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Need FReeper Advice please, torn ACL (Dog)

Posted on 02/10/2007 7:10:45 PM PST by Kimmers

My 10 yo lab came up 3 legged lame today, diagnosed with a torn ACL. My vet is suggesting doing a procedure called a TPLO. I have seen pros and cons about this on the net and I was wondering if any FReepers had any experience with this. He is currently on Rimadyl and the poor thing is in a fair amounnt of pain. I do not see either one of us getting too much rest tonight.

Thank you


TOPICS: Pets/Animals
KEYWORDS: animal; dog; doggieping; pet; vet
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If this is an inappropriate post moderator, I understand if you have to remove it....
1 posted on 02/10/2007 7:10:47 PM PST by Kimmers
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To: Kimmers; vetvetdoug

seems like we have a couple of vets here


2 posted on 02/10/2007 7:14:04 PM PST by nuconvert ([there are bad people in the pistachio business] (...but his head is so tiny...))
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To: Kimmers

Best wishes to your dog!


3 posted on 02/10/2007 7:15:55 PM PST by Tax-chick ("It is my life's labor to bring Christ to souls and souls to Christ through word and example.")
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To: Kimmers
I wish I had some knowledge to share with you on this subject but I don't.

But as a fellow dog lover, I wish you and your best friend the best.

4 posted on 02/10/2007 7:15:56 PM PST by Las Vegas Ron ("I fear we have woken a sleeping giant and filled her with a terrible resolve" - Osama 9-11-01?)
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To: Kimmers

tough call...

our pomeranian, who was about 9 years old at the time, had that surgery two years ago....she didn't have a torn acl but a similar problem with the knee and was hoping around on one leg...

First- we really trusted our vet who has cared for our dog (Copper) since my wife got her at 8 weeks old...he really suggested it since horrible atrophy can take over the dogs leg...

Second- since she is a pom and, God willing, has a long life, we decided it was best for her...

The operation was pretty expensive ($1700) but well worth it...she doesn't jump up on the couch anymore but gets around 100% and makes the long climb up the stairs when she wants to...

good luck...


5 posted on 02/10/2007 7:18:22 PM PST by God luvs America (When the silent majority speaks the earth trembles!)
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To: Las Vegas Ron; Tax-chick

Thanks guys....I want to do what is best for my buddy.


6 posted on 02/10/2007 7:19:08 PM PST by Kimmers
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To: Kimmers

Haven't heard about the procedure, but best wishes to your pup.


7 posted on 02/10/2007 7:24:51 PM PST by SIDENET (No votes for RINOs.)
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To: Kimmers

My Jack had a torn ACL when he was 10. We had the surgery and a year later he tore the other one. He also had a knee rebuilt during the first surgery. When he tore the second one, we had the surgery again and he lived an active healthy life until he was 19. Doing physical therapy on him was pretty entertaining though. lol

The problem with an injury like that is if you let it go, the dog can lose his spirit. We didn't realize our Jack had a serious injury for a long time because he never showed pain and would sometimes run or jump on it. Over time, we noticed he was just not as responsive to many things. By the time we got him to the vet, we realized his problem was no longer just physical, but mental because he was unable to perform.

Jacks aren't like Labs, but a torn ACL is a torn ACL. Our dog's replacement ACL looked like a string of dental floss about an inch long. lol

Good luck.


8 posted on 02/10/2007 7:25:35 PM PST by Ms. AntiFeminazi (no comment)
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To: Kimmers

ping VetvetDoug and ask him.


9 posted on 02/10/2007 7:25:58 PM PST by Fairview
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To: Fairview

Thank you, another kind FReeper already did that for me.


10 posted on 02/10/2007 7:28:05 PM PST by Kimmers
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To: Kimmers

Oops, when I say he had the surgery, I mean he had his ACL replaced. I don't know if it was TPLO or not.


11 posted on 02/10/2007 7:28:36 PM PST by Ms. AntiFeminazi (no comment)
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To: Kimmers

I have had a little experience with this, many years ago we had a Shepherd in our K-9 unit that had some type of knee problem and she was retired. One of the K-9 officers adopted her and the department paid for the surgery. She was 4 or 5 I think and had a great nose and we were sad to see her go. 6 months later the guy who adopted her tried to return her to work, she was able to do the job, but the department wouldn't allow her to come back because there was no rules about "un-retiring" a dog. I remember it because we were all pulling for her, but as usual, some jackass who pushes paper and counts paper clips got in the way of a good cop going back to work.


