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Patella Luxation Medial


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Hi, wondering if anyone has any information on the this op..my chihuahua has a grade 4 patella luxation of both hind legs..I have been researching and a melbourne vet (2008) recommends:

"I strongly recommend that the surgery include repositioning of the tibial crest because that is the primary problem (poor alignment of the tibial crest which drags the patella out of the groove). Revision of the trochlea (groove) is not usually recommended by me because of the extent of damage that it does to the joint cartilage).

I strongly recommend that the surgery include repositioning of the tibial crest because that is the primary problem (poor alignment of the tibial crest which drags the patella out of the groove). Revision of the trochlea (groove) is not usually recommended by me because of the extent of damage that it does to the joint cartilage).

Most veterinary surgeons groove/pin..has anyone had this done successfully ..I would appreciate any suggestions/information. Thanks! have a great day :walkdog:

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My dog had her left patella groove fixed and pinned at 10 months. She now has very bad arthritis in her knee.

I have been taking her to a chiro/vet for a few months and as soon as he saw it he said it should never have been done that way.

I made the mistake of opting not to have a specialist look at her and do the surgery.

I would highly recommend you see a specialist vet before doing anything.

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the general practice vet suggested combination of a trochleoplasty and joint tightening procedure with implantation of artificial ligaments

I believe this is a small animal specialist/vet surgeon from Melbourne

so ,what did the specialist who saw YOUR pup recommend?

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I will recommend you to go a proper specialist. Not the vets. They mean well but they aren't expert on bones or joints. Cutting up a pup and having surgery on a pup is a serious thing, no matter what it is.

My vet said that Em had Grade 4 patella issues on her hinds legs too when she was 6 months old. They wanted to operate on her before she was 10 months old. Like you, I was seriously considering on going what the doc was staying (even made an appointment to bring her in) but I never felt comfortable cutting her open before she was a year old and because she wasn't limping. So, I went with my gut feeling and took her to a proper specialist and he said that they aren't comfortable operating on a pup that's under 1 years old with patella issues... also the fact that they can't notice her limping or anything. The kneecap only pops out when they touch her knees and because she is tense. She is often tense when strangers touch her. Also the bones are still developing and sometimes it takes a while for the bones to join in properly.

I do physio with Em everyday, she is put on a good diet (I keep her underweight so she doesn't have to much weight to carry), I take her swimming a lot and she gets nightly massages too (to keep her body relaxed). Took her to the vets again when she was a year old, she still has patella issues but he admit that she doesn't need surgery anymore. In fact, she is doing great. I don't feel her kneecaps popping out anymore nor have I've seen her lame/limp once.

No matter what happens.. surgery or no.. unfortunately your pup is going to have arthritis. Surgery is going to make that worst.

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Surgery is going to make that worst.

Many years ago, my dog ,Mitchell had an op on one knee ... he was about 4/5 yrs old . After it healed .. he was absolutely fine . No limp/no pain/no arthritis for the rest of his life ..and he hunted/ran/jumped ....

His op was done by a specialist , thank goodness.We were lucky :)

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Surgery is going to make that worst.

Many years ago, my dog ,Mitchell had an op on one knee ... he was about 4/5 yrs old . After it healed .. he was absolutely fine . No limp/no pain/no arthritis for the rest of his life ..and he hunted/ran/jumped ....

His op was done by a specialist , thank goodness.We were lucky :)

That's so good :)

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thanks everyone, i will take everything into consideration..much appreciated :walkdog:

I do have an appointment with a small animal specialist on friday that does a technique that Dr Charles Kuntz (on this forum) suggested..

Edited by trichien
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