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Discussion Starter · #1 ·
Sadie (2-yrs, 3-months) was in for her annual stuff at the vet this morning. The doctor we saw happens to be a beagle person. She noticed that Sadie is pigeon-toed, so she checked her knees. Sadie has what the doctor labeled as, Grade-2, medial patellar luxation. A congenital malformation that (In plain English) causes the knee cap to pop out of joint.
In grade-2, they pops out on their own, and can be popped back manually or may on their own from activity.
She mentioned surgery and said that I may have noticed Sadie shaking her leg, trying to pop things back into place. I never have, but we agreed that I would watch for signs that she is in any pain.
My first reaction was… If it doesn’t bother her, we should put off putting her through the surgery until it becomes a problem. After reading the paper the doctor sent home with me, I’m thinking… This is not going to go away. Maybe it would be best to take care of it now while she’s young, and before it leads to arthritis,etc.
The paper says that weight management is extremely important with or without the surgery, to reduce stress on the knees. Sadie needs work there anyway. Maybe a good plan would be to get the weight off first, so she isn’t carrying it around while she recovers from the surgery.
The paper also mentions giving them supplements with glucosamine, MSM, creatine, and fatty acids. Our vet carries “Dasuquin”.

Has anyone been through this? Any thoughts or advice?
What about cost, success with the surgery and recovery time?

Thanks, as always,
Bruce
 

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I have no knowlege of Sadie's condition, but I have been through a similar "should we or shouldn't we" with surgery on my yellow lab, Cassie.

She had a lump on her foot. At first, her vet said it was fatty tissue and as long as it didn't bother her, we should leave it be (espcially since she was 10 y/o at the time and we were trying to prevent unneeded surgery at her age).

Well, it did start to bother her after a few years and it happened so fast that within a day, it was infected and she was lethargic and her whole leg was swollen. The vet (whom I have since stopped going to) told us he thought the swelling was bone cancer! We were so freaked out because at her age (12), there was little hope. I still thought it was the lump, but he didn't agree and we ran a bunch of tests. When all was done, it ended up being the lump and she had to have it removed surgically.

She did make a full and speedy recovery and there is no bone cancer. But just knowing that we could have avoided all of this by having the surgery sooner makes me wish I could have a do-over.

You never know what the next few years may bring and at least Sadie has youth on her side which will help her recover quickly.

Good luck with your decision, either way it is a tough one.
 

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Discussion Starter · #3 ·
Turns out that one of my sister-in-law’s labs had the same thing and had surgery for it before it was a year old. His was so bad that he couldn’t walk when it happened. It fixed his knees, but I remember that he had a reaction to the anesthesia. It actually changed his personality. He became very paranoid and to this day has never really gotten over it.
After thinking about it for the rest of the day… I have no doubt that Sadie has what the doctor says she does, but to determine the severity of it will take second opinions and x-rays, etc. She shows no sign of being hindered by it or in pain. So we aren’t going to rush into anything.
In the mean time, I’ll look into the supplements, and there’s just one more reason to get her weight down to where it should be. (But Daddy likes to hug his little butter ball! :heart: )
 

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Bruce,

Sammy has had the surgery on both of her knees and I am glad I did it. When she was 18 months she jumped off the couch and we thought she just hurt it jumping down. The jump just aggravated it and it started popping out all the time so 2 weeks later she had the surgery. 1 year later same thing on the other leg. the hardest thing was keeping her from chewing the cast off. her personality did not change at all and she is still the most snuggly dog I have ever had !!

she is on a daily joint enhancer with chondrotin and glucosamine to help with her joints.

back then it cost $500 per knee so not sure what it would be now but to me it was well worth it as she has been active her entire life and she will be 11 on Feb 2.

Julie
 

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Don't know anything about this condition, but I hope Sadie's condition doesn't get worse.... I would feel the same about if it doesn't hurt her don't do anything, but rationally I would probably take the vet's advice. Just consider everything and do what ever you think is best for you and Sadie....
for Sadie feeling better.
 

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Discussion Starter · #7 ·
Sadie shows no sign that it is causing her any problems… for now. That could change tomorrow, but for now it buys us the time for consultations with more than one doctor before we decide how to have it taken care of.
Yesterday’s vet visit was just routine, but with a, (“By the way, she has this. Take this paper home and read about it.”) thrown in.
Time to do our homework. /forums/images/%%GRAEMLIN_URL%%/wink.gif

Sammy's almost 11?... You go girl! :thumbup:
 

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Sorry to hear that you have cause for concern about Miss Sadie but it sounds like you have a good plan in place. As I am sure you are aware already, there is a great veterinary hospital in Tampa -- Florida Veterinary Specialists. Here is the website: http://www.floridaveterinaryspecialists.com/

If not an emergency, you need a vet referral. Maggie's internist, Dr. Erick Mears, is now the hospital chief -- not sure if he is taking new patients but he is fabulous. There is a long list of orthopedic surgeries on the website, including correction of patellar luxation. I know it would be a drive for you but, I think, well worth it if you are looking for a second opinion or end up moving to surgical correction.
 