12 posted on 02/10/2007 7:29:50 PM PST by txroadkill
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To: Kimmers

I don't know if this will help or if its even related, but 4 years ago my cat was hit by a car and his hip was broken. They did this operation wherein they removed the ball of the ball-n-socket joint and let the tendons compensate. He was in bad shape for a couple weeks but he made a full recovery and now races across the yard, runs up trees, does all the things he ever did.


13 posted on 02/10/2007 7:31:37 PM PST by A_perfect_lady
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To: Ms. AntiFeminazi
Jacks aren't like Labs...

I have had, successively, three pairs of male labs since 1967. They're very strong, stoic and stubborn. Which, to me, indicates, at 10 yrs old, this dog needs to be tranquilized to reduce mobility (5 mg meprobamate q D), and/or surgery if the tear is extensive.

The life span is likely to be no more than 2-3 more years and olds labs will chow down and put on weight, especially if minimally ambulatory. If the prognosis from the vet is a long recovery---putting the dog down may be the best course.

14 posted on 02/10/2007 7:39:32 PM PST by Rudder
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To: nuconvert; Kimmers
From what you have described, knee surgery is indicated. Considering that your dog is a lab and good sized, disuse atrophy of the leg can occur and be a long drawn out painful experience without correction or trying to correct the damage. The surgery will depend upon the extent of the injury and the expertise of the surgeon. The referring veterinarian has already probably seen what is referred to as a drawer sign and is recommending the referral to a veterinary board certified surgeon. The TPLO may be used in a serious injury or a tibial tendon transposition to correct the ACL if that alone is injured. A few veterinarians learn certain techniques and use them carte blanche to correct all knee injuries that involve the meniscus, cruciate ligaments, and collateral ligaments which to any knowledgeable knee surgeon or anatomist is folly. The decision to use the TPLO or other techniques will depend upon the injury (ies) to the knee and a board certified orthopaedic veterinary surgeon is the one to do it...spend the money and go to one of these...it will pay you and your dog dividends for your dog's lifetime.

That's my $0.02 worth.....

15 posted on 02/10/2007 7:57:54 PM PST by vetvetdoug
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To: Kimmers

Give it some time and use anti-inflammatories. Etodolac 400mg/day works as well as Rimadyl and is much less expensive. Surgery will often make matters worse, to whit:

I have an 11 y/o chocolate Lab. Nessie got into a fight with two coyotes when she was five and the vet diagnosed her with a torn ACL on her left rear leg. $1800 later she didn't "really" have a torn ACL, just some adhesions. Then came the chronic wound infection that lasted for a year and another vet who wanted to amputate the leg for only $1500. I told him politely to kiss off, changed her antibiotics to what I thought would work, and a month later the wound had finally healed.

Nessie still limps a little, has a classic gray face, and is getting old dog arthritis but she is one of the happiest Labs I've ever known so she is going to live out her years digging after pocket gophers and doing the other things she enjoys so much.

Give it time. Dogs (and humans) can cope with torn ACLs amazingly well in most cases.


16 posted on 02/10/2007 7:59:41 PM PST by 43north (7 of 11 living things are insects. This explains liberals and islamofascists.)
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To: vetvetdoug

I don't have a dog, but I appreciate your writing all that.

Thanks.


17 posted on 02/10/2007 8:07:53 PM PST by nuconvert ([there are bad people in the pistachio business] (...but his head is so tiny...))
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To: vetvetdoug
Sigh...Thank you, I feel less confused and better about my decision to get the surgery done.

I have been taking my dogs to this vet for many years and have a lot a confidence in his advice. He has referred me to a board certified orthopedist.
Icon just hobbled outside to do "his business" and somehow managed to hop on the couch and seems to be resting a little better.

I really appreciate your $0.02, I wanted to get independent professional advice and thank you for taking time to send the reply.
18 posted on 02/10/2007 8:20:31 PM PST by Kimmers
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To: Ms. AntiFeminazi

Thank you, I was wondering if your Jack still felt like he was in charge of the planet when he was recuperating. I bet he did not let a little thing like surgery keep him down. They are cute tenacious pups.

I am glad he had a happy life for another 9 years after surgery.


19 posted on 02/10/2007 8:25:50 PM PST by Kimmers
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To: Kimmers

Hi there,

One of my dogs, Rollie, had the same problem and I chose to have the surgery performed. It worked well for him - while he lost the ability to jump, he could still get around, climb stairs, and even run and did so till he passed away from complications of Cushings disease in December.

My sympathies, and best wishes for you and your dog.


