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View Full Version : Rosie'S Patella Operation - Tues 21 st



Brian M
20th December 2010, 11:56 AM
Hi

I will be taking my Little girl Rosie in the morning to North West Surgeons for her patella operation by Mr Ben Keely:( .My problem is no matter how hard I think about it and having watched Rosie happily chase my other three girls in the snow yesterday I cannot see anything wrong with her and so I cannot convince myself I am doing the right thing for her .I know I will be taking her tomorrow:( but it is so difficult to grasp it is the right thing to do when to me visually she seems the same as always.

If anyone has any advice or tips to help me help her during her period of recovery they will be gratefully received .She has her own crate by Dawn in the lounge and she has a soft crate by me in the bedroom and I have had a ramp made for her to get out of the back porch into the garden and we have baby gates for the stairs ,plus I am off for two weeks so will carrying and fetching for her 24/7.
So any assistance wellcome please.

Nicki
20th December 2010, 12:26 PM
I know it's very difficult but her patellas are something that will only get worse with age, as the soft tissues loosen [muscles, tendons and ligaments] then it will cause her more pain and problems, in addition she will be more prone to arthritis - which is not comfortable [I can tell you that from personal experience :( ].

We will be thinking of you Brian - get some Dr Bach Rescue Remedy from the chemist, put 4 drops in a glass of water and keep sipping that - it will keep you calm which will transmit to Rosie too [you can give her 2-3 drops in the mouth - carefully - too if she's stressed.]


I am assuming from that they are are going to both deepen the groove and regraft the ligaments?

When you get her home, keep her warm and quiet - ideally away from the others if they are bothering her. Offer her a small meal of something easily digested but don't worry if she doesn't want to eat - I'm not sure if she is stopping in for a few days or coming straight home?


There's very good info about patella surgery here [gory warning] http://www.acvs.org/AnimalOwners/HealthConditions/SmallAnimalTopics/MedialPatellarLuxations/

Including:
Post-Operative Care
The surgeon that has operated on your pet will best be able to advise you and establish a personalized post-operative treatment plan. For example, pain medications may be prescribed for a week after surgery. Physical therapy, with compresses and gentle, passive flexion and extension of the knee, may be recommended shortly after surgery. Exercise is typically limited to leash walks for 6 to 14 weeks depending on the procedures performed and factors affecting the healing capacities of your pet.


The surgeon should give you the most up to date advice about post op care - you are sensible to have crates set up and I hope you have acclimatised her to them?



I was sent this:

Deliver pain medication provided by your veterinarian. Post-operative care often requires giving your dog anti-inflammatory drugs to reduce pain and swelling. Medication will make your dog more comfortable and promote faster healing. Check with your veterinarian before you administer any pain medication.

Keep your dog from disturbing the surgical site. The incision site will heal much more slowly if your dog is constantly licking it. Most recommend using an Elizabethan collar or a cervical collar to keep the dog from reaching the affected area. For some dogs, spraying bitter apple near the incision is effective, though others will ignore the bad taste.

Restrict activity for up to 16 weeks. Jumping, climbing, running, or other stressful activities may cause the dog to heal more slowly and to experience unnecessary pain. Once the incision site has healed and the dog is putting weight on the affected leg, walk it on a leash to increase strength and mobility. Do not allow the dog to run freely until after full recovery.

Provide low or no-impact physical therapies if your veterinarian agrees. The American College of Veterinary Surgeons says your veterinarian may advise you to apply compresses and conduct passive therapies like moving the knee back and forth slowly several times each day. Swimming is good exercise since it puts little if any stress on the healing joints.

Install assistive devices to keep your dog from stressing its knees. During and after recovery, put stairs and ramps in place to help your dog get up and down off of couches, beds, and porches. Since patella luxation can recur after surgery, make sure your dog has few chances to stress or injure its legs.


VERY IMPORTANT:

Control your dog's weight. Fit and trim dogs will have fewer problems with luxating patellas and are more likely to recover from surgery quicker.



