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09-22-2006, 12:21 PM | #16 |
Slave to My Rug-Rats Donating Member Join Date: Jun 2005 Location: Long Island
Posts: 7,247
| Kim, THANKS!!! That was GREAT ADVICE! I am so HAPPY that CHAN is a FREE MAN AWESOME - No More Restrictions!!! YAY! During my consultation with Dr. Hinton, she discussed the procedure of tibial transpostion and pin placement (or/and) deepening the groove, tightening ligaments, etc...but she wouldn't know until she actually was preforming surgery. As far as Roxy and X-rays, yes, they did do them that morning of surgery. She told me that Roxy has a slight curvature to her leg bone structure and when she deepened the groove and the knee (ligament) slipped right back in and they 'tested' her legs and NO luxation was occuring, so I think she felt since No Luxation and b/c the slight curvature in her bone that 'if' she didn't have to do the tibial transposition (b/c it wouldn't be straight b/c of the curvature) that would be great, get it? (I am lost, just kinding)... ...anyway, what's done is done and what's not done will be done! |
Welcome Guest! | |
09-22-2006, 10:04 PM | #17 | |
Donating Senior Yorkie Talker | Quote:
Wow! I was just reading about Roxy tonight... because I came on YT in search of anyone that has been through this operation, I didn't realize how many Yorkies have this condition. My good friend Sandy, just found out her baby Vinnie also needs this procedure done on both of his hind legs. I don't know much about this but she said Vinnie is a Grade 5. I am trying to get her to join YT for moral support, but she is PC shy. I wish you much luck the second time around with your little Roxy and also in the future with TJ. I will keep them and Chan, and you & KIM in my thoughts & prayers along with Vinnie and his Mommy Sandy. Take Care, I'm sure everything will be fine with a Lot of Love. P.S. I have a little Roxy also. Key2Yorkies ~ Jan | |
09-23-2006, 05:01 AM | #18 |
Slave to My Rug-Rats Donating Member Join Date: Jun 2005 Location: Long Island
Posts: 7,247
| Jan, Thanks for your kind words. You will learn soooooooooooooo much from YT. Welcome! Try get your friend to join, she would love it here! Do some research on LP for your friend, b/c as far as I know, LP is Graded 1 to 4. I am not sure about a Grade 5??? Maybe Kim can answer, she is my expert |
09-23-2006, 05:56 AM | #19 |
Donating Senior Yorkie Talker | TLC, YES YOU ARE CORRECT, I CALLED SANDY THIS MORNING TO VERIFY. MY FAULT SORRY ABOUT THAT! VINNIE IS GRADE 4 I DID DO SOME RESEARCH AFTER THAT AND THIS IS WHAT I FOUND OUT, TO QUOTE THE ORTHOPEDIC FOUNDATION FOR ANIMALS ..... Grade 1 Manually the patella easily luxates at full extension of the stifle joint, but returns to the trochlea when released. No crepitation is apparent. The medial, or very occasionally, lateral deviation of the tibial crest (with lateral luxation of the patella) is only minimal, and there is very slight rotation of the tibia. Flexion and extension of the stifle is in a straight line with no abduction of the hock. Grade 2 There is frequent patellar luxation, which, in some cases, becomes more or less permanent. The limb is sometimes carried, although weight bearing routinely occurs with the stifle remaining slightly flexed. Especially under anesthesia it is often possible to reduce the luxation by manually turning the tibia laterally, but the patella reluxates with ease when manual tension of the joint is released. As much as 30 degrees of medial tibial torsion and a slight medial deviation of the tibial crest may exist. When the patella is resting medially the hock is slightly abducted. If the condition is bilateral, more weight is thrown onto the forelimbs. Many dogs with this grade live with the condition reasonably well for many years, but the constant luxation of the patella over the medial trochlear ridge of the trochlea causes erosion of the articulating surface of the patella and also the proximal area of the medial lip. This results in crepitation becoming apparent when the patella is luxated manually. Grade 3 The patella is permanently luxated with torsion of the tibia and deviation of the tibial crest of between 30 degrees and 50 degrees from the cranial/caudal plane. Although the luxation is not intermittent, many animals use the limb with the stifle held in a semi flexed position. The trochlea is very shallow or even flattened. Grade 4 The tibia is medially twisted and the tibial crest may show further deviation medially with the result that it lies 50 degrees to 90 degrees from the cranial/caudal plane. The patella is permanently luxated. The patella lies just above the medial condyle and a space can be palpated between the patellar ligament and the distal end of the femur. The trochlea is absent or even convex. The limb is carried, or the animal moves in a crouched position, with the limb flexed. Key2Yorkies ~ JAN |
09-23-2006, 07:15 AM | #20 |
Slave to My Rug-Rats Donating Member Join Date: Jun 2005 Location: Long Island
Posts: 7,247
| From what I have been told, Grade 4 is definately in need of surgery. I will say a pray for Vinnie. The surgery can be costly (depending on where you live), but in my opinion, it is the way to do. Also, I would suggest having an Ortho Specialist preform the surgery. Yes, there are plenty of "General Vets" that will do this type of surgery, BUT it really SHOULD be done by a specialist, b/c once they are in there, there probably will be the need for an expert judgement and expert skill. Good Luck! |
09-23-2006, 08:25 AM | #21 |
Donating YT 1000 Club Member Join Date: Jul 2006 Location: Northern NJ
Posts: 3,468
| well said TLC......now who is the expert? I hate hearing of these poor babies having to go through this.....it's tough but definitely fixable. The longer a knee stays at a Grade 4 the less chance of any kind of success is greatly diminished. Just imagine the pain.....poor little guy..... |
09-23-2006, 11:02 AM | #22 |
Donating Senior Yorkie Talker | We live in the Chicagoland area and prices with ortho specialist run anywhere from $1500.00 - $2000.00 per leg. She is also looking into Purdue and U of I. Who both have Vet Ortho Clinics, is my understanding. Also a Veterinarian GP who has performed this operation hundreds of times is in our area. His cost is about half of the Ortho Specialists. I believe she is leaning towards him. I hope she just makes the right discission for poor little Vinnie's sake and I hope she makes it soon. He is not even playing any more with his little girlfriend Lacy. It is very sad. Thank you all for caring. Key2Yorkies ~ Jan |
09-23-2006, 11:24 AM | #23 |
Slave to My Rug-Rats Donating Member Join Date: Jun 2005 Location: Long Island
Posts: 7,247
| How sad little Vinnie doesn't even want to play I hope she makes the right decision too. My 'first' general Vet (Group) Does Not do this type of surgery. They also recomend an Orth Specialist. My second (now current) Vet Group also Does Not Do this type of surgery. My current Vet (whom I just think is wonderful), said to me: "You live in an area where you have some of the BEST surgeons, you have already committed to getting the surgery done for Roxy, then you should really seek the best qualified and skilled." He told me that when the Doctor opens up the leg and see exactly what they are dealing with, there really may be the need for a "professional" who can be 'artistic' (for lack of a better word). Anyway, keep us posted and Vinnie is in my prays! |
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