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Discussion Starter · #9 ·
Quote: I know it would be a drive for you but,
Thanks, Judy. We just got home from Lakeland. We went up for Karen's Aunt & Uncle's 60th /forums/images/%%GRAEMLIN_URL%%/eek.gif wedding anniversary.
We've made four beagle related trips up to the Tampa Bay area in the last year or so. (Adopting Sparky, Ft Desoto, etc.) This would be well worth another one.
They weren't with us today, but I kept turning around expecting to see them asleep on the back seat.
There is also a clinic in Miami that really helped my sister-in-law's other labrador with his hip problems. We are going to give them a call too. Ludlman-Dixie Animal Clinic

The more we talk about it, the more we think that the severity of the diagnosis may have been high. I was not asked any questions about symptoms. Instead I was told that, "You've probably seen her do this and that." It didn't seem like the doc was really listening when I answered, "No."
More opinions is definitely the next step.
 

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I would get another vet opinion. And also talk to a vet orthopedist. I would not rush into anything. Good luck with this! Hi Sadie from our Sadie!!

Our Sadie has hip displasia. Very rare in Beagles. Just in one hip. She aggravated it last summer at age 7. We didn't know whe even had it until then. We give our Sadie Glucosomin supplements from the vet.
 

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I'm glad to hear that you are getting other opinions. It sounds like Sadie is not in any pain and it isn't bothering her. I'm sure that is probably what Sammy had and then her jump from the couch knocked it out of joint and loosened it so much that I had no option but to repair it.

sending out good thoughts that you will be able to manage this without surgery.
 

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Discussion Starter · #13 ·
Thanks everyone for the support. /forums/images/%%GRAEMLIN_URL%%/smile.gif
I've done some research and found that there are a few different surgical fixes to the problem, but it depends on what the actual deformity is.
Today we contacted the vet she saw on Friday and asked what the next step would be in determining what should be done, if anything. (x-rays, etc.)
She basically said, "We don't normally do x-rays prior to the surgery because it doesn't really show much. We decide what to do once we go in."

.......... :angry: Not on MY dog you don't! :angry:

I did e-mail Florida Veterinary Specialists and got a very nice reply. As Judy said, they need a referral from my vet, but they would be happy to see us. (There are two other doctors in "my" vet's office.)

..."We will want you to bring her medical history along with any diagnostics that have been done. In this case, most likely the radiographs."

Now... that sounds reasonable.

We are also going to contact the clinic I linked to above, just to see what they say. They do conventional and holistic pet care.

It's good that our society doesn’t accept doctors as gods anymore, but it can sure complicate things!

Meanwhile, Sadie is oblivious to all of this. :heart:

I'll keep ya'll posted. /forums/images/%%GRAEMLIN_URL%%/wink.gif
 

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Quote:Originally posted by Karebru:
She basically said, "We don't normally do x-rays prior to the surgery because it doesn't really show much. We decide what to do once we go in."
/forums/images/%%GRAEMLIN_URL%%/eek.gif That's what I have to say about that ...

Just like any decent "human" doctor, any good vet should be more than happy to provide a referral. Specialists are just that -- they offer guidance in areas that a neighborhood vet might only have infrequent contact with -- I really hope your vet would be willing to make a referral.
I think the FVS staff would be shocked to hear your vet's opinion about pre-surgery x-rays -- if you don't have any to bring with you, they will just do them there. They will cost a bit more there but, since it seems your vet doesn't have too much experience with x-rays ... the ones done at FVS might be more reliable.
Hugs to Sadie -- glad she is oblivious!
 

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OMG /forums/images/%%GRAEMLIN_URL%%/eek.gif they actually said that they don't do x-rays /forums/images/%%GRAEMLIN_URL%%/eek.gif /forums/images/%%GRAEMLIN_URL%%/eek.gif /forums/images/%%GRAEMLIN_URL%%/eek.gif

that's just crazy.....we had x-rays done before both of Sammy's surgeries and our vet showed us on the x-ray where and what the problem was and what they were going to do to fix it.....

well I certainly wouldn't let anyone operate on me without an x-ray nor my pups !!!

I hope you can get a referral to FVS. they are great folks.
 
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