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Cruciate ligament replacement surgery

Last post 04-21-2008 3:13 PM by Maxs Mom. 6 replies.
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  • 04-08-2008 12:15 AM

    • Beejou
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    Cruciate ligament replacement surgery

    Several days ago we took our 12 year old Rhodesian Ridgeback, Reety, to the vetrinarian for limping and refusing to put weight on her right hind leg. Also, she was being aggressive with our other dogs, growling when they got close. We suspected that the wire in her knee might have come loose and was causing her pain. We took her in and the vet said she had arthritis, and sent her X-rays off to the radiologist. Unfortunately, we got a phone call today that the surgery in her right knee has indeed totally failed at this point and her left knee (that was repaired with the same surgery some years after the right one) is about halfway to failing. Our options are trying to maintain what she does have left, which won't last for too long obviously, surgery again, or trying to just let her stick it out until her left knee fails as well and then euthanize (we do not believe in putting dogs in a cart) The vet said the surgeon would reccomend doing both legs at once this time, as 3 weeks with her right leg immobile would ruin her left one! She had the old style surgery preformed, where they attach the knee together with wire and let fibrous tissue grow over the entire deal. The "new" style involves cutting out the bone and flipping it, using the posterior cruciate ligament in place of the anterior ligament (so we understand) Does anyone have experience with the "new" style or having the surgery corrected? We are really upset about this, the surgery is almost 2 thousand dollars a leg, and she is an older dog as it is. If anyone else has a dog that has been through this please let me know. We are calling her surgeon in the morning to get an apt. and hear his opinion as well. If your dog has been through the surgery twice, how did it work for the dog? Was the recovery harder than the first time? Thanks in advance. Please keep your fingers crossed for Reety =(

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  • 04-08-2008 12:49 AM In reply to Beejou

    • samshine
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    Re: Cruciate ligament replacement surgery

    Oh my, what a very hard choice. I have not had a dog with the TPLO surgery you are referring to, but I have heard that it is usually very successful. If this dog was even a couple years younger I would not hesitate to recommend getting it done. Truthfully, I do not know what I would do in your situation.

    Your dog is 12. That means a higher chance of slow healing and complications from surgery. There is also a very real chance that you put her through painful surgery and months of recovery, only to lose her to something else six months from now. Or she could possibly have a couple more good years. I guess my best advice would be to honestly evaluate her current mental and physical health, and activity level. Also consider how old her parents were when they passed. Make your best guess about how many good years she is likely to have.

    Best wishes with what ever you decide. I am sure you will come to the right choice for your family as well as Reety.

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  • 04-08-2008 1:40 AM In reply to samshine

    • Beejou
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    Re: Cruciate ligament replacement surgery

    Thanks for your opinions. I feel exactly how you do, if she were a couple years younger it would be no question. Though, Reety has always been a healthy dog (excluding the knees) and a great family member. Another thing is, the rest of her joints (especially hips) Look fantastic. So in theory, if the knees were addressed again, she would never have to have another problem like this (because lets face it, by the time it will take them to completely deteriorate, or for her repaired knees to, she probably wouldn't be alive anymore anyway)

     

    Her mental health is suffering from her physical health. She recieved a steriod shot from the vet and has really been back to her old self (though unfortunately, he said these effects are quite temporary and when inflammation returns, so will the bad attitude) She's really a loving, plyful dog. Lately because she is in pain she has been growly with the other dogs and for the most part, hiding under my fiances desk. So sad that the shot made her feel much better, and she's laying with the other dogs again. It won't last. Ditto for the activity level. It seems all of her issues are riding on her knees right now. We have no way of knowing about the parent dogs as she was found.

     

    Thanks for the warm wishes. Right now I hope the surgeon suggests repairing the knees again. It would be so expensive but more difficult to deal with losing her or knowing her clock is really ticking. But, I go back and forth. Quality of life can only go downhill... and she'll probably live to be 15 max. Is it almost not worth it? This is a tough one.

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  • 04-08-2008 8:32 AM In reply to Beejou

    Re: Cruciate ligament replacement surgery

    In honesty, I would contact your state's best vet school -- these surgeries have changed MANY times in the last few years and they may be able to come up with a good alternative for you.

    If you are doing things to maximize life span - like keeping the teeth in good order, then 12 really is *not* all that old.

    Also, in your state you are quite fortunate to have many good vets who do acupuncture and TCVM which is incredibly helpful at speeding healing and helping it just not be a problem.  http://www.tcvm.com is the Chi Institute and a really superb qualifying agency -- on the left on their front page is a 'locator' that should help you.

    I'm not suggesting you leave your vet -- a good TCVM vet will work with your vet.  And getting a referral for the surgery should be easy.  Your state's vet school may also be FAR less expensive than any regular vet - you could cut the cost of the surgeries significantly.


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  • 04-19-2008 1:54 PM In reply to calliecritturs

    • Beejou
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    Re: Cruciate ligament replacement surgery

    I haven't been around to respond as I've been out of town with no internet, but great news! Reety went to see the surgeon on the 17th and the radiologist was incorrect- the knees are stable! He said there is really no way to interperet if a dogs surgery has failed or not by X-ray, it must be done by feel. He felt and felt and said there was no slippage to speak of. He said it is possible one of the wires has popped and is causing some irritation, (this apparently happens quite a bit, fibrous tissue keeps it together) and that she has significant arthritis. So we've got her on an anti inflammitory and pain meds. Thanks for the suggestions, we are so relieved she doesn't need the surgery!

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  • 04-21-2008 12:57 PM In reply to Beejou

    • samshine
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    Re: Cruciate ligament replacement surgery

    Oh that is good news! You might do some research into ways to reduce inflammation through dietary supplements. They can help quite a bit. Omega-3 essential fatty acids are quite helpful. Salmon oil is a good source. I believe the therapeutic dosage is 1000 mg capsule per 10 lbs of body weight. There are other things that help too if you do some research.

    Sugars and simple carbohydrates contribute to inflammation in humans. I have also heard that a dog food that is very low in carbohydrates can be helpful.

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  • 04-21-2008 3:13 PM In reply to Beejou

    • Maxs Mom
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    Re: Cruciate ligament replacement surgery

    I have had a bi-lateral TPLO done on my senior Max. She had her first at about 8 1/2 and the second about a year later. She is doing AWESOME. I don't know about having them done at the same time, so I can't say how that would be. I am sorry you have to go through this again. Surgery is a hard option to have to consider regardless of the dogs age.

    I would also second contacting a veterinary teaching hospital. We did Max's second knee at Michigan State University, and though her first one went great her second one was even better. Great surgeon, great care and because of the student care (which was top notch) the prices were lower.

    If you are considering the surgery it is best to find the best orthopedic surgeon you can find.

    Good Luck, I am very sorry for your dx.
     

    Ann & Art
    Maxine CGC, UADNJIII, DDNJ-r (11 yr old Golden)
    Belle NJP, NAJ, OJP, CGC, UAGI, UADSJ, UADJJ (5 Black Lab)
    Teddi UADJJ, UJJ, CGC (1 1/2 yr old Golden)
    Pete 14 yr old TB
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