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04-20-2011, 06:44 PM | #1 |
Yorkie Talker Join Date: Apr 2011 Location: El Dorado, Arkansas, USA
Posts: 18
| Legg Perthes and MPL My 3 yr old Yorkie has just been diagnosed with Legg Perthes and medial patella luxation...the orthopedic vet says that there is no surgical intervention needed for the hip at this time as it already looks "smooth" but that the MPL needs to be corrected...surgery is set up for about 10 days from now...has anyone had experience with these 2 problems together? He was put on Novox for inflammation and pain which has made a huge difference but he can't stay on those type meds for the next 10-12 yrs |
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04-21-2011, 08:07 AM | #2 |
T. Bumpkins & Co. Donating YT Member Join Date: Dec 2008 Location: New England
Posts: 9,816
| I don't know the answer to your questions so I asked someone else who I thought might know...here is what she said...she did say she it was simply a guess, but since no one else has answered, I'll post it for consideration. A second opinion is definitely in order. Here is what she said -- Is this a board certified vet? How bad is the knee I wonder? See......if they do an FHO the pup needs to be able to stand to build the muscle up around the bone to support it. That might be why they are doing the knee now. I have never had anything like that so cannot offer any advice but a second opinion to be sure??? Leg Perthes is painful. But...maybe it has not progressed that much yet??? I am simply guessing. I would ask her if the vet suggested when might be a good time for the hip surgery. The pup WILL need that at some point
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04-21-2011, 08:55 AM | #3 |
Yorkie Talker Join Date: Apr 2011 Location: El Dorado, Arkansas, USA
Posts: 18
| Thanks for ur input....he has seen 3 vets, one of which is a ortho vet, which is the one suggesting the knee surgery...his hip is bad, the femoral neck is totally collapsed and head of the femur is sitting of the femur itself...All 3 vets he has seen say that is almost looks as if has already had the FHO done but he has not. I did not get him until he was about 15 months old but have talked to the previous owner who says she did not notice any problems w him...Legg Perthes happens when the dog is under the age of 1 from what I have read and been told. The ortho vet basically said there was nothing to do for the hip at this point as it already looked smooth but that he may have to at some point go in and "clean" up the joint. All 3 say it looks like Legg Perthes but that some of the puzzle pieces don't exactly fit? I don't know how bad the patella is but I assume that the ortho vet thinks he needs to stabilize at least one joint in that leg and since the hip looks unfixable he is trying to help what he can. I do have a pic of his xray that I will try to post so u can see it...it makes me cry just to think about him trying to walk on it but since he has been on the anti-inlammatory meds he is walking much better and jumping on the couch again (only when i can't stop him)...thanks again for even taking the time to ask someone..that is very nice... |
04-21-2011, 09:29 AM | #4 |
T. Bumpkins & Co. Donating YT Member Join Date: Dec 2008 Location: New England
Posts: 9,816
| Did the ortho vet say what grade the LP was? Also, if this ortho vet is not a board certified surgeon, I'd still go for another opinion. My own dog has had LP surgery (grade 4) 9 years ago. She has a grade 4 in the other and VERY STRICT crate rest with Rimadyl in the past has signficantly helped. She had an injury last year but due to liver disease cannot be on rimadyl, but we still strictly crate rested her with tramadol for pain. My advice to you right now is two-fold. 1. Consult with board certified before any decisions are made. If already have done that, second board certified doc take a look. I am not sure how easy this is for you based on your location. 2. Crate Rest - very strict - meaning you pick him up and let him pee/poop while on a leash and then back in the crate. I know this is hard, it sucks but I believe it really helped my dog avert surgery on the other leg. She is 11 years old and this has really prevented the need for surgery in her other leg. She does not take supplements and does not have any signs of arthritis. You mentioned walking and jumping and you need to take that free will away from him for now. I am sending your info to my friend, if she has more ideas I'll let you know those too.
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04-26-2011, 04:38 PM | #5 |
Yorkie Talker Join Date: Apr 2011 Location: El Dorado, Arkansas, USA
Posts: 18
| I talked w the vet again Monday...she said his patella is out more than in and is hard to get back into place...so i am thinking he is grade 3...she said some of this was due to the hip problem...and they have warned me that his recovery time will be especially important to allow time to heal correctly since he has altered anatomy...they have also told me that they are able to guarantee me 100% that it will stay in place even after surgery as he gets older and the hip continues to get arthritic, ect but this is the only chance he has at having at least one major joint in the leg stable...when i spoke w her and voiced my concerns about what i had been reading on this forum about luxating patella, she did tell me that he is not the normal case due to the hip, his femoral neck is completely gone and the femoral head sits on top of the femur which is really contributing to the LP problem...He is just so young to have a messed up leg so I feel like we have to fix the patella to give him a chance as he gets older...any thoughts? Tek's surgery is scheduled for Friday |
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