Surgery or not? - Page 1

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by jcmeyer on 18 April 2012 - 22:04

These are the hip radiographs of my 7.5 month old female GSD.  She had a forelimb lameness but was sound in the rear. We xrayed elbows and hips while under sedation.   The orthopedic surgeon suggested elbow arthroscopy and a TPO of her right hip to prevent future osteoarthritis as it is obviously subluxated.  Of course if I can get away without doing surgery that would be preferable.  Any comments appreciated.












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lsmith

by lsmith on 18 April 2012 - 22:04

I would highly recommend that surgery. I am a vet tech and dogs live a much longer pain free life. Dogs do awesome from this surgery. I would only have it done by a board certified surgeon or one that has done it alot!!
Linda

Bhaugh

by Bhaugh on 19 April 2012 - 00:04

I would not do anything until the dog gets older. Things can change and she is just a puppy. She probably wont pass OFA but why the rush?  You didnt mention what she has been doing prior to the limping. What kind of exercise do you do with her? Does she play hard, run on hard surface, etc? Is she in season? Ive seen far worse hips where no surgery was done and the dogs are doing ok with the right exercise. I find it kinda hard to agree that you have to worry about osteoarthritis in a 7.5 mo old shepherd. Someone else can chime in and advise when the growth plates close.

What other options did they give you BESIDES surgery?

by Nans gsd on 19 April 2012 - 01:04

i WOULD WAIT.

Elkoorr

by Elkoorr on 19 April 2012 - 01:04

Would have been nice to see the elbows as well. With the hip I would wait untill it actual makes problems. Just remember that the x-rays are done in a very unatural position. The socket appears to have enough depth to be able to hold the ball. Sublux means that there is enough "play" or stretch of the ligaments holding the ball in the socket to potentially contribute to early athritic changes. Right now I dont see any at all. Let her grow up, and see whats happening. Meanwhile swim her alot if you are able to do so.

by SitasMom on 19 April 2012 - 01:04





jcmeyer i took the liberty......hope you don't mind..



left elbow



right elbow


of this 8.5 months puppy........





by SitasMom on 19 April 2012 - 01:04


what i see in the hip x-rays is that the muscle of both legs is quite even, she she isn't favoring one leg over another. there isn't any remolding. i would try to swim her every day and see what happens.

the x-ray isn't perfect, the hips are tilted and one leg is rotated more then the other. all of this makes a big difference.



BlackthornGSD

by BlackthornGSD on 19 April 2012 - 02:04

What is the problem diagnosed in the elbow(s)?

As far as the hips, I'd wait and re-xray in another year--the socket is shallow, but not poorly formed.

Sunsilver

by Sunsilver on 19 April 2012 - 03:04

Which front leg is she lame on? At this age, the foreleg lameness could be pano, which will resolve on its own.

I would WAIT and see what happens.

Abby Normal

by Abby Normal on 19 April 2012 - 10:04

My understanding is that with TPO you have to act before any remodelling appears. Once any remodelling takes place TPO is not an option, so there is quite a short window of opportunity for this particular surgery. If successful it does prevent remodelling and arthritis in the future, as it essentially creates a normal fit.  

Difficult to predict whether this will cause problems for her in future, it will certainly cause arthritic changes over time. Oh for a crystal ball!







 


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