They should be able to advise you if they think hydrotherapy would help Rosie, and of the nearest centre, although you can also google for that. I think she's insured - and that should cover a certain number of sessions.

team bella
20th December 2010, 05:27 PM
Oh Brian you poor thing. I know you love your girls very much and its tough knowing that Rosie is going to have an op tomorrow. I'm sure she's not going through this needlessly, but understand you questioning if your doing the right thing. The thing about this little breed is that they are such lovely natured that they really don't complain, and its hard to know if there's any pain or discomfort. I don't have any experience of this problem so can't really advise, but I will be saying a little prayer for your lovely girl.

sins
20th December 2010, 06:00 PM
There's not much more I can add really.
If there's ever a good time for surgery,then this may be it.Better have the op while she's young and fit.She'll be in flying form when spring comes.
Sins

anniemac
20th December 2010, 06:06 PM
I will be thinking of you bri:lotsaluv:

merello
20th December 2010, 06:24 PM
We'll be thinking of you and Rosie tomorrow, remember to keep us posted how she is.

Margaret C
20th December 2010, 07:36 PM
I can understand how you feel, but you are doing what has been recommended by your vet & you cannot do more for Rosie than that.

I will be thinking of you, Rosie, and the rest of the family tomorrow.

mellie
21st December 2010, 07:59 AM
Oh Brian... I understand completely! Bella had bilateral patella surgery last year. It was hard to see her in pain, but she is able to do so much more now than she did before surgery. I didn't even realize how limited she was before her surgery, until now, that I see her able to jump and run without difficulty.
I found that it was much easier to put her in an Xpen than her crate. she needed help raising her bottom for a few days, and with the Xpen, I could get in it and put a towel underneath her lower half and lift her up and help her walk to the door and out to potty. She refused to walk without the help, and I couldn't get in the crate to help her. So the day after she came home we purchased the pen. Very helpful! She stayed in it for a week and a half, at the recommendation of her surgeon. Only coming out to potty and a few short trips around the house to keep her from getting too bored! She required pain meds for a full week, and anti-inflammatories for 2 weeks. She is now on a joint/cartiledge supplement for life to help prevent arthritis.
As I said before, it is hard to put our babies thru surgery, but its better to be proactive than to wait until its more damaged, making the surgery is more difficult.
I'll be thinking about you and your sweet baby!:hug: Prayers for an easy recovery! Keep us posted!

team bella
21st December 2010, 08:07 AM
Good Luck Rosie & Brian, will be thinking of you :hug:

Rubysmum
21st December 2010, 08:52 AM
thinking of you and Rosie today Brian .. you are doing the right thing and i hope things go very smoothly for you both xx

Brian M
21st December 2010, 09:29 AM
Hello

Well she is in and I made the comment "I am still not sure we are doing the right thing " so the nurse said they will X Ray first then phone before anything further ,though I think I will/know abide by Ben's advice .:(

Thank you all lovely people for your kind words and wellcome advice.:)

Thank You

brian and
poppy ,daisy and lily and missing rosie:(

Sabby
21st December 2010, 09:33 AM
Thinking of you and Rosie today. I know how you feel I will have the same in the new year with my Ebony.

Brian M
21st December 2010, 10:19 AM
Hi

Just spoke to Ben surgery cancelled ,watch and wait going to get her will post later

Brian M
21st December 2010, 12:47 PM
Hello

She is home had some breakfast had a wee outside and is now fast asleep on a chair in front of the fire with Poppy ,Daisy and Lily .:) What a roller coaster of a morning I certainly don't want that again for a long ,long time .

