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post #1 of 30 (permalink) Old 11-15-2014, 04:01 PM Thread Starter
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Patella surgery or not- need opinions

I'm struggling with a decision and would welcome opinions.

Fred had patella surgery 2.5 years ago on his left leg. He needed surgery because he wasn't putting pressure on that leg.
It was a grade 3-4, which means his knee cap was always out of the socket. From what I am reading, it doesn't cause pain when it's out of the socket all the time. The pain if from the knee cap sliding across the bone.

Fast forward to today. I heard him yipe, then I noticed fred wasn't putting full weight on his right leg. Vet said, he injured it and even though his patella is grade 3-4, 2 weeks crate rest works on 50% of dogs. If it doesn't then it's time for surgery, which I agree with. Although, some people disagree with my vet and are saying 8 weeks crate rest to let it heal completely…..If he doesn't heal after 8 weeks then surgery.

Even if he is putting weight on it after the two- eight week crate rest, he will always have a grade 3-4. It's not going to fix itself. Fred is 9 year old dog who loves his hikes. I am struggling with what to do because some people say, don't do surgery unless the dog can't walk and is in pain. Surgery and recovery is hard on a dog, will causes arthritis, infection can occur or even death.

If I don't do surgery, arthritis will still occur. What about his quality of life? I am going to call my vet to discuss things further. My gut says just do the surgery, he did well the first time….I feel so bad for him

Also, fred was running and walking fine before the injury, even with a 3-4 luxating patella. This is why my decision is so hard!






Last edited by lfung5; 11-15-2014 at 04:43 PM.
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post #2 of 30 (permalink) Old 11-15-2014, 04:08 PM Thread Starter
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I should add, it's been a couple days since the injury happened and Fred is walking and putting weight on his leg again. He doesn't seem to be in any pain today. He is on anti inflammatories and I am limiting his activity.






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post #3 of 30 (permalink) Old 11-15-2014, 05:16 PM
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So sorry for you and Fred, Linda. That's quite a decision to have to make. What about physical therapy? Maybe that's something to look into. Look at how well Tyler has done with his ACL tear, all with therapy. I, too, was told that he would definitely develop arthritis in that joint and I am happy to report that he has not. He is now 17 yrs and 4 1/2 mo which is a whole lot older than Fred at 9 yrs. He has been on Cosequin DS for years. I also give him double the maintenance dose. Maybe that's what has helped him. Best of luck with your decision. I know it's a hard one.


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post #4 of 30 (permalink) Old 11-15-2014, 09:23 PM Thread Starter
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Wow. I would love my guys to live to that age!! Tyler looks so good too.

I actually doubled the maintenance dose of the Cosequin DS once this happens. I guess I will see what happens after the 2 weeks. If he is not putting full weight on it after 2 weeks of rest, I will do surgery. If he is putting full weight on it, I will continue resting his leg for several more weeks. I was all for sugary but the more I read, I find out it's not the best opinion unless the dog is in pain and can't use it. Tonight fred is walking around fine. To anyone else, they wouldn't notice anything was wrong. I have to actually get down on my hands and knees to see that the pressure isn't evenly spread on both legs.





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post #5 of 30 (permalink) Old 11-16-2014, 10:12 AM
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tough choices for sure. For a great anti-inflammatory check out my recent post http://www.havaneseforum.com/showthr...per+suppliment and it is super for many other things,. Drs Mercola and Becker really recommend it as one of their favorite supplements. Great for older dogs. here's more http://healthypets.mercola.com/sites...-function.aspx

http://shop.mercola.com/catalog/spir...ood,92,9,0.htm

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post #6 of 30 (permalink) Old 11-16-2014, 03:03 PM Thread Starter
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Thanks Dave! I will look at the videos. Fred is walking around fine now. I am not hiking him or letting him run or do stairs for a few weeks. Just with a few days rest, it's not even bothering him. I talked to a great breeder who suggested never doing surgery unless it is life threatening or the dog is in major pain. There are too many risks with surgery. I never even thought of that when Fred had his last surgery. I just listened to the experts! As I do more research on my own, I am finding surgery is not the best option in Fred's case. I'm glad his first surgery went well but he probably didn't need it.





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post #7 of 30 (permalink) Old 11-16-2014, 03:17 PM
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Thanks Dave! I will look at the videos. Fred is walking around fine now. I am not hiking him or letting him run or do stairs for a few weeks. Just with a few days rest, it's not even bothering him. I talked to a great breeder who suggested never doing surgery unless it is life threatening or the dog is in major pain. There are too many risks with surgery. I never even thought of that when Fred had his last surgery. I just listened to the experts! As I do more research on my own, I am finding surgery is not the best option in Fred's case. I'm glad his first surgery went well but he probably didn't need it.
Linda, that's why I suggested that you look into physical therapy/rehab for Fred. Tyler never had surgery after he tore his ACL and his outcome with rehab is the same as a dog who has undergone surgery per his vet. For some reason, vets don't seem to recommend PT. Perhaps they see the $$$ instead or don't really know the benefits that rehab can have. I chose rehab myself as I knew about it from my kennel club. Tyler's vet was amazed at what it did for him. Check it out. You must have a facility near you.


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post #8 of 30 (permalink) Old 11-16-2014, 03:35 PM Thread Starter
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Ok, I will look into it now. Thanks so much!

I want to ask what they do for luxating patella. It might already be what I am doing with our hill hikes. I read things to do for luxating patellas, keep weight down, exercise, supplements.





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post #9 of 30 (permalink) Old 11-16-2014, 03:44 PM
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Ok, I will look into it now. Thanks so much!

I want to ask what they do for luxating patella. It might already be what I am doing with our hill hikes. I read things to do for luxating patellas, keep weight down, exercise, supplements.
Sounds like Tyler. His weight is down, he exercises for 45 minutes (3 sessions) on his treadmill each day, as he really doesn't want to go for walks anymore, and takes his supplements. Although the ACL will never mend, the exercise has strengthened the muscle, thus keeping him stable. One sure sign that it is working is the fact that he will lie down flat with all four legs out to the sides (picture a bear rug) on our polished wood floors and be able to get up entirely on his own. It's absolutely amazing!!!


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post #10 of 30 (permalink) Old 11-16-2014, 03:54 PM Thread Starter
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Wow... He is still quite agile for 17 1/2 years old! He may be the record for longevity!!

Fred also lays with his back legs extended. He looks so cute like a little frog

I am told 2 weeks crate rest from my vet but others have said 8 weeks. I am afraid to go 8 weeks because he strong muscle will deteriorate. If he is ok after 2 weeks, maybe short hill climbs on a leash would be good therapy.

I emailed a therapy place about 30 min from me. I asked them what they do for a luxating patella.





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