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Hips and Knees
my shiba has a luxating patella and hip dysplasia
my poor shiba paid a visit to the Vet and he limped out with a double whammy-- a luxating patella AND mild hip dysplasia. He'll turn 1 next month.
The Vet gave him a anti-inflammatory for his popped knee and suggested surgery for his hip dysplasia. The HD is NOT severe and is in the early stages.
My husband and I decided to tackle this one ailment at a time. First off-- take care of his HD.
My questions are: How soon should I take care of this? I know surgery is very expensive so we have to save up for this but we don't want to put it off too long. My Vet quoted us $8,000 for the surgery. Does that sound right?
What is the success rate for surgery??? If your shiba has had HD surgery and is fully recovered I'd love to hear about your experience. I just want to know what to expect during recovery, post-op etc.
Does anyone know of a reputable surgeon in the Los Angeles area?
As for his luxating patella, it is not considered severe at this point. Should I put off surgery for this or is this something that can worsen over time?
I am such a stress-case right now. I have been online for HOURS now researching this and I've come across varying advice... I've gotten such great advice here before and thought I might get some much needed advice from experienced shiba owners. Thank you in advance!
Post edited by sunyata at 2012-08-09 10:24:40
Here's a thread about Pam's experience with Roxy and her 1st HD surgery. Roxy will be going in for surgery on her other hip in June.
LJ - owned by Queen Jazz, a Shiba Inu, Atlanta, GA
What type of surgery did the vet say you needed to get? There are several types of surgeries used for "fixing" HD. Here are short descriptions of them taken from this link:
Triple Pelvic Osteotomy (TPO): TPO is a procedure used in young dogs usually less than 10 months of age that have radiographs that show severe hip laxity, but have not developed damage to the joints. The procedure involves surgically breaking the pelvic bones and realigning the femoral head and acetabulum restoring the weight-bearing surface area and correcting femoral head subluxation. This is a major surgery and is expensive, but the surgery has been very successful on animals that meet the requirements.
Juvenile Pubic Symphysiodesis: A less invasive surgery for treating hip dysplasia is called Juvenile Pubic Symphysiodesis. This surgery prematurely fuses two pelvic bones together, allowing the other pelvic bones to develop normally. This changes the angle of the hips and improves the articulation of this joint, lessening the likelihood of osteoarthritis. Early diagnosis is critical, since the procedure must be done before 20 weeks of age, preferably 16 weeks, and before any signs of arthritis are evident.
Total Hip Replacement: This may be the best surgical option for dogs that have degenerative joint disease as a result of chronic hip dysplasia. Total hip replacement is a procedure that can produce a functionally normal joint, eliminate degenerative changes, and alleviate joint pain. The procedure involves the removal of the existing joint and replacing it with an artificial joint or prosthesis. To be a candidate for this procedure, the animal must be skeletally mature. With the new micro-prosthetics there is no minimum size limit. In addition, there is no maximum size limit. If both hips need to be replaced, there is a three-month period of rest recommended between the surgeries. As with the TPO surgery, this is an expensive procedure but it produces very good results. Most dogs return to a near normal level of activity without pain.
Femoral Head and Neck Excision: Femoral head and neck excision is a procedure in which the head of the femur is surgically removed and a fibrous pseudo-joint replaces the hip. This procedure is considered a salvage procedure and is used in cases where degenerative joint disease has occurred and total hip replacement is not feasible or if the expense of a total hip replacement is prohibitive. The resulting pseudo-joint will, in most cases, be free from pain and allow the animal to increase his activity, however, full range of motion and joint stability are decreased. For best results, the patient should weigh less than 40 pounds; however, the procedure may be performed on larger dog.
The type of procedure effects the cost, though personally just to be on the safe side I would get a second opinion from a vet at another clinic or even at an orthopedic clinic. Sometimes vets can misdiagnose the presence of LP and HD, even if they say it's minor. Sometimes the x-ray isn't taken properly, and can make a healthy hip look bad.
Personally I think a dog with mild HD and grade I luxating patella's, I would get a second opinion before surgery. A Shiba sized dog could live out his life with no ill effects from the above stated condition, especially if he is kept fit and exercised regularly.