Ben examined her,then took her outside with a nurse watched her walk and run around the car park then consulted two of his colleagues and phoned me .He now considers that there is nothing to be gained by an operation but for me to monitor her and ring him in six weeks and he thinks that if she is still the same there is no reason for any operation at all in the foreseeable future ,he said she is young ,fit and an ideal weight and so there is absolutely no gain by any surgical procedure and the risks involved outweigh any necessity for now . HURRAY :D:D:D

Thanks again to all for your support it shows what a special place this is ,and special thanks to Ruth as her comments had been in my mind all along and I hope my little special girl Rosie goes the way her special Cavalier did . :flwr::flwr:

team bella
21st December 2010, 12:53 PM
How fantastic is that :pi*no::pi*no:
Great news and Rosie can have cosy Christmas. What a relief for you Brian. Have a very merry Christmas now.

Brian M
21st December 2010, 12:59 PM
Hi

And thanks ,Cavaliers really put you through it emotionally its a good job they are made of solid GOLD.:)

Margaret C
21st December 2010, 01:03 PM
Wonderful news Brian,

Have a wonderful stress-free Christmas

*Pauline*
21st December 2010, 01:11 PM
:shock: Oh wow, a roller coaster for me too as I have only just seen this thread today. So glad to see Rosie didn't need surgery in the end. Bet your nerves are shot to bits! :hug:

Charlifarley
21st December 2010, 01:22 PM
Thats great news, at least it wasn't postponed because of the weather - and you would have had it hanging over you at Christmas. Hopefully that's the end of Rosies troubles for a long long time.

emsley
21st December 2010, 02:12 PM
Great news! Happy Christmas!

ByFloSin
21st December 2010, 02:24 PM
What a big relief Brian. Something has been warning you against that surgery all along and now it has proved to be right. I am so glad for you that Christmas will be much more laid back and relaxed now.

Have a good Christmas Brian, you deserve it more than most over what you've been through today.;)

anniemac
21st December 2010, 03:00 PM
Oh Brian! I am so happy for you and Rosie... What good news :p I still can't get Daisy's picture of of my head with her tongue sticking out in the snow.

Sandrac
21st December 2010, 05:08 PM
Brian, thats great news. Sometimes vets tend to rush in, but there was obviously something that you felt was not right with it.

You, Rosie and the rest of your gang can now have a lovely Christmas.

emmastewartliberty
21st December 2010, 07:01 PM
That's great news, you've been through the wringer.It's always so much better not to have to go through an op if at all possible. Hope you can now elax and have a great Christmas.

jasperpaw
21st December 2010, 09:22 PM
That`s really great that Rosie does`nt have to have an operation, now you can sit back and relax and enjoy christmas - have a great one.

Sabby
22nd December 2010, 01:44 PM
Great news. Now Rosie can run around in the snow with the rest of your gang.

Hope the biscuits get to you on time.

Have a lovely Christmas.

Brian M
22nd December 2010, 02:20 PM
Hello Sabby

Yes Rosie is fine her head is on my left arm now as I type and shes fast asleep .Finished work yesterday till Jan 4 Th so have been back down to work this morning to feed Big Ginger and friends then around the park in the fresh snow fall and we are out again in an hour back to the park and your lovely biscuits arrived at midday so they have all had a sample each though Pops wanted the box .
Thanks again Sabby yours biscuits are superb .

Best Wishes and Happy Hols

brian

Ps my two xmas books arrived and look great reads, All About The Cavalier by Evelyn Booth ( M C recommendation )and The Cavalier King Charles Spaniel by Tina and Dennis Homes

anniemac
22nd December 2010, 02:27 PM
Hello Sabby

Yes Rosie is fine her head is on my left arm now as I type and shes fast asleep .Finished work yesterday till Jan 4 Th so have been back down to work this morning to feed Big Ginger and friends then around the park in the fresh snow fall and we are out again in an hour back to the park and your lovely biscuits arrived at midday so they have all had a sample each though Pops wanted the box .
Thanks again Sabby yours biscuits are superb .

Best Wishes and Happy Hols

brian

Ps my two xmas books arrived and look great reads, All About The Cavalier by Evelyn Booth ( M C recommendation )and The Cavalier King Charles Spaniel by Tina and Dennis Homes

Lucky you to be on break until Jan 4th. Plenty of time to spend with your girls :thmbsup: What a roller coaster you have been through but I am so glad you will truly be able to enjoy your holiday.

