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Old 01-14-2012, 07:41 PM   #1 (permalink)
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Default TPLO surgery - anyone else been through it?

Hi folks. I've just joined and I am looking for some advice/support. My beautiful boy is nearly 6 yrs and has been unwell for years with one thing or another. About a year ago, we finally got his allergies sorted out and he now has monthly immunotherapy injections. But unfortunately prior to this he was on steroids - which caused some weight gain and then he developed cushings. The extra weight was starting to come off when we got him off the steroids, but then his cruciate ligament ruptured (probably not helped by the weight gain).
He is going on Monday to see a specialist orthopaedic surgeon to be assessed for TPLO surgery (he has already viewed the x-rays sent over by my local vet and has recommended TPLO).
The thought of my boy going through this rather drastic sounding procedure is quite scary, but I would love for him to have his mobility back (he cannot put weight on that leg at all) and for him to be free of pain - a short walk is enough to result in him being laid up for a few days.
Has anyone else been through it with their beagle and can give me some advice of what to expect?
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Old 01-15-2012, 05:06 AM   #2 (permalink)
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Hello,
So sorry your going through all this.

I would get 2 vet opioions on the surgery. One from teh specilist your going to and one from a holistic vet, many will do that over the phone as well if you can submit or have current vet submitt xrays and vet records.

the reason is there are some new advances in ligament repair that do not require surgery. I do not know if your pup would be a canidate for it as I am only aware they ar out there. the other reason is a holisitc vet can support the body and immune function of the dog if you decide to go with the surgery.

I woudl also suggest no more vaccines. And get a medical waiver for rabies. Your 6 yr old dog one doesn't need any more as one puppy shot is showing life long immunidty and also becuase you should never vaccinate a dog with health issues. Also becuase the adjuvant ingrediant in vaccines is showing to cause allergies, auto immune issues, and many other diseases in our dogs.

Vaccinating Sick Dogs and Cats: A Recipe for Bad Reactions | Truth4Dogs

Vaccine Notes From Catherine O’Driscoll | Dogs Naturally Magazine

Alternatives to Canine Surgeries - Whole Dog Journal Article


Hugs and prayers for your descion and pupper.
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Old 01-15-2012, 09:03 AM   #3 (permalink)
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Thank-you... and for the links too - interesting reading.
I think I'll do that - get another opinion. My local vet has the X-rays and can send them off to wherever we ask. We have tried several non-surgical approaches to treat his ligament injury already, but nothing has really helped much - although my mind is open to try anything. I think I'll try to find a holistic vet
Buttons is on daily NSAIDs and pain management drugs, and I hate giving him drugs on a regular basis after what the steroids did to him. I think my local vet (who only resorts to surgery after he's tried everything else) started thinking along the lines of surgical intervention because of Buttons' age (i.e. he's still young) and the fact that the ligament injury is now causing arthritis to develop.
Re the vaccinations - we're in the UK, so we don't get the rabies one anyway. I did ask the immunotherapist about vaccs and he said to keep up to date with them mainly because of where we live. We live on a small island off the west coast of Scotland, so wherever we walk Buttons there are always seagulls and they spread leptospirosis in their droppings. My parents lost a dog to leptospirosis and it was a horrible way to go (liver failure) - the puppy shots do not give life-long immunity in all dogs for this one... so I think we'll keep going with the vaccs. My local vet is very good - he only gives him what he needs (I think he only gets lepto and parvovirus), and works with the immunotherapist to decide when is the best time to give them.
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Old 01-15-2012, 09:24 AM   #4 (permalink)
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I always fail to see were people are from sometimes. My apologies.

Sorry to hear about your parents dog. Lepto vacicnes here in the states have many more cons then pros. It's not a reccomended vaccine here.

Intresting learnign about differnt needs in differnt places though. It sounds very pretty also.

I am guessing you can start adding joint supplements if your not doing that as well. he will probably still get arthritis in that leg reglardless of surgery or not. It's just the severaity of it I think that will be regarded.

DogAware.com Health: Arthritis in Dogs

Keep us posted. Hugs to Button.




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Leptospirosis vaccine is a common cause of adverse reactions in dogs ranging from life threatening anaphylactic reactions to mild facial swelling and urticaria.
Leptospirosis is an infection of the kidneys and liver. Dogs and people get it from contact with urine from rats, raccoons, cows and pigs. The risk of contagion from dogs to humans is very low.
Most of the clinical cases of leptospirosis reported in dogs in the U.S. are caused by serovars (or types) L. grippotyphosa, L. pomona and L. bratislava.(1, 9, 15-p20, 21) The most commonly used vaccines contain different serovars-L. canicola & L.icterohaemmorrhagiae. Cross protection is not provided and protection is short-lived (6 - 7 months)(19) New Vaccines recently introduced by Fort Dodge include L. grippotyphosa., and L. pomona .
Although Leptospirosis in dogs seems to be increasing in Michigan, Wisconsin, Ohio, and New York, this disease is rare in Texas. Records at Texas Veterinary Medical Diagnostic Lab show an average of 12 cases of Leptospirosis in dogs in Texas per year. In 2000 the TVMDL recorded L. Icterohaemorrhagiae -3 cases, L. canicola -2, L. pomona -2, L grippotyphosa -1. Texas A&M University reports 31 cases in 21 years. Although this is a serious and life threatening disease, in a state with an estimated dog population of over 7 million, I do not think the risk justifies routine vaccination, with two vaccines twice per year.
This vaccine should not be given to puppies less than 16 weeks of age as it is very immunosuppressive. It can interfere with immunization against parvo & distemper. Reactions are common. Deaths due to immunosupression can occur.
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Old 01-15-2012, 05:33 PM   #5 (permalink)
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Thanks Brandypup... and no need to apologise
So is lepto not given as standard in the States?
We have tried so far only one joint supplement and it was fish oil based - didn't seem to go down well with his allergies (he has atopic dermatitis as well as food allergies - not all his food allergies have been identified because it's a lot more complicated than just doing skin-prick tests). I'll ask the his immunotherapist if there are other supplements we can try - we're seeing him tomorrow too, lol.
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Old 01-17-2012, 04:54 PM   #6 (permalink)
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Well, we've sought a second opinion and it looks like we're going for TPLO. Buttons was assessed on Monday and the cruciate ligament is completely gone in his right knee... but the bad news is his left knee is almost as bad - just about hanging together with a few strands. Both knees have early stage arthritis as a result.
The first specialist was fairly adamant that TPLO was our only option - and the sooner the better. The second specialist said the only alternative available to TPLO with the amount of damage in both knees would be Extra Capsular repair. This ECR is cheaper and less invasive, but has a longer recovery period in the early stages (although both take about 6 months recovery all-in, the TPLO means the dog is weight-bearing a lot earlier)- meaning the surgery for the left knee would have to wait longer, and we could be looking at almost a year of recovery.
So, although the second specialist would let us choose, he recommends TPLO as well.
We decided there and then and opted for the first specialist because they seem to have a more comprehensive recovery programme... and Buttons was admitted for surgery this morning - but it couldn't go ahead afterall! Hard to believe how unlucky my boy is - he has pyoderma (caused by his allergic skin) right in the area where they make the incision. So we now have two weeks of anti-Bs before gearing up for the operation all over again.
As for Buttons - he's not currently talking to me because he missed his breakfast two days in a row!
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Old 01-18-2012, 07:15 AM   #7 (permalink)
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Ah poor buttons. Poor you. Prayers all goes well. Thanks for the update.
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Old 01-18-2012, 12:23 PM   #8 (permalink)
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Thanks Brandypup
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