Again just my opinion.
Get a second and third Veterinarian's opinion.
The general practitioner may not know fully what will be appropriate for your dog in terms of surgery. Hips and knees and most orthopedic issues are very specialized. Each case is different so I would seek a second opinion. The Otho vet will do a pre eval. and explain options etc. Here are links to finding a decent vet that can define the exact situation and specific steps that might help. Not every case will need surgery or surgery right away. Breath and take it one step at a time. : )
American Canine Sports Medicine Assoc.
American Asso. of Rehabilitation Veterinarians (AARV)
Post edited by StaticNfuzz at 2010-05-25 14:33:15
I'm so sorry -it is very stressful to take in all of that information at once. While Evie doesn't have HD (to my knowledge), she was diagnosed with a mild luxating patella. I panicked and started stressing about surgery, etc. because she was limping every day for 2 weeks.
She's doing much better now and I realized that she may be able to go her entire life with no surgery on either of her knees. I'm giving her daily glucosamine and I make her take it easy for a few days if she starts limping. So I certainly wouldn't consider surgery at this time for Evie and I think that's something you shouldn't worry about at this time. As I learned, some dogs with a LP will eventually get worse over time and will need surgery but others will be able to maintain for their lifetime.
I don't know much about HD. I definitely agree and think you should get a couple more opinions before making decisions regarding surgery. The right vet won't push surgery unless it's truly the best thing or necessary and they will talk you through it all. I think if you get a couple more opinions, you will feel more comfortable in the decision process.
Post edited by hanalulu at 2010-05-25 14:34:32
Thank you all so much for the advice. I have scheduled two consultations with different orthopedic surgeons. I will update on Akira's progress as soon as I figure out which path is the best for him
I have an eight year old rottweiler who was diagnosed with HD. It was on the boarder line of severe and she was only a little older then seven months. The vet at first recommended surgery which was at the time was 3k per hip (for a total hip replacement). She was also a little overweight since she still had her puppy fat (it took her about 2 years to stop growing). Being that she was too young for any of the options we started exorcising her. At first we kept some Bayer aspirin on hand for when she was really not feeling well. We put her on a low calorie diet as well. Within a few weeks she lost the weight, gained some lean muscle tone and stopped whimpering and limping. She is going on eight now, and she has learned to cope with it so well surgery is not necessary (and because she receives two-three forty minute walks a day she can eat whatever she wants and still have some muscle on her).
The only time it really affects her is when its cold and damp outside because of the arthritis it causes. To help reduce this we make sure she does not sleep on the floor but on something cushioned, we also have a heating pad around if she gets really bad. A non medicated way to reduce the pain from the HD is to gently massage the area around the hips and upper thigh. My dog loves this and will even demand it. Ive done it enough that I know how to move her leg to get it to pop to release the tension, but for the most part I just massage her leg and when she gets up she stretches and it pops on its own. Make sure you don't allow Akira to jump around a lot (or have her leaping fences) or use the stairs anymore, its just detrimental. I personally prefer not to put a dog through the surgery because of the risks involved. If you do decide to go through with it (which for a mild case I really don't see it as necessary, if you adapt for her condition you should be able to stop it from progressing too much), make sure you find a qualified specialist, because I've seen some pretty bad procedures done that lead to a dog getting a total hip replacement, and in one case an amputated leg. My family has been able to keep our 100 pound dog from needing it, so for a Shiba it should be something very manageable; especially since its a mild case.
My shiba Triton has stage 1 luxating patella in one of his back knees. Luckily my vet is really great and isn't into recommending procedures that may be unnecessary. He was having trouble about a year ago, and that's when I brought him to the vet. Because he has stage 1 only, no surgery at this time thank goodness. He takes 500 mg per day of Glucosamine/Chondroitin. After on the gluc, never had another problem. But we are very careful with him. No more runs, walks only and limited to 1 mile per day. He does run around in the fenced backyard though when he wants. We also lift him up to get on the furniture or the bed when we see that he wants to get up. So I would recommend checking on the LP for stage level and adjusting accordingly. Of course stages 2,3,4 usually require surgery.
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