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Drooln1
Mon Jun 23 2008, 11:27AM
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Miss Mia is scheduled for surgery in the morning and I was wondering if anyone has had the surgery on their neo. Its a injury caused case, no other complications or anything and should be straight forward.

My worry, other then her going under, is recovery, I have been told recovery success can be measured by aftercare and recuperation, no running, jumping reinjuring, but would really like to hear others stories and the outcomes with their dogs.

I know stairs are out and guess what every living space except for basement has stairs, I am putting up a "litter" box outside of my bedroom which leads to the back patio though, small kiddie pool and some sod hopefully she will use it if not its to the basement we go .

Any input is greatly appreciated and info good or bad is wanted

Heidi
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Kate
Mon Jun 23 2008, 01:56PM

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I have never had to deal with theis issue in any of my dogs...Although the small breeds are very prone to luxating patellas (genetic).

From what I have heard the best is to do a full removal of the knee cap...It is there to protect the knee if hit...But dogs don't tend to hit their knees. This is just what I have heard from those that have dealt with the issue...

I hope all goes well

Kate and the zoo

\"Shit happens.\"
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Jamesjuile
Mon Jun 23 2008, 06:04PM

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Hi.
Unfortunately we have got experience of a lateral luxating patella that became fixed as they could not operate in Q. That was as a result of a fall in Q. There are several methods of the most common surgery and you should check with your surgeon which one he/she is using. It is called a trochleoplasty. The different ways are, some cut a wedge shape, some file a groove and there is also an almost a box shape cut into the bone. All are meant to deepen the natural groove and give a permanent seat for the patella. The bone then rubs together and creates a new calicified surface. There will inevitably some degree of athritic complaint in the later life depending on how severe it is. There are instances of fatality with trochleoplasty as the dog can in effect bleed to death from the resculpturing of the bone. What I hope your surgeon has told you is that about 40% of this surgery needs to be revisited. There is also a method for them to try to keep the patella in place with synthetic ligament and if it is minor the dysfunction I would opt for this as the risk is less althoughtthe success rate is about the same. In our case it was revisited twice and ended up with the patella being completely removed. However, this was a really bad case and there was scarring to the bone as we had to wait until they were out of Q for the surgery. In terms of after care, we found that he was managing to toe tap to the ground after about a week each time and took two weeks for any weight baring so I wouldnt worry to much about keeping her grounded. In all it took three weeks to get a regular walk out of him each time.
He was on PLT steroidal anti inflammatory painkillers for up to five weeks after surgery as he was a little bit grumpy with pain. In terms of his movement, he probably moves 90% correct on the affected leg but it took time. I do anticiapte that if you have a first time fix you probably wont experience that at all. Only straight walking was recommended so that there is no turning of the knee, so no football in the garden of chasing round. Unfortunately a turn can make the patella jump back out.
The sad thing is the surgery is necessary as if you do not have it the patella fixes itself out of position and it becomes very complicated.
I wish you all the best with the surgery and let us know how it goes.
Good Luck.

julie

Home of Whitelabel mastini

It is better to die on your feet than to live on your knees.
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Agrippina
Mon Jun 23 2008, 06:12PM

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I did it once on a pup Heidi. Leash walking and no stairs for a few weeks and she was good to go! Her recovery went seamlessly and no problems as of yet.
My vet had never seen this injury or problem on a giant breed dog and did refer me to a specialist. Was expensive, but worth it.

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Drooln1
Mon Jun 23 2008, 08:59PM
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wow great info guys thanks a bunch knowing others have went through it and what to expect afterwards releives some of the stress !

Before when she did this the vet said he may be able to get away with just the suture but if it was bad he would have to increase the depth of the bone so the patella would be seated in it, I wont know which he will do until in the morning, wishful thinking I know but it would be nice to go in and him say no you dont need surgery lol yeah right huh regardless though she is going to have to have it, the first go round it was painful for her but not so much as this time, if it doesnt pop out you wouldnt know anything is wrong, no limp no nothing, but she turns wrong and she will just freeze up and lay down and give those eye's and just shake, she will feel worse tommorow but hopefully she heals well and will be done with it shortly.

My biggest worry is her weight , being on 3 legs she will then pass the entire load to the other leg, joint wise she is great from the last xrays just worried a acl or the other patella will be affected until we get her back on all 4's.

Will they bandage the leg ? and if they dont should I ask them too maybe give a bit more support ?

Kate, Julie, Nikki thanks a bunch guys and i will post how it all goes, just one more learning experience with a neo

Heidi
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Kate
Mon Jun 23 2008, 10:54PM

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Massage would be a great way to relieve her other legs from the compensation she'll be doing...Plus it could also increase her recovery. If you have a canine massage therapist in your area I would think about it

Good luck!

[ Edited Mon Jun 23 2008, 10:55PM ]

Kate and the zoo

\"Shit happens.\"
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Drooln1
Tue Jun 24 2008, 11:40AM
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well good news !! just got back from the vet and he didnt take mia into surgery, the patella would not come out of the socket at all for him, no pain anywhere on the leg, so he wants to wait a week and then go from there. So rest rimidyl and no acting goofy, he said we could see it pop out but as long as it doesnt stay out or do it alot then he would rather wait and see if things will correct on its own. His thinking at this point is the same thing has happend that did before, the ligaments have been stretched and is allowing the patella to slip out of place, but if we can keep her from injuring it again things will tighten back up and all will be fine again ( until she wants to impress lucca again that is ).

So we dodged the bullet yet again although she did get a quick nail clipping which she loathes, took 3 of us to do it but no clicking on the hardwood

Heidi
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Agrippina
Tue Jun 24 2008, 12:00PM

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Good news Heidi!!

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Jamesjuile
Tue Jun 24 2008, 02:01PM

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Thats great news and Im really pleased for you!!! Tell her to not be so crazy!!


julie

Home of Whitelabel mastini

It is better to die on your feet than to live on your knees.
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Drooln1
Tue Jun 24 2008, 02:31PM
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LOL she is sleeping off a rimidyl right now but when she wakes and has to go potty she is going out on a leash AND lucca is staying inside !! I dont have a clue why she only does this with him cause I dont think she really likes him ( she likes no one lol ) but they are not gonna hang out with each for awhile lol

Heidi
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