20 posted on 02/10/2007 8:27:22 PM PST by Old_Mil (http://www.gohunter08.com/)
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To: Kimmers; sinkspur; 88keys; DugwayDuke; sissyjane; Severa; the OlLine Rebel; naturalman1975; ...
Ping!


Other articles with keyword "DOGGIEPING" since 12/29/04

21 posted on 02/10/2007 8:29:30 PM PST by HairOfTheDog
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To: Old_Mil
Thank you, between FReepr vet advice and comments such as yours I am thinking the surgical approach is the best thing for him.

He just went outside to do his business and somehow jumped on the couch and is finally resting. I hope we both have a peaceful night.
22 posted on 02/10/2007 8:33:19 PM PST by Kimmers
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To: HairOfTheDog

Thank you for doing the ping thing ...my FReeper friends are coming through for me, as I knew they would.


23 posted on 02/10/2007 8:35:10 PM PST by Kimmers
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To: Kimmers

I don't have any experience with that, but I'm on the Doggie Ping list, so I hope it all turns out well.


24 posted on 02/10/2007 8:35:37 PM PST by GnuHere
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To: txroadkill
I am amazed that she could not go back to work. It is such a expense to find and train those dogs and I think it would have been cost effective to put her back on the job. It is obvious the idiot that made that decision did not like nor understand our canine friends.
25 posted on 02/10/2007 8:39:31 PM PST by Kimmers
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To: Kimmers
I was wondering if your Jack still felt like he was in charge of the planet when he was recuperating.

Of course he did! He was a Jack! He ruled everything! lol

Honestly, I'm surprised I outlived him. That dog nearly killed me. Literally. lol I have a crooked cheekbone to show for it. I made the mistake of bending down to pick him up at the same moment he decided to jump up into my arms and we hit face to face. Knocked me out cold and broke my cheek.

He was a very smart dog. I could tell you stories (like how he could count), but you'd think I'm nuts. Jacks are way too smart.

26 posted on 02/10/2007 8:40:02 PM PST by Ms. AntiFeminazi (no comment)
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To: Kimmers

I don't have any advice, but I hope your poochie feels better soon.


27 posted on 02/10/2007 8:40:10 PM PST by ellery (The true danger is when liberty is nibbled away, for expedience, and by parts. - Edmund Burke)
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To: Kimmers
A few years ago, my then 9 year old springer was running full speed when his back leg went into a fence post hole. He came away from it limping with his back leg sort of dangling. The vet told me this was fairly common with hunting dogs. My dog had surgery to re-build the knee and, after months in a cast, he began his recovery.

He is now 12 and gets around fairly well. His front left elbow has a lot of arthritis, and that slows him down, but the back leg seems to be more or less normal. Good luck with your dog's surgery. A good vet, especially if s/he's done this before, should be able to fix your dog up.

28 posted on 02/10/2007 8:43:10 PM PST by GBA (God Bless America!)
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To: Ms. AntiFeminazi

LOL, it seems every Jack owner has stories and hats off to the people that own and love them. They may not be the easiest dog to raise but they are entertaining.

However, I have never heard of one knocking his owner out and breaking a cheek bone. Then again, nothing suprises me about a Jack.


29 posted on 02/10/2007 8:54:51 PM PST by Kimmers
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To: Kimmers
No experience with what your dog has but we had our dog's luxating patella (probably spelled wrong)repaired and the surgery was very successful. She has a little limp but uses the leg to walk and run. If she would quit jumping off the bed I think she'd do better, but her nose rules and when the skunks come around at night she can't be stopped.

It was expensive, but I'd do it again.
30 posted on 02/10/2007 9:02:45 PM PST by pepperdog
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To: Kimmers

Our Newfoundland had ACL surgery done about 4 years ago and is just fine. He did have to undergo some therapy which we did at home.

We took him to a specialst at www.dfwvetsurgeons.com


31 posted on 02/10/2007 9:09:43 PM PST by e_castillo (We should fear the Environmentalist Inquisition...)
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To: Kimmers

My thirteen year old 55 pound pet bully dog had a TPLO four years ago. She did very well and was able to resume a lot of activities. Suprisingly swimming was one activity that the vet said was hard on the knee and she should resume more slowly. Eventually she went back to swimming and chasing a ball up and down the stairs. Unfortunately she has a bad back which now limits her to long walks only.

The recovery period is tough. It is crucial to keep them totally inactive for (if I remember correctly) six weeks. For the first week she was not allowed more than a few feet of walking to do her business.

