opinions for severe hip dysplaisa treatment/management


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opinions for severe hip dysplaisa treatment/management

Josie, my 44 month old female bulldog was diagnosed with hip dysplasia last week. Judging by the radiograph, the femoral head isn't even in the socket. Her vet is a very highly regarded bulldog vet in the Detriot area and has suggested either a hip replacement or a femoral head and neck ostectomy.
I was almost speechless when he told me. She has had episodes of lameness before but recovered, so I just assumed it was a sprain or something she did hunting squirrels. She's been on Deramaxx for a week. I exercise her every other day to maintain muscle tone and for weight control.(she's around 50 lbs.)
I told him I needed to research this and would phone him later. The bulldoggers who I contacted didn't know anything about hip surgery and, I've scheduled an appointment next week with another bulldog vet near Cleveland who has an orthepedic surgeon on staff for a second opinion.
As far as I'm concerned, surgery has too many pitfalls and would be our last choice. But then again, conservative management may increase the risk of osteoarthitis later on from what I've read. I'm not going to rush into this and want to make the best decision possible. So Josie and I would greatly appreciate any advice or information regarding what to do next.

Suggestion

Talk with Sue Nieves (Sue/Bear) since she had the FHO surgery done on Sumo and was satisfied with the results...he gait was somewhat stilted but he was able to do stairs daily and she can tell you best what was expected and what was delivered by the vet doing the procedure (another bulldog vet).

Suggestion

Talk with Sue Nieves (Sue/Bear) since she had the FHO surgery done on Sumo and was satisfied with the results...he gait was somewhat stilted but he was able to do stairs daily and she can tell you best what was expected and what was delivered by the vet doing the procedure (another bulldog vet).

I will tell you the flip side

We got Samson a little before the age of two. His xrasy showed that the femoral head was not in the sockest, pivots and groves made where the bone was hitting. The femoral heads were also starting to flatten out as well as the sockets.

I chose not to do the surgery. In my area the hip surgeries run about 5-10 grand..the higher being both hips. so i looked at pros and cons. Long term it could cause him arthritis..well that had already started. We did rimadyl, deramaxx etc..pred...what ever kept him comfortable.
i gavce him glucosamine daily and i did adequan once.. (would have done more if i had more time with him)
Walked him to build up his muscle tone in the rear and he learned to compensate very well.

I had to put him down in march due to cancer and MRSA but i was happy i got as much time with him as i did. He was sadly a genetic mess from the get go but we loved him just the way he was.





Rhiann,Mia,Roland and Oy
RIP Samson & Karma

Foster mom to:
Chloe-10
Angel- 9
Blaze-6
Dante- 6?



I will tell you the flip side

We got Samson a little before the age of two. His xrasy showed that the femoral head was not in the sockest, pivots and groves made where the bone was hitting. The femoral heads were also starting to flatten out as well as the sockets.

I chose not to do the surgery. In my area the hip surgeries run about 5-10 grand..the higher being both hips. so i looked at pros and cons. Long term it could cause him arthritis..well that had already started. We did rimadyl, deramaxx etc..pred...what ever kept him comfortable.
i gavce him glucosamine daily and i did adequan once.. (would have done more if i had more time with him)
Walked him to build up his muscle tone in the rear and he learned to compensate very well.

I had to put him down in march due to cancer and MRSA but i was happy i got as much time with him as i did. He was sadly a genetic mess from the get go but we loved him just the way he was.





Rhiann,Mia,Roland and Oy
RIP Samson & Karma

Foster mom to:
Chloe-10
Angel- 9
Blaze-6
Dante- 6?



Sue-Bear's picture

no PT

we weren't told to back then, just to start walking him quickly. So we did, at first slowly with collar and lead and then gradually built him up. We did some leg exercises. It was a long time ago but I do remember that he did great even though the full recovery was lengthy because he had both sides done at 6 month intervals. It took a while before he stopped kicking his leg out to the side but once he was all healed and had built up his leg muscles he was able to run, jump, do stairs, etc like nothing happened.

We were lucky because he was so young, he hadn't begun to get arthritis as he got older so he didn't have issues. He never came up lame or even appeared to have any discomfort. We also gave him glucos/chondr daily.

Good luck.



