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08-11-2013, 07:02 PM | #1 |
Yorkie Yakker Join Date: Jan 2009 Location: North America
Posts: 42
| Luxating patella surgery with a collapsed trachea? I have a yorkie with a grade 4 luxating patella in one knee and a grade 2/3 in the other. Obviously surgery is an option, but he has a grade 4 collapsed trachea currently being managed by medication and I have no current interest in placing a stent. The LPs were grade 2 formerly, but with the added weight due to minimal exercise and the addition of steriods because of his trachea, he's unfortunately been packing on the pounds at a impossible speed, which brings us to our current problem. As a note, his current medications are a corticosteriod, antihistamine, benadryl, hycodan, adequan and glucosamine. Has anyone had experience with intubating a dog with a collapsed trachea? How was the experience post op? Has anyone opted not to do the LP surgery because of a collapsed trachea? |
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08-11-2013, 07:44 PM | #2 |
Yorkie mom of 4 Donating YT Member Join Date: Feb 2008 Location: LaPlata, Md
Posts: 23,247
| Is the LP causing him pain?
__________________ Taylor My babies Joey, Penny ,Ollie & Dixie Callie Mae, you will forever be in my heart! |
08-11-2013, 07:56 PM | #3 |
Yorkie Yakker Join Date: Jan 2009 Location: North America
Posts: 42
| It's really deteriorated in the past couple weeks. There is an audible click from the grade 4 knee, in addition to being very sightly lame. Today was the first time I've seen him compensate by lifting it, though. It may be an isolated incident, we'll see how he comes off crate rest tomorrow. Is he in pain? I'm not entirely sure. He runs and plays and jumps (despite my best efforts) without hesitation. He's never yelped in pain. He seems visibly frustrated with it though, especially today. |
08-11-2013, 07:58 PM | #4 | |
Yorkie mom of 4 Donating YT Member Join Date: Feb 2008 Location: LaPlata, Md
Posts: 23,247
| Quote:
__________________ Taylor My babies Joey, Penny ,Ollie & Dixie Callie Mae, you will forever be in my heart! | |
08-11-2013, 08:06 PM | #5 |
Yorkie Yakker Join Date: Jan 2009 Location: North America
Posts: 42
| That their clinic won't touch him because he's too high risk post op because of the CT. If I opted for surgery, he would have to go to a specialist with an ICU. Which is fine; however, specialist or not, the high risk category does not disappear. It's a gamble. I just don't know if I want to play the lottery. |
08-11-2013, 08:14 PM | #6 | |
Yorkie mom of 4 Donating YT Member Join Date: Feb 2008 Location: LaPlata, Md
Posts: 23,247
| Quote:
__________________ Taylor My babies Joey, Penny ,Ollie & Dixie Callie Mae, you will forever be in my heart! | |
08-11-2013, 08:29 PM | #7 |
Donating YT 5000 Club Member Join Date: Jan 2008 Location: MD
Posts: 10,908
| I would definitely talk it over with the vet and then get a referral from him for a specialist to speak with. I would encourage you to seek a specialist who is board certified and versed in treating smaller dogs. LP surgery is hard as it is on the dog, adding in an issue of ct is a whole other issue. My boy had lp surgery and ct was not an issue for us, Thankfully. I discussed the lp surgery with both my vet and surgeon and made my decision based on what I got from the surgeon in terms of confidence in his abilities. I would highly recommend discussing it with a couple of vets/surgeons until you can feel you have all the necessary information to make an informative, confident decision. Best of luck to you in with this and your little one gets the help he needs.
__________________ www.kissecollar.com Soft Cone Collars for Post-surgery and much more! 10% (non-food) - Discount code YT10 |
08-11-2013, 08:58 PM | #8 |
Resident Yorkie Nut Donating YT 20K Club Member Join Date: Sep 2006 Location: Texas
Posts: 27,451
| I almost lost a pup years ago after surgery due to CT. It is a very long story .. he did survive, but it was by the grace of God that he did. I have a senior pup now who has a profoundly collapsed trachea and he had surgery for a salivary mucocele and he did just fine. In both cases the pups were at Texas A&M. That same pup needs a dental and I am terrified to have them do it. Intubation is a terrible risk with CT as you know. I guess you just have to talk to your vets and then follow your gut instinct. The only thing I can say is that the knee would have to really be bothering my pup before I would do it. Usually a Grade 4 it out and staying out and not really an issue to the pup....it is if they tear the CCL that it becomes a problem. As Mom To Hot Rob suggested, I would go to a board certified surgeon for an opinion....they are much less apt to operate on LP than some other vets. Some vets really believe these knees all should be repaired and that is not what the surgeon I use thinks. Good luck with your decision.
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08-12-2013, 06:00 AM | #9 |
Senior Yorkie Talker Join Date: Feb 2012 Location: Ocean Beach, CA
Posts: 109
| My Edward had 3 & 4 Grade Patellas and he was diagnosed with a collapsed trachea however his CT does not require daily medication. Edward's patellas became so bad that they would lock up and he could not correct it which left him in severe pain. What you described closely resembles Edward's condition. My vet did the surgery; he does laser surgery which may be common today. He had a second vet attend to monitor the anesthesia and vitals because of the CT. What a horrible position to be in. Not doing the patella surgery may leave your dog in pain and doing it may be fatal. There is a treatment that some vets do on CT. They insert an instrument into the trachea to stretch it but I have heard mixed reviews on that. As far as the patellas, I do not know of anything other than walking the dog to strengthen the muscles around the patella. However, that is not a cure or permanent solution. If you have to do the surgery I would make sure there is an attending second vet. Other than that the options seem few. I will check with some of my friends and my vet to see if there is another solution. |
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