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Tibetan Terrier Hip Replacement or what ??

Discussion in 'Dog Health and Nutrition' started by tony290446, Apr 26, 2018.


  1. tony290446

    tony290446 PetForums Newbie

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    We took our Louis who is 4 in May to the vets last week as he was walking funny and started licking a lot and snarling if we touched his hips.This is totally out of the Norm for him,so we took him to the Vet. He could not find anything wrong with him,but gave him a pain killing injection and we had some Metacalm to give him.We were told to return after a week if things did not work out. Today he had an xray and we were told that he needed both hips replaced and both of his knees required surgery. The alternative was to keep him on medication for the rest of his life. We were told the alternative was that he may not need to have his hips replaced but taken out instead ,thus relying on his muscles.
    Has anybody had this type of problem as we would appreciate any advice which would be helpful.
    We have insurance but there is a limit of £7k for any claim.
    Thanks
     
  2. kimthecat

    kimthecat PetForums VIP

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    Welcome to the forum . I'm sorry to hear Louis needs hip replacements.:(
    I would ask your question in the Dog Sections where more members will see it .
     
  3. Aahlly

    Aahlly PetForums VIP

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    Sorry to hear about your dog’s issues.

    When my lad was 6 months old he had a femoral head ostectomy (spelling?) where the ball of the hip was removed as it was not formed at all. I think choosing this option is fairly common for small dogs with hip problems rather than the trauma and expense of hip replacement as they are not bearing the same weight of a larger dog. My dog has been grand since the op. It healed incredibly quickly with complete rest and then once he was able I excercised him carefully to build up the muscles and I’ve not had a problem with him. We walk a lot of hills which I think has helped to build up strength behind following the op.

    I believe it is possible to have this surgery on both hips just several months apart for recovery so I think it’s definitely an option worth exploring. I have no experices with knee surgeries however but I wonder if your vet could refer you to a specialist as your dog’s issues sound a little complex. I was lucky that there is a resident specialist at my vet surgery.
     
    lullabydream likes this.
  4. pennyLokiMUM

    pennyLokiMUM PetForums Senior

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    Get him to the super vet, Murphy my black lab had a hip replacement aged 3 best £3000 I have ever spent, his quality of life was improved as he struggled to rise, his other was bad but by having the worse side done it made a huge difference
     
  5. Blitz

    Blitz PetForums VIP

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    having the femoral head removed used to be the only option at one time and dogs of all sizes had it and seemed to recover well with full mobility. With a small dog it should be a good option.
     
  6. Chellie

    Chellie PetForums Member

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    My friends young dog recently had both hips replaced and both knees operated on by Noel Fitzpatrick. They were offered the option of having the femoral head removed but the results aren’t as good apparently especially when both hips are involved. The dog is now fully recovered and you would never know that she has had major surgery. Her owner spread the treatment over 2 insurance years (her renewal was 4 months after the first surgery so it worked out right for her) so she had the full limit for each leg.
     
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  7. Burrowzig

    Burrowzig PetForums VIP

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    If you have lifetime cover under your policy then £7,000 should cover it if one hip is done in one policy year then the other in the following policy year.
     
  8. tabelmabel

    tabelmabel PetForums VIP

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    I also have a TT with bad hips. Sorry to hear about the situation with your dog. My TT (Murphles) was diagnosed at around 8 months old -unfortunately there was no insurance on him at that time so he is not covered for any claim relating to his hips.

    Fortunately, because he was diagnosed early, we have been able to take steps to give him a good life and manage his pain. Having said that, he is is starting to show stiffness in the left leg now when walking. He was 5yrs old January past.

    Hip surgery is not an option for him at the moment due to cost. So he has been on a conservative management plan.

    The biggest factor is keeping his weight down. He is tall for a TT (silly me, early neutering) and i keep his weight at 12.3 kg which is very ribby under all that hair, don't think i would get away with any lower for his height.

    He has been on the joint supplement Seraquin from the age of 8 months. Whether it has helped or not i really couldn't say.

    Instructions from the vet are to keep him off painkillers until he absolutely needs them. The logic of that being that they mask pain and he will then overdo things.

    However, each time I think he looks to be stuggling, he goes and does something to make me think 'he wouldn't do that if he was in a lot of pain'


    For eg - he looked stiff on his left back leg on our Tuesday walk this week. Got home - he could have taken to his bed but he decided to go straight into our back garden and have a little play and chase session with my other dog. And came in looking well pleased with himself and fine.

    He has an orthopaedic cushion, doesn't jump in/out the car or run up/down steps (carried)

    Obvs he can't do any sports like agility but he does run off lead and can manage about one hour off lead exercise per day.

    Any more than that and he is stiff and sore the next day.

    If he were insurered, I definitely would have his hips replaced if that were an option for him. He is very sore if the vet extends his back legs and really howls but I can groom him and touch his hip area and he is ok with that.


    If you are avoiding surgery, the idea is regular walks to keep the muscles strong. No chasing balls or hard exercise. Its the sharp turns and hard impacts that do the damage.

    If you overdo the exercise, the muscles tire and can no longer support the joint and that's where the strain goes onto the arthritic hip. Ideally you want flat soft surfaces like grass, sand etc.


    It is also absolutely essential to get a specialist opinion from an orthopaedic surgeon. In fact, I am quite surprised your vet has suggested hip replacement - I would have thought that suggestion would have been made following a specialist referral.

    We took murphles to a specialist and he explained everything very comprehensively. It is well worth having your options all clearly set out by a specialist.


    Unfortunately, hip and knee problems are prevalent in the breed but many small dogs that keep their weight down can live a good quality life for many years.


    Oh - i just recently put a magnetic collar on murphs but no difference noticed yet!


    Keep us posted!
     
  9. Chuggi89

    Chuggi89 PetForums Newbie

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    Hi Tabelmabel
    I found your post regarding your TT's hips very interesting as I could have written that for my own TT Bonnie. Like Murphles she was diagnosed by an ortho vet young with X-rays and is now 5 years old. I know it sounds daft but I find it hard to ascertain how much discomfort/pain she is in. She doesn't yelp when her hips are touched although the vet can get one sometimes when he examines her hips. She has always had a swaying gait. Sometimes she appears reluctant to walk, staying behind on a walk looking unenthusiastic but like your dog suddenly leaps into action just as I'm getting worried! The obvious thing I've noticed is she loves running on the sand and soft ground. I do the usual , keeping her weight down, no leaping out of car, 45 to hour walk once a day. She had one episode of lameness but by the time I took her to the vet she was her fine after resting. I'm very interested how your Murphles is now and hope very much he is ok. What treatments do you believe work eg the ? cartrophen injections twice a year, food with supplements and whether you think the orthopaedic cushion helps? How specifically does Murples show his soreness. I do have insurance but I'm very reluctant at this stage to put her through hip surgery if at all. I'd be very grateful for any incites and how your Murphles is ? Thank you in advance
     
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