Sue

All photos are my property and cannot be used without permission !!

http://www.youtube.com/bulliemommy

http://www.flickr.com/photos/bulliemommy/

Sue-Bear's picture

no PT

we weren't told to back then, just to start walking him quickly. So we did, at first slowly with collar and lead and then gradually built him up. We did some leg exercises. It was a long time ago but I do remember that he did great even though the full recovery was lengthy because he had both sides done at 6 month intervals. It took a while before he stopped kicking his leg out to the side but once he was all healed and had built up his leg muscles he was able to run, jump, do stairs, etc like nothing happened.

We were lucky because he was so young, he hadn't begun to get arthritis as he got older so he didn't have issues. He never came up lame or even appeared to have any discomfort. We also gave him glucos/chondr daily.

Good luck.



Sue

All photos are my property and cannot be used without permission !!

http://www.youtube.com/bulliemommy

http://www.flickr.com/photos/bulliemommy/

tpo operation

my winston was 6 months when we were told he needed the operation and we took him over to the vet collage in prince edward island canada they said he would be a good candit because his bones were still forming so after the operation he was dragging his hind leg but the doctor said that it would be a few days and it would come around.it's been three months and now he is wearing a brace on his leg cause he knuckles over on his paw they damanged nerves when they operated he has been to physo for two weeks now and it seems to be helping and he is going to half to have another brace made for his leg and he will probly half to wear it the rest of his life .The operation cost for xrays before and after operation 3400 and his physo cost 700 so far and his first brace cost 800 and not sure how much next one will be I am still trying to get hold of doctor to see if he will come good for the physo and braces that he needs at least the dog could walk before operation hope you have better luck then we did just wantted that was best for our little fellow

tpo operation

my winston was 6 months when we were told he needed the operation and we took him over to the vet collage in prince edward island canada they said he would be a good candit because his bones were still forming so after the operation he was dragging his hind leg but the doctor said that it would be a few days and it would come around.it's been three months and now he is wearing a brace on his leg cause he knuckles over on his paw they damanged nerves when they operated he has been to physo for two weeks now and it seems to be helping and he is going to half to have another brace made for his leg and he will probly half to wear it the rest of his life .The operation cost for xrays before and after operation 3400 and his physo cost 700 so far and his first brace cost 800 and not sure how much next one will be I am still trying to get hold of doctor to see if he will come good for the physo and braces that he needs at least the dog could walk before operation hope you have better luck then we did just wantted that was best for our little fellow

yep, i agree

talk with your vet about using the adequan!

Rhiann,Mia,Roland and Oy
RIP Samson & Karma

Foster mom to:
Chloe-10
Angel- 9
Blaze-6
Dante- 6?



yep, i agree

talk with your vet about using the adequan!

Rhiann,Mia,Roland and Oy
RIP Samson & Karma

Foster mom to:
Chloe-10
Angel- 9
Blaze-6
Dante- 6?



my wild child has grade 4 in both hips

Hi Sue, spoke with Josie's vet today by phone. He brought up her xray while we spoke and couldn't see any arthitis but did remind me that one head was completely out of socket. Price is $700 ea.
Did Sumo have physical thearpy afterwards? Josie's doc said they would begin light PT with his physical thearpist about 8-10 days postop.
How active/playful was Sumo after recovery? An active patient does better in the long run, I've read. I call Josie my wild child cause she's always wanting me to play, pulling my shoes off and running away. Like this morning, I was feeding her squirrels and she pulls one off in the wet grass and wouldn't give it back. I'm gonna miss that....hmm.
We're going for a second opinion on Tuesday. Just to make sure that there's nothing else going on in there that could be contributing to the problem. Josie's got a very good bulldog doc, but this guy is a specialist who works with another bulldog vet. I figure the more bulldog behinds he's seen the better...I hope.
Sue thank you so much for sharing your experiences about Sumo. After hearing from you and the others, I'll definitely be making a more informed, hopefully less emotinal decision. Thank you,
Frank

