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-   -   Orthopedic Surgeons in New England? (https://www.yorkietalk.com/forums/yorkie-health-diet/281236-orthopedic-surgeons-new-england.html)

Gigi485 01-26-2015 05:20 PM
Orthopedic Surgeons in New England?
 
My 6 year old yorkie was seen by an orthopedic vet today. Long story short, he has Grade 4 Medial Luxating Patella in both back legs. He said the bone is so worn down he wouldn't be able to do the "usual" surgery he does of making the groove deeper for the patella and said that I may want to consider total knee replacement surgery for both knees. It looks like he also has osteoarthritis in both knees.
1. Does anyone know anyone in Mass or Southern NH that does this type of surgery?
2. How much does it cost?


Kind of confused about the whole thing.

107barney 01-26-2015 05:25 PM
About $3,000
I would go to cape cod vets and see dr Ed Kochin or go see any of the ortho surgeons at Angell in Boston.

107barney 01-26-2015 05:26 PM
Also, I doubt that they'll so a "knee replacement"
My dog had a grade IV - fixed at age 2 and doing great since and she's 14 now. Recently had surgery on my make with cape cod and satisfied with outcome and love the dr.

Gigi485 01-26-2015 05:28 PM
Is that $3,000 for each knee or both? Just trying to figure out if I have to rob a bank to get the money together.

gemy 01-26-2015 05:35 PM
Where I live that would be $3K for each knee well actually closer to $4K for TPLO surgery. Tibial Plateau Levelling Osteomy.


I don't know what the costs are for *total* knee replacement as I don't know what that is.

Gigi485 01-26-2015 05:38 PM
Did your dog have the surgery that made the groove deeper?


The vet I saw today said, he wouldn't do it cause the bone is almost flat and the knees are actually on the outer side of the leg. Looks like he was born with it. Occasionally, he would do the bunny hop thing, but the last 6 weeks his when trying to jump up on the couch his back legs just gave out completely and he was walking on his front 2 legs only! (happened 3x) So scary, I'm kinda freaking out.

gemy 01-26-2015 05:46 PM
Quote:
Originally Posted by Gigi485 (Post 4524565)
Did your dog have the surgery that made the groove deeper?


The vet I saw today said, he wouldn't do it cause the bone is almost flat and the knees are actually on the outer side of the leg. Looks like he was born with it. Occasionally, he would do the bunny hop thing, but the last 6 weeks his when trying to jump up on the couch his back legs just gave out completely and he was walking on his front 2 legs only! (happened 3x) So scary, I'm kinda freaking out.

No that is a different kind of surgery to TPLO. There are many different kinds of repair for Medial Luxating Patella, some dependent upon ACL or CCL tears. I am at work, I will try to find the article that talks about the different surgeries when I get home.


I would definitely get a second opinion from another ortho vet and in particular where 107Barney recommended. She is in the States and knows your area and some of the specialists with in it.

Gigi485 01-26-2015 06:12 PM
Thanks gemy - he does not have the torn ligaments, that I know for sure. I look forward to seeing the article you're talking about. I'm Google-ing the crap out of this subject, but I figured a little help from other yorkie parents would help me calm down a bit. This dog is not just a dog, he is my angel and I love him. I'm going to def try and find one who will do it. I'm going to make some phone calls in the next few days and do a ton of searching on the internet.... problem is, I tend to freak myself out with all the info out there.

107barney 01-26-2015 06:46 PM
Quote:
Originally Posted by Gigi485 (Post 4524577)
Thanks gemy - he does not have the torn ligaments, that I know for sure. I look forward to seeing the article you're talking about. I'm Google-ing the crap out of this subject, but I figured a little help from other yorkie parents would help me calm down a bit. This dog is not just a dog, he is my angel and I love him. I'm going to def try and find one who will do it. I'm going to make some phone calls in the next few days and do a ton of searching on the internet.... problem is, I tend to freak myself out with all the info out there.
The hospitals I recommended are excellent places. Dr Kochin at cape cod does almost all the orthopedic surgeries for the yorkies that a local rescue/placement Yorkies Inc uses. They told me about him. When he fixed Barney's torn ligament he also fixed his knee. My other dog Daisy did have the groove made because she was very severe but that was a different surgeon many years ago. Dr Kochin is a genuinely nice guy and very fair. I would call and ask to speak to his liason Melissa if you have questions. She can give you more info. If the cape is too far (it's in Bourne), then I would suggest you contact the Angell animal medical center surgery department and speak with Dr Casale's secretary. I go to Angell for almost everything and love the place. I think you might find similar pricing at both. I would and have trusted both places with my Yorkies.

107barney 01-26-2015 06:48 PM
Quote:
Originally Posted by Gigi485 (Post 4524565)
Did your dog have the surgery that made the groove deeper?


The vet I saw today said, he wouldn't do it cause the bone is almost flat and the knees are actually on the outer side of the leg. Looks like he was born with it. Occasionally, he would do the bunny hop thing, but the last 6 weeks his when trying to jump up on the couch his back legs just gave out completely and he was walking on his front 2 legs only! (happened 3x) So scary, I'm kinda freaking out.
Grade IVs need a surgeon to look. Grade IVs are very medial and this is what you would expect - the knee off to the side. My Daisy is this way. One was fixed at age 2, another was not and she's lives fine with it.

Gigi485 01-27-2015 06:05 AM
Thx for the info. The Cape is a bit far for me. Boston is only about 40 minutes away, so I'll def give them a call and get a second opinion.

Gigi485 01-31-2015 10:31 AM
Found a surgeon in Brentwood, NH. Dr. Lampson at VESH. He's going in on Feb. 16 for surgery. Just got my list of things to do to get Sully' s post op area ready for this 12 weeks he'll be on cage rest. He just took his first doze of rimadyl for the pain/inflammation and is taking a nap. I think he's stoned.

107barney 01-31-2015 02:14 PM
Quote:
Originally Posted by Gigi485 (Post 4525719)
Found a surgeon in Brentwood, NH. Dr. Lampson at VESH. He's going in on Feb. 16 for surgery. Just got my list of things to do to get Sully' s post op area ready for this 12 weeks he'll be on cage rest. He just took his first doze of rimadyl for the pain/inflammation and is taking a nap. I think he's stoned.
Seems like a decent place. The surgeon isn't board certified...but does seem to specialize in surgery and Ortho. I know no one who has gone there so can't say I've heard good or bad. It's a 24 hour hospital which is good.

Let us know how Sully does - maybe start a new thread in "sick and injured" so more people will follow!

Gigi485 02-08-2015 01:23 PM
Sully has been taking rimadyl for a week now and MAN what a difference! He's not limping, he's going up and down the stairs again.It's like night and day. Surgery is next Monday.

Gigi485 02-15-2015 03:21 PM
I started a new thread in Sick and Injured as you suggested, titled "Prayers for Sully". Looking for prayers and positive thoughts. I'm so anxious. Just found out he'll have to spend the night too. He's never been away from us for the night. I'm a mess.


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