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Leggs-Perthes Disease/avascular necrosis I posted a few weeks ago about my 5 month old Cooper and his limp. I took him back today because there has been no improvement, it's worse. Another x-ray showed a good bit of deterioration over the last 3 weeks. He will be scheduled for surgery a week from Monday. The vet said the FHO procedure is quite successful and we can't determine if it is from an injury or genetic. He regularly sees the breeder we got him from and their pups and said they are some of the healthiest dogs and best breeders he's dealt with. He said that pathology could determine if it's genetic. What am I looking at as far as recovery? He said Cooper would need some physical therapy, most of it I could do myself. They could also force him to use the weakened leg by taping up the good one if he continues to keep weight off of it after a reasonable recovery time. Thanks for any advice. |
I don't see a way to edit, but I should have said Legg----sorry. |
FHOs on small breed pups are very successful. I had a pup who had both hips done at one time and he was up walking immediately! It was amazing to me to see him do that! If you use the search option on YT you will find a lot of threads about Legg-Perthes. I really doubt that he will have a difficult time..he is young and has not had a problem for a long time. Keep us posted when he has his surgery! And, welcome to YT! :) |
Thanks. I have used the search feature and for some reason it comes up with no matches.. |
Here is a fairly recent one. I just used the word Perthes to search since many people spell it incorrectly. http://www.yorkietalk.com/forums/sic...h-disease.html |
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My Piper had the FHO surgery for Legg Perthes Disease in December 2008. She was 8 months old and out of the blue started to carry her right hind leg. After x-rays you could see how the head of the femur was pitted and deterioated. She even had small bone chips floating around. The surgery went well and Piper was a real trooper. The first couple weeks she carried the leg but then I started to notice her setting the foot down when she was standing. Before you knew it she was putting weight on the leg and starting to use it when the floor was level. Whenever I took her out in the cold and snow she always carried the leg. Piper didn't go to physical therapy, but I did do movemrnt exercises with the leg. By mid March Piper was 100% and was taking long walks with me. I started walking Piper because the vet said that the more Piper used the leg the stronger it will become and the faster she would be back to normal. The leg causes Piper no problems now and she runs, plays and takes a 3 mile walk with me every day. |
Thanks Piper. I read the linked thread and I think I have a good price on the surgery, I have a low estimate and a high. Low is around $950, high around $1170. Where will his incision be? At what point on his body to they go in? The vet said one of the best ways to strenthen the leg again would be to let him swim. We don't have a pool, he suggested filling the tub full and letting him "swim" in the tub. |
Those are terrific prices. In a Chicago Burb you would be looking at around 1800-2000, Best of luck |
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My Tinkerbelle hads Legg Perths and had her femoral head removed at 6 months. We started water therapy in the tub the week of the surgery. She was walking the day after and did just great. The only time you would ever suspect something is different is if you watch her run around a corner - she runs sideways for a couple of steps before her rear end catches up with her. ;) She did just fine after the surgery. I think your little one will do just as well. Good luck! |
He had the surgery Monday. I took him home yesterday. He seems to be in a a good deal of pain. He's wearing a Fentanyl patch through tomorrow. He lies either in his crate or bed without moving around much at all. He's not interested in food or water. Is this normal? How many days until he's more willing to move around some? |
My guess is the Fentanyl patch is making him groggy. They often do not eat for a couple of days after surgery anyway; but, I have seen many pups react that way to the Fentanyl patch...they are so out of it, that they will not eat. You might want to call your vet and explain how he is. Sometimes it is better to take the patch off and use another medication for the pain, but don't do that without consulting with your vet. |
They said I should let them be the ones to remove the patch. I have a call into them, I'm just concerned that he won't drink anything. |
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This happened recently with another YTer's pup. I will try to find the thread. They took that patch off and he perked up and started eating. |
They wanted to see him so I took him over. They took off the patch, gave him an injection of something, I don't know what it was. His temperature was a little low and the nurse put about 4 bites of chicken flavored baby food in his mouth and he ate that. The dr. said the Fentanyl should wear off within 12-24 hours and to bring him back tomorrow if he hasn't started eating. The meds they sent me home with were 10 days of anti-biotic and another 30 days of Rimadyl. |
He will eat once that med wears off.......I am sure of it! That stuff really does make them loopy. Did they tell you to only use the Rimadyl for pain? Surely they don't want him to stay on it?? I would definitely ask them about that! Rimadyl is an anti inflammatory and will help with the pain, but honestly, he should not be in pain in another few days. Each day after surgery gets better! My guess is he will be running around tomorrow. :) |
