How to Optimize Outcomes of TPLO Surgery

Dr. Guiot is a world-class orthopedic surgeon with a passion for excellence. Following his residency, Dr. Guiot became an assistant professor of orthopedic surgery in the Department of Small Animal Clinical Sciences and an attending orthopedic surgeon at the Veterinary Teaching Hospital at Michigan State University. He was then recruited to lead the creation of a new orthopedic surgery facility for The Ohio State University. Since his arrival at ACCESS, he co-developed with Dr. Reunan Guillou the first total joint replacement center in California, and one of the very few centers in the world. Here, they offer a comprehensive total joint replacement center, performing total elbow, total hip, total knee, and total ankle replacements. His major interest is orthopedic trauma and minimally invasive orthopedic surgery. He routinely presents his work internationally and is an active member of major national and international orthopedic programs, including the Veterinary Orthopedic Society, AO Arbeitsgemeinschaft für Osteosynthesefragen, and the Orthopedic Research Society. As part of his commitment to further the quality of orthopedic care for animals, Dr. Guiot is deeply involved with educational organizations. Recently, he was appointed chair of the educational commission of AO Vet North America to lead the organization over the next few years. He is committed to the improvement of patient care through the development of surgical techniques, instrumentation, and implants used for the treatment of orthopedic patients. As a recognition of his major achievements in the field of fracture repair, Dr. Guiot has been nominated as an ACVS Founding Fellow, Minimally Invasive Surgery (Small Animal Orthopedics). This status represents the highest level of expertise in the field and will allow the bone and joint center to become an official training center for minimally invasive procedures in orthopedics.

Dr. Kowaleski earned his DVM degree at the Tufts University School of Veterinary Medicine in 1993.  After several years in general practice, he completed his residency training in small animal surgery at Tufts University in a joint program with the Angell Memorial Animal Hospital in 2002.  He earned board certification by the American College of Veterinary Surgeons in 2003 and the European College of Veterinary Surgeons in 2010.  He was an Assistant Professor of Small Animal Orthopedic Surgery at The Ohio State University from August 2002-August 2007 at which time he was promoted to Associate Professor with tenure.  He returned to Tufts in 2007, and currently, he is a Professor of Small Animal Orthopedic Surgery at the Cummings School of Veterinary Medicine at Tufts University.  In 2017 he became an American College of Veterinary Surgery Founding Fellow in Minimally Invasive Surgery – Small Animal Orthopedics (arthroscopy and fracture repair), and in 2021 he became an ACVS Founding in Joint Replacement Surgery.  His areas of clinical and research interest include arthroscopy, enhancement of fracture healing, external skeletal fixation, fracture repair and orthopedic implants, total joint replacement, clinical and radiological assessment of limb alignment, osteoarthritis, peri-operative and chronic pain management, and the role of osteotomy in the management of joint disease.

Dr. Langenbach, owner and chief of surgery, is a Diplomate of the American and European Colleges of Veterinary Surgeons. She earned her Doctorate of Veterinary Medicine in 1992 from the University of Munich, College of Veterinary Medicine in Germany, and was awarded a scholarship to pursue a combined American and German education. She spent most of her third year of veterinary school at Kansas State University and part of her fourth year at Ohio State University, Cornell University, and Animal Medical Center of New York. After receiving her veterinary degree, she continued her studies with a one-year internship followed by a three-year residency program at the University of Pennsylvania, School of Veterinary Medicine. During her residency, she completed a doctoral thesis with the University of Zurich, Switzerland, on Medical Patellar Luxation and Hip Dysplasia in Cats. With her residency finished, she accepted a lectureship position with the University of Pennsylvania.

In 1998, Dr. Langenbach achieved Diplomate status as a board-certified surgeon. Since her time at the university, she has published several articles, authored a book chapter, and has presented at many regional, national, and international meetings. She is currently collaborating with North Carolina State University on clinical studies. Her clinical interests include arthroscopy; canine and feline dysostosis; orthopedic disease, such as cranial cruciate disease; elbow and hip dysplasia; and oncologic and reconstructive surgery.