my wild child has grade 4 in both hips

Hi Sue, spoke with Josie's vet today by phone. He brought up her xray while we spoke and couldn't see any arthitis but did remind me that one head was completely out of socket. Price is $700 ea.
Did Sumo have physical thearpy afterwards? Josie's doc said they would begin light PT with his physical thearpist about 8-10 days postop.
How active/playful was Sumo after recovery? An active patient does better in the long run, I've read. I call Josie my wild child cause she's always wanting me to play, pulling my shoes off and running away. Like this morning, I was feeding her squirrels and she pulls one off in the wet grass and wouldn't give it back. I'm gonna miss that....hmm.
We're going for a second opinion on Tuesday. Just to make sure that there's nothing else going on in there that could be contributing to the problem. Josie's got a very good bulldog doc, but this guy is a specialist who works with another bulldog vet. I figure the more bulldog behinds he's seen the better...I hope.
Sue thank you so much for sharing your experiences about Sumo. After hearing from you and the others, I'll definitely be making a more informed, hopefully less emotinal decision. Thank you,
Frank

Jacinda and the bullies's picture

Have you considered Adequan?

Morgan takes monthly injections of Adequan for HD. I don't believe her HD is as severe as what you described but, Adequan works great for her. She does not limp anymore and takes no pain meds.

Myspace Comments, Glitter Graphics at GlitterYourWay.com

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Jacinda and the bullies's picture

Have you considered Adequan?

Morgan takes monthly injections of Adequan for HD. I don't believe her HD is as severe as what you described but, Adequan works great for her. She does not limp anymore and takes no pain meds.

Myspace Comments, Glitter Graphics at GlitterYourWay.com

<a

Sue-Bear's picture

Sumo had bi lateral FHO

glad I popped in to this side.

As Elaine said, Sumo, our first bulldog has severe bilateral HD, diagnosed at 8 mos old via xrays. I think I still have them somewhere. The femoral head did not even fit into the socket on one side because the socket was so malformed. We got 3 opinions, 2 of which were bullie specialists and one an ortho. 2 of the 3 sugggested surgery - FHO rather than hip replacement. That was all there was at that time, now I think they have one more surgical procedure. We opted for the FHO.

This was almost 11 yrs ago and at that time, the price was around $1500 per side, all inclusive with post op meds, etc.

The worse side was done at 1 yr old, the other side, 6 mos later. It was a somewhat long recovery but they want you to start walking them quickly and building their strength because the thigh and leg muscles are what will hold the leg in place. They walk funny, kicking out to the side but over time it gets better and looks like a pretty normal walk.

Sumo never really had the rolling bulldog gait but luckily he also never got arthritis because we corrected it early so the bone to bone friction and grinding was minimal. He lived to be almost 9 and never had hip issues again.

If I can be of any more help, let me know. Good luck



Sue

All photos are my property and cannot be used without permission !!

http://www.youtube.com/bulliemommy

http://www.flickr.com/photos/bulliemommy/

Sue-Bear's picture

Sumo had bi lateral FHO

glad I popped in to this side.

As Elaine said, Sumo, our first bulldog has severe bilateral HD, diagnosed at 8 mos old via xrays. I think I still have them somewhere. The femoral head did not even fit into the socket on one side because the socket was so malformed. We got 3 opinions, 2 of which were bullie specialists and one an ortho. 2 of the 3 sugggested surgery - FHO rather than hip replacement. That was all there was at that time, now I think they have one more surgical procedure. We opted for the FHO.

This was almost 11 yrs ago and at that time, the price was around $1500 per side, all inclusive with post op meds, etc.

The worse side was done at 1 yr old, the other side, 6 mos later. It was a somewhat long recovery but they want you to start walking them quickly and building their strength because the thigh and leg muscles are what will hold the leg in place. They walk funny, kicking out to the side but over time it gets better and looks like a pretty normal walk.

Sumo never really had the rolling bulldog gait but luckily he also never got arthritis because we corrected it early so the bone to bone friction and grinding was minimal. He lived to be almost 9 and never had hip issues again.