Also it is very painful after the surgery, but you can get a narcotic pain killer in patch form for when the dog leaves the hospital (Fentanyl Patch).

I know a couple of vets in NY and California who do the surgery. try to get one that has done a lot of these procedures. Experience is important. Also if you wait too long the risks of arthritis are worse so the result is compromised.

Are you sure of the diagnosis?


32 posted on 02/10/2007 9:12:22 PM PST by dervish (Rachel weeps for her children, she refuses to be consoled. Shalit, Goldwasser, Regev)
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To: dervish
Thank you and I am positive of the diagnosis. I did not get to see my vet initially so I saw another vet and she diagnosed it and he confirmed it by exam and X-ray. I have a lot of confidence in him and his clinic.
I have been referred to a board certified orthopedist.
33 posted on 02/10/2007 9:21:53 PM PST by Kimmers
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To: Kimmers

Good luck. May I suggest you ask the Orthopedist how many TPLO's he/she has done. It is truly a remarkable procedure and the best one for large active dogs.


34 posted on 02/10/2007 9:27:32 PM PST by dervish (Rachel weeps for her children, she refuses to be consoled. Shalit, Goldwasser, Regev)
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To: Kimmers

I'm sorry your buddy is hurt, glad that you sought immediate diagnosis.

I have a net acquaintance whose mastiff just died on the way to be put to sleep over a torn ACL. Not sure how long that lovely dog suffered, reading between the lines made me suspicious that she'd been allowed to lay for too long while the owner anguished over lack of a qualified veterinary surgeon whom she could trust. In agony, the dog languished and gave up.

Whatever you do, do it fast.

I pray all works out for you and your fur-baby to spend more happy years together.


35 posted on 02/10/2007 9:40:24 PM PST by Titan Magroyne ("Y'know, I've always thought of politics as show business for ugly people." Jay Leno:Al Gore 11/29)
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To: Kimmers

My best friend's dog just went through double operations (October) to treat torn ACLs. She was doing great, but suddenly came up lame again this weekend. My friend is bringing the dog back to town tomorrow for further evaluation on Monday. I'll get details for you on the original operation (she had a choice of two different ones) and whether this new ailment is the same thing.

This is so sad because this is a wonderful, high spirited yellow lab who doesn't deserve this.

Best wishes to your puppy. I hope they can find appropriate treatment and that she heals quickly.


36 posted on 02/10/2007 9:41:52 PM PST by afraidfortherepublic
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To: A_perfect_lady
...did this operation wherein they removed the ball of the ball-n-socket joint and let the tendons compensate

I'm told this is how they generally treat hip displasia on dogs in Great Britain. They say it works fine. A friend in Scotland had this operation for his Golden.

37 posted on 02/10/2007 9:45:48 PM PST by afraidfortherepublic
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To: Kimmers
Okay, it's not a dog experience but I had a horse go through a fence and severed its flexor tendon and suspensory ligament. Everyone said to put him down except for one vet. That was the vet we took him to. That was 8 years or so ago and the horse is fine, not even a limp. Ornery as ever. It's amazing what vets can do nowadays.
38 posted on 02/10/2007 11:23:33 PM PST by Colorado Doug
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To: Kimmers

Our Doberman had ACL problems in both rear legs when she was just a couple of years old and ended up having surgery, which was, I believe, the one you are describing.

Dobermans, however sweet and loving, do NOT suffer in silence, LOL! Prior to the surgery, she was in a lot of pain, but following surgery, she was able to resume her favorite activities. She was no "athlete" after the surgery, but having her pain-free was a primary consideration for us, anyway. She passed away suddenly from other causes last March, at the age of 9. And I still miss her.


39 posted on 02/11/2007 5:26:18 AM PST by alwaysconservative (Leftists are the PITS: Perpetually Indignant, Totally Snippy)
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To: dervish
Yes, I am planning on that I also want to know about rates of infection....my friend took her Shepperd there for hip surgery and he got an infection. I am also going to talk to the surgeon she uses and I already know him, so we shall see. I just want him to be comfortable. He has been a faithful companion.
40 posted on 02/11/2007 9:12:27 AM PST by Kimmers
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To: Kimmers

Our Springer was diagnosed with a torn ACL.
Frankly, we did not trust our vet to do the surgery and at the time, our veterinary options were limited , so we rehabbed him without surgery.
It was time consuming and required someone with him most of the day-not something everyone can do.
We carried him out and back and gave him lots of TLC , a special diet, massages, passive exercises- just really babied him.
He got to the point where he went out on three legs- he kept the bad leg flexed and motored around fine.
It took months, but, his leg got stronger and he slowly started bearing more weight.
Eventually he was able to do all the things he had done prior, without any seeming deficits and pain.
He may have had only a partial tear and not a complete rupture.
If he had shown constant pain, even at rest or we had the veterinary options that we have now-I might have chosen a different path.


