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Bielefeld
Junior Nomad
Posts: 67
Registered: 1-17-2008
Location: In Baja, living the live
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I just want to tell everybody who helped us find Dr. Pena, that our dog Luna is doing fine. I really can recommend Dr Pena for doing a great job. Our
dog is running around like before. It might help, that the doc recommended to let her loose some weight, too.
We are now back in Germany (the dog too) and working our butts off (only us humans, not the dog) and waiting for our next Baja- fix
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Russ
Elite Nomad
Posts: 6742
Registered: 7-4-2004
Location: Punta Chivato
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My choc. Lab also had his ACL repaired by a different vet in La Paz. Cost $1000usd but the vet I saw in Calif. wanted over $4000. He's, my dog not the
Calif. vet, is going great but the injured leg is smaller/ less muscle mass. Took a year for him to recover.
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jodiego
Nomad
Posts: 319
Registered: 2-16-2007
Location: San Diego
Member Is Offline
Mood: ever hopeful
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There is an alternative to surgery on a torn ligament. My vet told me my dog tore his ligament. I scoped out this website and decided on my own to
rest him. That was about a year ago. He's fine now. http://groups.yahoo.com/group/ConservativeManagement
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DrTom
Nomad
Posts: 183
Registered: 6-17-2007
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anterior cruciate ligament surgery is complicated. ive done 300 of them and there are many different ways to do them and each requires special
instrumentation. for years we thought it was easy, but we tolerated a significant percentage of suboptimal outcomes. evaluating the menisci is of
prime importance and i found out over 25 yrs that i needed some pretty specialized equipment to do that properly. the state of practice in the us and
canada requires that we have special orthopedic training in acl issues (extracapsular, tplo, tta etc). That said, for 15 yrs, i just looked at em,
cleaned em and imbricated them and a lot did fine. thats pretty much what you get in baja, if you get that. you really dont find out what you got
until a few years down the road to see if you get the meniscal complications, and the contralateral injuries because of a suboptimal repair. and a
certain amount of cases will do okay with rest......but not most.
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Russ
Elite Nomad
Posts: 6742
Registered: 7-4-2004
Location: Punta Chivato
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Dr. Tom, You'll love this. The vet I used in La Paz said he attached two monofiloment lines on each side of the knee and one stainless strap or cable
over the top of the knee. He said there had been some deterioration of the joint and needed the extra support. He also said he had to do a little
reshaping of the cup and added a piece of bone somewhere too. Surgery took 6 hours. My dog's fine but does have a bit of a hitch in his gitti up.
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DrTom
Nomad
Posts: 183
Registered: 6-17-2007
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this is exactly what i mean. there is an extra cap method where we used to use 100# test mono on the lateral surface.....dont use on the medial
aspect....and the suspension bridge over the patella is worthless....deterioration translates to arthritis and reshaping is eiiii chihuahua.....just
goes to show you that some get better in spite of what we do....adding bone is no, no...bet the patient resorbed that hopefully....they try hard, but
sometimes you need the real deal. i spend a lot of time training drs. there and it takes time.
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Gypsy Jan
Ultra Nomad
Posts: 4275
Registered: 1-27-2004
Member Is Offline
Mood: Depends on which way the wind is blowing
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Dear Dr. Tom
I have a screwed up ACL in both my knees. The left one was operated on almost twenty years ago after a skiing accident.
The right was never fixed after a car accident fifteen years ago.
My knees hurt everyday, along with my back.
If I sit nicely, don't beg for food and prove that I am housebroken, can you help me out?
“Travel is fatal to prejudice, bigotry, and narrow mindedness.”
—Mark Twain
\"La vida es dura, el corazon es puro, y cantamos hasta la madrugada.” (Life is hard, the heart is pure and we sing until dawn.)
—Kirsty MacColl, Mambo de la Luna
\"Alea iacta est.\"
—Julius Caesar
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DrTom
Nomad
Posts: 183
Registered: 6-17-2007
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in human medicine, surgeons use an arthroscope (a 2.7mm telescope instrument) and use it to remove the remnants of torn menisci and place an
intraarticular ligament implant. In dogs, most of us find that theres a fat pad that gets in the way but we can diagnose the issue with the scope, but
often still need to go into the joint. I would recommend scoping your knees looking for "joint mice" aka osteophytes and see if they cant clean them
up. i actually have better equipment than the local human hospital for arthroscopy and laparoscopy, but i stick to 4 legged's....
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