If I can be of any more help, let me know. Good luck



Sue

All photos are my property and cannot be used without permission !!

http://www.youtube.com/bulliemommy

http://www.flickr.com/photos/bulliemommy/

expecting a long road also

Thank very much Robin for responding to my post. I retired a few years ago to spend more time with my girls and have space to do what it takes to give Josie a good outcome, I hope. With bulldogs, I never know what's waiting for us around the next bend in the road.
I'll contact you about your vet's name, if you don't mind, next week after our visit to the orthopedic surgeon....
Thanks again for your help,

Frank

expecting a long road also

Thank very much Robin for responding to my post. I retired a few years ago to spend more time with my girls and have space to do what it takes to give Josie a good outcome, I hope. With bulldogs, I never know what's waiting for us around the next bend in the road.
I'll contact you about your vet's name, if you don't mind, next week after our visit to the orthopedic surgeon....
Thanks again for your help,

Frank

leaning toward the conservative management

Thank you Rhiann for responding to my post. I will definitely keep your words in mind.
I'm very sorry about your baby's passing. Daphne passed away 3 years ago in my arms. I whispered in her ear I loved her over and over again while the doc gave her the injection....It was the hardest thing I think I ever went through in my life.
Take care, Frank

leaning toward the conservative management

Thank you Rhiann for responding to my post. I will definitely keep your words in mind.
I'm very sorry about your baby's passing. Daphne passed away 3 years ago in my arms. I whispered in her ear I loved her over and over again while the doc gave her the injection....It was the hardest thing I think I ever went through in my life.
Take care, Frank

Thank you for the recomendation

Thank you Elaine for taking the time to respond to my post. I plan on following up on your advice tomorrow. (been busy trying to locate a new bullymobile)

Thank you for the recomendation

Thank you Elaine for taking the time to respond to my post. I plan on following up on your advice tomorrow. (been busy trying to locate a new bullymobile)

had the FHO surgery done with good results

We had a rescue that needed this done with both hips.We did 1 then 8 weeks later did the second one.For her everything has turned out great and she has been happy in her new home since the beginning of the year with no set backs.

had the FHO surgery done with good results

We had a rescue that needed this done with both hips.We did 1 then 8 weeks later did the second one.For her everything has turned out great and she has been happy in her new home since the beginning of the year with no set backs.

RobinandLeo's picture

Re: hip dysplaisa

In 1996 we had a Triple Hip Osteotomy (doubt I spelled that right) done on a Bullie bitch who was about 15 months old and she did great with it. She had a twisted steel plate put in with screws to hold the pelvic bone in place while it healed, but that was never removed as it didn't give her problems.
Recovery was a long slow road, starting with short walks to build up her strength and muscles. The Vet thought she might need the other hip done too if it deteriorated from taking on more of her weight support, but it wasn't necessary. She had a very slight hitch in her gait, never had any arthritis, lameness or other issues. So glad we had it done - she lived to be 10 1/2 years old and could chase squirrels with the best of them.
I think we paid about $1,000 for the surgery, but that was long ago. I would recommend the Vet who did it, he is an awesome surgeon.

RobinandLeo's picture

Re: hip dysplaisa

In 1996 we had a Triple Hip Osteotomy (doubt I spelled that right) done on a Bullie bitch who was about 15 months old and she did great with it. She had a twisted steel plate put in with screws to hold the pelvic bone in place while it healed, but that was never removed as it didn't give her problems.
Recovery was a long slow road, starting with short walks to build up her strength and muscles. The Vet thought she might need the other hip done too if it deteriorated from taking on more of her weight support, but it wasn't necessary. She had a very slight hitch in her gait, never had any arthritis, lameness or other issues. So glad we had it done - she lived to be 10 1/2 years old and could chase squirrels with the best of them.
I think we paid about $1,000 for the surgery, but that was long ago. I would recommend the Vet who did it, he is an awesome surgeon.

both hips also

Thank you Keith for taking the time to respond to my post. It's reasurring to hear about your success. I will definitely keep that in mind. My doc said full recovery is about 8-10 weeks.
Josie normally loves to play, spinning around and jumping with her back legs and yelling the whole time....I'm glad I caught it on video, just in case she can't do it anymore.
Thanks again,

Frank

both hips also

Thank you Keith for taking the time to respond to my post. It's reasurring to hear about your success. I will definitely keep that in mind. My doc said full recovery is about 8-10 weeks.
Josie normally loves to play, spinning around and jumping with her back legs and yelling the whole time....I'm glad I caught it on video, just in case she can't do it anymore.
Thanks again,

Frank

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