Orthopaedic Clinic

Home/ Referral Clinics/ Orthopaedic Clinic

In-house surgery and external expertise

Coastway sees a large and varied orthopaedic caseload. For many cases our in-house practitioners are able to offer surgical solutions, but we are also fortunate to have a very experienced referral route to one of the UK’s leading surgeons.


Alex Li BVetMed CertSAO DipSAS(Ortho) MRCVS, RCVS Specialist in Small Animal Surgery (Orthopaedics).

Alex graduated from the Royal Veterinary College in 1992 and started his working life at the PDSA before entering surgical residencies at London and Glasgow Veterinary Schools. He was awarded the RCVS Diploma in Small Animal Surgery (Orthopaedics) in 2000 and became an RCVS Specialist in Orthopaedics in 2001. He spent 3 years at the Queen Mary Hospital (RVC) as a senior staff clinician in surgery before being invited to lecture at the University of Florida Veterinary School during 2003. Following his return to the UK, he opened his own referral clinic at Chiltern Referral Services in Buckinghamshire. Alex visits our Brighton practice on a regular basis and we normally allocate Wednesdays as his surgery day.

Referrals to Alex can be made via Paul Lawrence, who manages his caseload, or you can speak to your regular Coastway vet about accessing his services.

What is the most common orthopaedic surgical procedure performed at Coastway?

Canine cranial cruciate ligament rupture is one of the most common causes of hind limb lameness in the dog. Apart from the traditional intracapsular, extracapsular and plateau leveling techniques Alex is able to perform tibial tuberosity advancement osteotomies (TTA) to treat this injury. TTA uses natural inherent biomechanical forces in the knee to eliminate the cranial drawer instability and this procedure is significantly less traumatic than many other traditional methods of surgical treatment. As well as producing a much lower recovery time, the complication rate and long-term return to function of TTAs compare favorably with TPLO’s and other anatomical altering techniques. Alex’s own referral practice was one of the first centres in the UK to be approved by the University of Zurich to perform TTAs. This has lead to his having an unusually high level of experience with this procedure.

The surgery includes placement of a titanium plate and a bone graft.

Following the surgery, the patient will need to have a few post operative check ups culminating in an X-ray approximately 6 weeks after surgery. This is to check there are no complications developing.

Other surgeries that Alex commonly performs include Patella Luxation, Femoral Head and Neck Excision, OCD surgery, and fracture repair.

If your dog has a cruciate or any other orthopaedic injury, then Alex will talk through the options for treatment with you.

Following any orthopaedic surgery, you may need to take your pet for physiotherapy. Please speak to your vet if you would like them to organise a referral for treatment.

Take the Tour

Take a 360-tour around Coastway Kemp Town, which offers some of the newest state-of-the-art facilities found in veterinary surgeries Brighton wide.

Take the tour
As of Tuesday the 5th January 2021, we will be suspending all non-essential services due to the new national lockdown. These temporary service changes have been put...
Read More
Following the announcement of lockdown in England, we wanted to reassure you that we will continue to be here to care for your pets, while respecting the...
Read More
Following an update on guidance from the Government we are now unable to have clients inside our surgeries during consultations. Wherever possible we will be offering telephone...
Read More