41 posted on 02/11/2007 9:34:29 AM PST by Wild Irish Rogue
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To: Kimmers

Best wishes to your little pouch!!

My dog had bad hips, so no matter what you decide to do accupuncture is always a good therapy for pain and getting your little guy back to optimum health is my take on the whole matter. Thank God for google searches...you can do TONS-O Research!!

My beloved Sparky got acupuncture for his hips. He lived to be 15 years old and was able to walk fairly well until he packed his bags and took off for RAINBOW BRIDGE!!


42 posted on 02/11/2007 9:40:53 AM PST by chicagolady (Mexican Elite say: EXPORT Poverty Let the American Taxpayer foot the bill !)
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To: Kimmers
If this is an inappropriate post moderator, I understand if you have to remove it....

Simply note where we moved it. No problem.

43 posted on 02/11/2007 9:43:07 AM PST by Sidebar Moderator
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To: Sidebar Moderator

thank you


44 posted on 02/11/2007 12:08:20 PM PST by Kimmers
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To: Kimmers
My (then 9 y.o.) border collie had TPLO surgery in April of 2003. She was back chasing her frisbee in about 6-9 months.

I highly recommend this as the way to go. The knee is much more stable, and because of the angle of the tibial plateau, it will not be subjected to the subsequent failure of a reconstructed graft, as well as the almost guaranteed degenerative changes that will occur (with more surgery later down the road).The TPLO will level that out, elimitating the shear forces through the knee that can/will cause problems down the road.

I was very fortunate to find out about this procedure by attending a conference on physical therapy and veterinary medicine, some months prior. It is the treatment of choice, with the best outcome in the long run. Just be sure to be diligent on the non weight bearing period initially, and your doggie will do just fine.

45 posted on 02/11/2007 4:23:02 PM PST by kstewskis ("Tolerance is what happens when one loses their principles"....Fr. A. Saenz)
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To: kstewskis

Thank you I am hearing a lot of good information about the surgery and the outcomes seem good.


46 posted on 02/11/2007 5:34:22 PM PST by Kimmers
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To: Kimmers
Kimmers, so sorry about your dog's injury. Our 8 year old (at the time) smooth fox terrier tore her ACL (in two they told me later) and partially tore the meniscus. She had surgery that's similar to what a football player would have, and she does really well for a 12 year old. We did the hydro therapy, massage, flexation, and heat/ice treatments on her, and she does almost as well as her 6 year old brother. She can nearly keep up with him at a full run now. She doesn't jump on the couch, and I try to keep her from jumping off, but those are about her only restrictions. Comparing the leg as it was after the accident to now, it's pretty impressive. She does limp sometimes; is on previcox; but those are her only restrictions.
47 posted on 02/11/2007 8:57:00 PM PST by Humal
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To: Kimmers

our Shephard - Husky had this procedure done at age 1 and half and lived to be 15. She was not bothered by the surgery or recovery period. IMHO It was worth it.


48 posted on 02/12/2007 9:24:53 AM PST by huskerone (Proud father of a Devil Dog)
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To: vetvetdoug
I just wanted to let you know that my Ike had the TPLO done yesterday and is happy to be at home. He seems to be doing well and is on Keflex, Tramadol and Rimadyl BID. His surgery was done by a board certified orthopedist.
We took off his hoodie, he was going crazy with it on. We will put it back on if he is ever alone.

The biggest problem is the 14" of algoars global warming in our backyard. We have cleared a path with a poop arena but he always wants to go in the deep snow and not stay in the arena.

Again, thank you for giving me your $0.02 worth it does help to know that this is a surgery worth doing in spite of the expense. I am looking forward to taking him to our local park, lab heaven as I call it. It is 3 mile trail through the woods with water trees and the squirrels that inhabit them.
49 posted on 02/17/2007 7:37:11 PM PST by Kimmers
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To: Kimmers
I like happy endings...about Al Gores Global Warming, I live in NE Mississippi and right now it would freeze the balls off a brass monkey and its snowing....jeesh....

Follow the Dr.s orders....

I don't know what I'd do if we had 14 inches of the white stuff.....
50 posted on 02/17/2007 8:01:08 PM PST by vetvetdoug
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