SuzRN
24th December 2010, 06:44 PM
Glad to hear no need for surgery now. Happy Christmas:wggle:

Karlin
25th December 2010, 03:45 PM
Wow -- that's a dramatic shift at the last minute, and I would find that a but confusing (though don't know the whole background to Rosie's case of course!). Is Ben a vet or an orthopaedist? If a vet, if I were in your shoes I'd really want a specialist opinion in 6 weeks and probably not a vet's again if it was really that hard for them to call... Wasn't this grade a 2? Most orthopedists would operate on a grade 2 because it is likely to only get worse over over time and cause a lot of pain as the dog ages, and they recover much better while young. The surgery takes a lot of aftercare but can transform a dog's life. I don't really understand how they called the grade and thought it serious enough for surgery, then changed opinion... and if it was bad enough for them to have considered surgery, whey they would OK a dog running around in snow etc now?! Are they saying it was never that serious? Had they not done an xray until immediately before a possible surgery?

Brian M
25th December 2010, 05:51 PM
Hello Karlin

And happy Christmas to you and your partner and all your gorgeous Cavaliers and also a BIG thank you for pouring so much love ,devotion,time ,cash and loads of hard work into The Wonderful World of Cavaliers.:)

Secondly when can we all see your holiday pics of your recent time up in Teesdale.

Thirdly I don't mind your comments at all as they are constructive and helpful for my little Rosie, so to quickly explain.
Rosie's patella problem first came to light during a routine annual inspection by my local vet who suggested possible surgery as the only solution for her ,I wasn't sure as she had no visible sign to me when running, rolling and playing so I decided to just watch her and see if it developed any further but she still gave no visible sign of any problem ,as follows one my my holiday videos in June showing normal Rosie and also as she was today in the park.

http://www.flickr.com/photos/22730263@N07/4801971358/

As you are aware we attended Chestergates in Nov when Rosie had a very hard physical inspection by Martin Deutchsland who commented on her patella but she thankfully scanned clear for SM .Late Nov I took Lily to my regular vets for her boosters and saw the same vet who diagnosed Rosie originally and so I mentioned Martins comments , we then decided he would refer us to a consultants IE North West Surgeons .The first appointment after Ben's exhaustive examination he basically decided on surgery for her and we set the date for last Tuesday so I dropped her off prepared for him to operate on her but after a pre-surgery further physical examination by him and then consultation with two of his colleagues he phoned me to say surgery was for now was not the path to take as he is more than happy with her physical condition and that if her patella only pops out by human manipulation, which it appears to do, he is happy for me to observe her but to ring him in six weeks with news of change or no change.
The actual premises are very impressive and relatively new and well equipped with a list of consultants covering orthopedic ,soft tissue,anesthesia and many other fields of expertise including a certain Mr Simon Swift cardiologist who Ben advised had just had his last surgery after his motorbike crash even though he recently gave a lecture at a Cavalier Health Day attended by many from CT ,Ben's impressive resume is as follows .
http://www.nwsurgeons.co.uk/specialists/46/ben-keeley.php

and N W S generally

http://www.nwsurgeons.co.uk/team.php

After visiting I am sure if needed my Rosie would not be in a safer place or in better hands but of course we don't ever ,ever want to go there again .
Karlin your thoughts and comments would be most wellcome please ,as are all others ,:) so for now I am absolutely other the moon with the best Xmas present I could poss have had and the warmth of having her beside me now and the joy she gives me watching her chase the others around in the park in the snow today.:D:D:D:D:D



































http://www.nwsurgeons.co.uk/specialists/46/ben-keeley.php

Spangly
27th December 2010, 11:46 AM
Hello Brian and Seasons Greetings to you, your family and the gorgeous girls! I`ve only just seen this post and I`m so glad that Rosie didn`t have to have her op. What a relief for you! :thmbsup:
Spangle sends special hugs to Rosie!

