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TPO success rate.

Species: Dog
Breed: golden
Age: 1-2 years
WHat is the degree of success from triple osteotomy?




Online vet, Dr. Marie

Dr. Marie replied:

Hi Jay. Thanks for sending the report from your vet.

How disappointing it is to read that Max has signs of hip dysplasia.

You will get the best advice from the orthopedic specialist who you are seeing. They will advise you on whether it is best to go ahead with surgery or not. The specialists that I have dealt with have all been extremely honest and would only recommend surgery if it was likely to be helpful.

I have done some research for you on the success rates of TPO surgery. One report I read reported a 90% success rate for "good clinical results".

With that being said, I also read a discussion amongst orthopedic specialists about whether or not a TPO should be done on a dog that has no clinical signs of problems with their hips. Many ortho vets feel that it is not a good idea to do hip surgery simply because the radiographs show us a problem. But rather, they prefer to only do surgery on dogs that are actually sore in their hips.

It's a tough call. It sounds like the knee surgery may have to be done. And again, the specialist will give you his or her advice on whether hip surgery is likely to be necessary.

I hope that helps and doesn't confuse the matter even more.

Regarding your question, Jay, are you clicking through the link given to you when you complete your Paypal payment? For some reason your questions are coming through with $0 payment, but I can clearly see that you have paid. I am not having this problem with any other customers. It's strange!

Dr. Marie.



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Disclaimer: Although Dr. Marie is a qualified veterinarian, the information found on this site is not meant to replace the advice of your own veterinarian. AskAVetQuestion.com and Dr. Marie do not accept any responsibility for any loss, damage, injury, death, or disease which may arise from reliance on information contained on this site. Do not use information found on this site for diagnosing or treating your pet. Anything you read here is for information only.

Customer reply:

Lastly I have shown this to a radiologist I know and she said the results are questionable because the angles are not well done as mentioned in the report. It's out worth a second set of x rays at another clinic?


Online vet, Dr. Marie

Dr. Marie replied:

This is actually an excellent point!

Was Max anesthetized when he had his xrays? If not, then it is definitely possible to have xrays that look dysplastic when they are not.

In order to get good hip dysplasia xrays you have to be very specific with your positioning and the hips have to be rotated in a way that is difficult to do in an awake dog.

Whenever I think I see signs of hip dysplasia on regular xrays I always recommend repeating the xray under heavy sedation. The exception is if there are very obvious changes on the initial xray.



Customer reply:

He was sedated but it was reversed very quickly.I picked him up less than an hour's later


Customer reply:

He was sedated but it was reversed very quickly.I picked him up less than an hour's later

The prescence of slight arthritis and slight loss of muscle suggest something.

He is seeing the ortho Tuesday so we will take it from there.

I showed the radiologist report to a human radiologist I know and the first thing she said was the angles are aknowledged as not perfect.

Fingers crossed.


Online vet, Dr. Marie

Dr. Marie replied:

Ah, it sounds like the vets used a reversible agent such as Domitor. This really should have given sufficient sedation to get good xrays. I am guessing that what you are being told about the hips is probably accurate (unfortunately).

Your plan is a good one though. Let's not get worried until the specialist has had a look. Let me know what the ortho vet says.

Dr. Marie.



Customer reply:

I do love how specialists get to the heart of things.

Max had a grade two luxating Patela. Hes recommending weight loss and physio to increase muscle mass and see how it goes in two months.

Hip xray inconclusive due to angle of pelvis. No signs of bone overgrowth .no clinical symptoms. 130 degree range of motion.

Recommend Penn state x ray. Suitable candidate for too if required despite she.


Online vet, Dr. Marie

Dr. Marie replied:

Well this is good news!

I have worked with a vet who did Penn Hip xrays. They are extremely accurate when it comes to diagnosing hip dysplasia. Not all vets do them though because you need to get certified and have special equipment.

I'm so glad to hear the specialist wasn't too worried!



Customer reply:

Hi Dr,

I thought you may be interested in an update on Max's luxating patella.

I was referred to Dr Edwards DVM, a rehab specialist.

Max has a #2 luxating patella, left leg. The patella does slip back into place spontaneously and fluidly without any apparent discomfort. He has equal muscle mass on both legs suggesting no favoring.

She prescribed a number of activities to hopefully delay or replace surgery.

Strengthen Muscles
- walk on hills, walk on them at 45 degrees.
- sit to sand squats in reps of 10
- reps of pausing on stairs, shift weight slowly laterally to work different muscles

Balance and Proprioception
- walk on a variety of surfaces
- walk through a horizontal ladder
- raise water dish to decrease slipping

Stretches
- focus on sartorius muscle and stifle

On a positive note she said there was no rush to surgery at this point and time was on my side.

Thanks,

Jay

By the way I've noticed a delay when moving the cursor around. Sometimes it does not appear again until I start typing. It may just be my computer.




Online vet, Dr. Marie

Dr. Marie replied:

This sounds like a great plan and encouraging news. Thanks for sharing!



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Dr. MarieDr. Marie is a veterinarian who practices in a busy animal hospital in Ottawa, Ontario. She created Ask A Vet Question as a resource for good, accurate veterinary advice online. Dr. Marie treats dogs, cats, hamsters, guinea pigs, and rats. She has been a vet since 1999.

Is an online vet visit just as good as a trip to your veterinarian? No! But, many times, asking an online veterinarian a question can help save you money. While Dr. Marie can't officially diagnose your pet or prescribe medications, she can often advise you on whether a vet visit is necessary. You can also ask Dr. Marie for a second opinion on your pet's condition.