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My dog's stifle is abnormal even before the tear and is going to need several implants to fix the joint. Seriously fuck!
Hah that's funny. You're not the only one. Apparently my sig has been the cause of several spaztastic rep incidents. As a purveyor of irrational behavior, I'm thinking it could stay there forever and give me warm fuzzies.Quote:
Originally Posted by Gweneivia
The weird part is that it reminds me of my cousin jamie. I sent it to her.Quote:
Originally Posted by RojoDisco
It's from a porn site I frequent called "Things I cover myself with".
Shiiiiiit. Poor guy. And keeping them as immobile as possible post-surgery is incredibly hard too.Quote:
Originally Posted by Showal
I'll show you incredibly hard.Quote:
Originally Posted by DCSL
But really, all I can do is laugh. This is seriously going to be incredibly expensive but it has to be done. So all I can do is laugh. And 30-50% of dogs that tear one will tear the other. I just hope when that time comes, that knee is not as structurally abnormal as the first.
... maybe you should have them check it now while they're there.
I will when they have him under, but for right now it's a waiting game while the vets determine how to even make this surgery work. I have images, but can't get them to work on my comp. I can actually draw them out somewhat because it'll make explanations simpler for me. It is kind of interesting.Quote:
Originally Posted by DCSL
Ok. I'll make this kind of quick because I'm sure no one finds it as interesting as me. There are 3 surgeries to repair the CCL in dogs, the lateral suture, TPLO, and TTA. This is for the TPLO because max does not make a good candidate for the other two. The TPLO takes the stifle (knee) and changes it like this:
Attachment 5083 TPLO stands for Tibial Plateau Leveling Osteotomy. If you look, the surgery makes a rotational cut in the bone, rotates it, and makes the plane the stifle bends on flat. It works really well in dogs, but that's probably because they only live 15 years. If this was done in humans, the arthritis would be unbearable 20-25 years later. Max's problem is that his original angle is steeper, more like the thick red line in this:
Attachment 5084
If you take the angle from this picture and try to rotate a cut so it's level, you'd have to rotate it so much that you'd create a large tuberosity (a part of the bone that protrudes out) on the front of the joint. You can already see a minor one on the surgical correction in the picture (it's on the right end of the picture). To lessen the amount of rotation that would be required, they're considering making a wedge cut in the bone, which I drew with the thin red line. This would cause the bone to collapse in on itself, lessening the slope of the joint, allowing for a less dramatic rotation. It'd require a second metal implant to secure the bone. The physics and theory of it work out quite nicely, but each of those implants are about $800 alone. So this is going to take a $3500 procedure and quickly turn it into a $5-6000 procedure. The money's not as much of a concern (it definitely is, but it's only money), but the recovery becomes more complicated and the infection risk jumps from about 5-8% to about 10-12%. Also, if the other joint looks like this, it means he's going to tear it and need a similar procedure in the other leg. So that means I'm pretty much buying a car. Luckily, he's young, and will heal much better. This would certainly not be an option if he was an old boy.