worked in several large referral hospitals in Germany and Austria before beginning her three-year residency in small animal surgery (European College of Veterinary Surgeons – ECVS) in 2015. As part of her residency training, she relocated to Sweden, where she worked as a surgeon at the private referral hospital Specialistdjursjukhuset Strömsholm from February 2016 to July 2019. In February 2019, she successfully passed the ECVS board examination and became a Diplomate of the European College of Veterinary Surgeons. In September 2019, Dr. Heblinski moved to Sydney, Australia. She first worked as a clinical surgeon at the University Veterinary Teaching Hospital Sydney. In 2020, she transitioned back to private practice and joined Veterinary Specialists of Sydney (VSOS), a large referral hospital. There, she worked not only in the hospital itself but also as a mobile surgeon, supporting over 40 small animal practices in Sydney and Greater Sydney with her surgical expertise. In 2021, she also taught final-year veterinary students in orthopedic surgery as an adjunct professor at the City University of Hong Kong. Passionate about her profession, Dr. Heblinski regularly attends national and international continuing education events and courses to continuously refine her skills as a small animal surgeon. After many years abroad, she returned to vibrant Berlin in late 2022, where she now offers her surgical services to small animal practices and clinics in Berlin and the surrounding area. |