Posted By: kutzro357

Jax08 - 09/01/12 12:29 PM

Is Jax08 from the other board on here? Maybe a different user name? I have a question about acl surgery and can't post there.
Posted By: Jane Jean

Re: Jax08 - 09/01/12 01:14 PM this is Jax08's username here
Posted By: LifeAsMe

Re: Jax08 - 09/01/12 01:19 PM

What's up Sir Kutzro?

thanks Jane!
Posted By: kutzro357

Re: Jax08 - 09/01/12 02:51 PM

Originally Posted By: LifeAsMe
What's up Sir Kutzro?

thanks Jane!

Well I have an issue with my 9 year old. RR seems a bit unstable from the knee down. No accident or obvious injury but he is all out 100% when he plays and no pain.
Over the last 40 years I've been through one with DM and another with HD and it seems nothing like them. Right now he is on restricted activity and only an a leash.

What was your pup's symptoms, who did the surgery and what was the cost> Thanks
Posted By: LifeAsMe

Re: Jax08 - 09/01/12 04:03 PM

First, Jax is very high drive when she's playing. They'll play right thru it. The weekend before her surgery, she ran after the frisbee screaming in pain, came back on 3 legs and dropped it at my feet to throw it again. And she's really stoic. I could stand her on her head and she wouldn't display pain while I was examining her but when the doc did she leaned so hard into my arm that she fell over and still never made a sound.

-Lifting her leg right up to her side quickly. You might have to watch closely to catch them doing it. It's like in a moment of pain the leg jerks all the way up tight to their body.
-Refusal to jump
-Pain on jumping on furniture and bed
-Pain on fast take offs
-If you watched closely, you could see her circling her leg when walking and trotting so she didnt' have to bend it. To me, it looked like she was bringing her leg in closer to the other but he said what is actually happening is the leg is making a small circular motion.

Colonial Animal Hospital in Ithaca NY, Dr. Ross. He's very good. does many of the sport dogs around here. Staff is excellent. I believe that I was told they do 3-4 ACL's per week...maybe more.

He does not do a TPLO or a TTA. He does a technique that he might be the only one in the country that does it called the Hahn's Technique. His dad taught at Cornell and he taught that to him. Instead of slicing the bone and inserting metal, thereby completely changing the structure of the knee like a TPLO or TTA, he removes the ACL completely, cuts slot in the tibia that he makes very smooth, and then he hooks the long digital extensor tendon into the slot to stabilize the knee.

The cost was roughly that of a TPLO or TTA. Total came to $3500 w/ 2 day in hospital care.

He will take xrays, expect that. He will do a drawer test while he is under anesthetic. If he does not see clinical symptoms or damage in the xray, he will NOT do surgery. Jax's injury started a year ago, did conservative management and rehab, had a few good months and reinjured it. If he finds injury that justifies surgery, he will do the surgery that same day.

As I was leaving, there was a large dog...maybe a mastiff?...that had the surgery the year before. He was walking well on that leg. Dr. Ross is probably the most highly recommended ortho in my area.

You can find illustrations on how to do the drawer test at home but that is not something I would try. First, because of possible pain and Second, because the drawer test itself can create further damage to the ACL.

If you don't want to go to Ithaca (it's a drive but I think they are well worth it!) then there was an ortho in Wilkes-Barre that was recommended to me. I can't remember his name but can find out quickly enough. They would do a traditional repair or a TPLO.

If you want to know anything else let me know! I can PM my phone number to you.
Posted By: kutzro357

Re: Jax08 - 09/01/12 05:08 PM

Thanks for all the info. I'm wonder if the doc in Pa is Hassinger in Plains?
Posted By: LifeAsMe

Re: Jax08 - 09/01/12 05:12 PM

I don't know. Pretty sure it's the same doc my friend went to for her lab. I'll PM you my vet's info and you can call them on Tuesday.
Posted By: LifeAsMe

Re: Jax08 - 09/01/12 05:45 PM

never mind...called a friend. It is Hassinger in Plains.
Posted By: kutzro357

Re: Jax08 - 09/01/12 10:20 PM

Thanks, Hassinger came recommended to me by the University of Pennsylvania for our PF problem. He and I played with different things and he's on a very good plan with the meds that is affordable and keeps them totally in remission. I really like him and trust him.
Posted By: LifeAsMe

Re: Jax08 - 09/02/12 12:35 AM

I would go see him then! I really like how Dr. Ross does the acl because it's not as invasive as a TPLO or TTA so it should reduce future arthritis as well as decrease the chance of infection from the surgery and you don't have to worry about the body rejecting the plates. My theory was if any of that happens, where do you go from there since the tibia has been cut. But Dr. Hassinger might choose to do a traditional repair or even conservative management. There are braces for the knee too. If Jax were older I would have looked into that more. Ask about laser therapy. It's working wonders for my friend's lab with ED and a torn acl.
Posted By: LifeAsMe

Re: Jax08 - 09/03/12 12:41 AM

Just a thought...ask about a brace over surgery. Especially if this is a micro tear and they suggest conservative management
Posted By: kutzro357

Re: Jax08 - 09/04/12 12:38 PM

Definitely will ask, thanks.
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