I will ask them about the Rimadyl when I take him for his stitches to be removed, he's already been taking that for the last month. There's a big sticky spot where that patch was, any idea what I should do about that? I hope he's somewhat back to normal tomorrow, it's tough seeing him lethargic and in pain. I did put him down on the floor in the vets office and he walked some, putting his foot down. He said that's what we want and the more he moves the better. |
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I don't know what to use to remove that sticky spot. Perhaps someone else will come along who does. I don't recall having that when any of mine wore one, but the last one who did was in the hospital at the time so they probably removed it. I will bet that by tomorrow you are going to be pleasantly surprised! I had a pup who had both hips done at one time and he was up and running after that surgery! They really do well with the FHOs. :) I think he is just still loopy from that patch. |
1 Attachment(s) My Dog had 2 huge patches after his surgery, they had to be 5"x5" each. I also was converned as his Surget was THursday night and we brought him home Saturday morning, and he was totally out of it and would not eat or drink. I called, and they told me to YANK the patches off Sunday morning if he still was not eating or drinking. I did, got htem off, and later in the day he perked up, and was drinking, and by night time he was eating. On Monday, he was back to his old self,,,,mostly. I also had pain pills but I did not give him any as he seemed fine. His patches did not leave any sticky residue, just a large pink spot from where it was on his shaved Lower stomach area. I am sure a lotion of oil will remove it, but the vet should be able to tell you. Best of luck. |
Ok, I exaggerated. The patches after looking at hte picture were more like 4" x 4", still big, and powerful enough to knock the big guy out. |
Thanks for all the help. :) He seems to be a tiny bit more alert now than before. He licked some water from my finger. Maybe by evening he'll be even better. |
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Updating: Cooper is much more alert. He's walking around and he ate some dry food from my hand. :) Now he's licking at his stitches, I hope that doesn't hurt anything. Apparently he was just doped out of his little head. |
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This is my first post to YT. My Izzie is almost 8 months old and we discovered she has this dreaded disease today. I really thought I was wasting my money for an office visit because she would limp one minute and fly around doing laps around the house the next. They sedated her and di the x-rays so she is out of it tonight (drunk almost). This string has has been extremly helpful as I didn't even ask about the recovery time. I thought this was totally a genetic disease yet one the posts implied it could have been from an injury. Does anyone have more information on that and how do you tell ifi it is genetic or from an injury. I will be scheduling Izzie's surgery tomorrow and know I will have many other questions. Hope Cooper is totally recovered by now! |
my dog fife had his hip done when he was 9 months old at the Univ of pennsylvania, one of the best if not the best vet hospital in the country, they told me it was never caused by an injury it was always genetic, same as his collapsed trachea, nothing I did could have caused it, nothing I did could have prevented it. I think the price the OP got was also a great price, I paid 3200 for his surgery, he also had to have both of his knees dont at a later time, also genetic... my poor dog had it all g4 lux p , legg perthes and a collapsed trachea, but he was the best dog and always so happy no matter how sick he was. I hope your dogs surgery goes well, fife was supposed to stay in the hospital 3 days after 2 thry called me and said pick him up he is going to hurt himself in his cage., I took him home he was on pain meds maybe 5 days at the most, no patches or anything like that. I started to put him in my tub the floowing week and he did great 20 laps one way 20 laps the other way. |
My dog, Stoli, was just diagnosed with LP last week. Right now she is on pain meds until I can afford the surgery. Thanks for all your posts. I hope her surgery goes just as well as all of yours. |
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Here are a couple of links about Legg Perthes that might help you: Legg-Calve-Perthes disease VetInfo - Veterinary Medical Information for Dogs and Cats - L - Legg-Calve-Perthes Disease |
I hope Izzy is well also! I took my Cooper back Thursday for a recheck. Actually over the last week I can tell a big difference in his use of his leg. He's using it a lot more. After talking with him about an orthopedic consult, evaluating his leg, (he's began to rebuild a little muscle), and coming to terms with the fact that he may never walk totally normal again, we decided to give him some more recovery time and see how it goes. Last week we got another puppy. A little Boston Terrier and oh my is she a baby! She is the tiniest little thing. Cooper however, was so playful and so active (yet gentle at the same time). I think this may have been the best thing for him. No longer is he happy to lie in his bed, he wants to be up and running and playing and active. He doesn't like to share his toys though! He politely takes it and looks at her like, "Um no, that's mine." Even with a slight limp, I know that the surgery removed the pain from his hip. I can live with a happy healthy dog that may sometimes hop on 3 legs. :) |
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