Brian M
27th July 2011, 03:10 PM
Hi

I sent Mr Ben Keeley of North West Surgeons a link to one of the holiday videos ,he phoned me last night
after viewing it and is more than happy with her so no more appointments for her patella problem but I
will continue closely observing her as we all do with all our Cavaliers .

The End to this thread, I pray.

Sabby
27th July 2011, 03:22 PM
Hi

I sent Mr Ben Keeley of North West Surgeons a link to one of the holiday videos ,he phoned me last night
after viewing it and is more than happy with her so no more appointments for her patella problem but I
will continue closely observing her as we all do with all our Cavaliers .

The End to this thread, I pray.


That’s great news Brian. I know you have a fantastic vet so no harm in asking him his opinion. As you know Ebony had a grade 3 pataller and after the operation she is doing great (apart from her new disk problem) After the operation I had to take her for physio and hydro every week as she had lost about 50% of her muscle. On the other leg she got a grade 1 pateller. The physio said to me to make sure this Grade 1 is not going to get worse is to build her muscle up by lead walking and hydro. That just letting dogs off the lead to run around doesn’t build there muscle that you need 50/50, meaning half lead walking half off lead running. You might want to ask about Rosie’s muscle tone and if she would benefit from hydro. Just a thought.

Brian M
27th July 2011, 03:57 PM
Hi Sabby

So pleased Ebony is doing better:) If you viewed any of the videos from our recent hols you will see Rosie is looking
fine going bonkers and chasing poor Pops all over the place .What Luke and I have been doing as many times as we can this summer ,we all go to the park and then I get Lukes to sit down about 15 Mtrs from me ,then I sit down and we play "piggy in the middle"
with Rosie chasing her tennis balls about .I enjoy it as much as her by just watching her having fun .:)

Nicki
27th July 2011, 06:56 PM
That's good news Brian.

Sabby, that is really interesting about the muscle building - I know many show people do road walking with their dogs as well as off lead running - it's the different pace that would use the muscles in different ways I suspect.

Perhaps we should all be adding in some lead walking - it would be good for a training exercise to walk close too [to heel]

It's great news that Ebony's knees are doing well Sabby.

Sydneys Mom
27th July 2011, 07:47 PM
Glad that Rosie is doing well. cl*p

Kate H
27th July 2011, 10:06 PM
On the subject of walking on lead - it's a question of weight. When walking quite slowly, a dog puts all its weight on its muscles and therefore exercises them and builds them up. When running around, very little weight is put on the muscles - the feet only touch the ground for a second - so although free running will get off fat, it actually doesn't do much to build up muscle. Greyhounds get most of their exercise walking on lead, with only occasional bursts at full speed; I think the same is true of racehorses. Walking up and down hills is also good for building muscle, as our calves tell us if we're out of condition! Out of condition dogs enjoy running off-lead, so it's good for their mental well-being, but gentle walking round the houses actually does them more good.

Kate, Oliver and Aled

Karlin
27th July 2011, 10:12 PM
That's good news Brian! And thanks to the posts as well on building up muscle–really interesting.

Karen and Ruby
4th August 2011, 02:49 PM
Building up muscle is an important thing to consider pre- surgery as well I think!!

I know too many people who have rushed their dogs in to surgery on the advice of a vet with out thinking about how the other leg will cope with the extra strain!

Ruby has a grade 1 patella on the left hind leg and I found out about a month after her SM diagnosis. My vet wanted to operate £££££££ ching ching! But I didn't want to so I opted to go for Hydrotherepy and supplements instead!

Once a week sessions to start and then once a month to maintain- along with the summer months swimming in the lake!!

I can safely say that it has done wonders for her general health and both legs are as strong as each other- her leg gives her no problems at all and if it did and I had to get surgery then I'm safe in the knowledge that her other leg is well built to cope!

Alot of people I know have had surgery on one leg only to find that the other one has to be done with in months as the extra strain casused the other leg to get worse!!

Brian M
24th November 2012, 04:50 PM
Hi

Just putting this back up so I can continue if needed ,sincerely hope not .