I dont know what to do. :(

Bigpoodleperson

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#1
So Riley has a bad knee, and i dont know what to do. He tore his patellar ligament in April. It is a Very uncommon injury, and a very major one! He was in a full leg brace for 10 weeks. That has been off for a while now.

I dont know what to do in terms of long term healing. We have been going to an ortho specialist. There is no surgery to be done on the leg for this. They have basically wanted Riley to stay in a bubble to protect the knee. No running, no jumping, no stairs, no getting on couch/furniture, no jumping in car, has to be crated, no tile/slippery floors, only 15 minute walks a few times a day, no tug, no play, no other dogs. Does anyone realize how difficult these restrictions are?! I can actually understand all of these. It is just impossible to have to follow for about half a year now!

My dog cannot live like this. He is 8 1/2 years old. We were very active before the injury and did walks, hiking, tracking, playing, parks, etc. To go from that to 15 minute walks is depressing for us both.
I have been breaking the rules and letting him run, play, and longer walks. I have decided that Quality is more important then Quantity now.

I want him to be happy. The problem is that if he is allowed to do more and tears the ligament more or luxates his patellar bone further then he will have to have the leg amputated. I would do that if it came to it and he was still happy. It would make me sick to know that I caused it though by letting him do more. Also, he will never be the same in that leg again. He will always have a limp and problems. I would do the restriction if he was younger and would heal fully. He is older and we will never be able to do the same things again though.

Do you think i am being stupid/selfish by letting him do more and risking it? Like today as an example. I took him to an offleash park to walk the trails. Running in and of itself does not bother his leg. He can/will do that fine without limping. He had a great time. We unexpectidly ran into another dog though. Both were offleash and wanted to play. I didnt want him to, but he played for a few minutes. Well, the twisting on the knee really hurt him. He came over to me 3 legged. He is using it better now, but is still very sore in the leg. I feel horrible. I "talk a big talk" to myself about letting him be happy and dealing with the consiquences later (like amputation), but when something like this happens i hate myself. Amputation is so major and final, and could of possibably been avoided. Although he will live with the risk of amputation the rest of his life from his injury no matter how nicely his knee heals with restriction.
The doctor did say this is such a major injury and will take a year minimum to heal as well as it is going to. We are barely half way there. I know i am rushing things, but a year of restriction is a Long time.

Im really sorry for the ramble, and thankyou to those of you who read this far!!! I guess i needed to vent. Thanks.
 

Bigpoodleperson

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#3
He doesnt have a brace. The brace i mentioned was a full leg cast with a fiberglass insert from hip to toes.
 

JacksonsMom

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#4
I totally see where you're coming from. That's such a hard situation to be put in. Because your dog is not going to be really happy being restricted from all of those things he loves to do... but he also, I'm sure, doesn't want to feel pain either. I personally would be doing what you are.. allowing him to still be a dog. Three-legged dogs are very happy from the ones I've met and get around great; not even realizing anything is missing, if it came down to that.
 

lizzybeth727

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#5
He doesnt have a brace. The brace i mentioned was a full leg cast with a fiberglass insert from hip to toes.
Oh... that stinks. Too bad they don't make braces for this, seems that with an injury that takes so long to heal something like that would be on the market.

I agree with you about quality of life vs. quantity, and I'd probably be letting him be a little more active too.... I don't think it's selfish at all.

Good luck!!
 

stardogs

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#6
I'm confused - are the restrictions actually supposed to heal the injury at all, or just maintain it's current state?

If they are just to maintain, not heal, I'd likely do the same as you are - let the dog self regulate and amputate when/if that became necessary.

The way I see it, if the dog is going to be disabled to some extent regardless of what you do, why not let them enjoy life?
 

Brattina88

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#7

Saeleofu

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I'd let him have fun. You know it's never going to fully heal. Quite honestly, if I had to choose between a life of pain and restrictions, and a life as a happy, healthy 3 legged dog, I'd choose the 3 legged dog. We've done several amputations at the clinic, and the dogs do GREAT. We've done both front and hind leg amputations. They do better with hind leg amputations (as far as less long-term effects), but even the ones with fornt leg amputations are happy, active dogs.

Sure, if he ends up with an amputation he won't be able to do some things (such as agility), but you can still hike, track for fun (I don't know...are dogs allowed to compete in tracking with 3 legs?), rally, running, playing, etc...without pain.
 

elegy

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#9
my question would be the same- will the restrictions now allow him to heal and lead a normal life in the future?

i mean, i had to keep steve crated for weeks. he got five minute walks 3-4 times per day and potty walks and that was it. but that was the only way i could get him to freaking HEAL so that he would be able to resume normal life again. he's also only two, so that plays into things as well.

if this isn't something that will heal and allow him to resume normal life after the rest period, i'd look into a knee brace (this is the one i'm more familiar with) and arm yourself with appropriate pain meds for when he needs them and let him be a dog.

you might ask around on the yahoo group orthodogs as well. lots of knowledgeable people there.

poor riley. having an energetic dog with an injury is hard.
 

Bigpoodleperson

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#10
my question would be the same- will the restrictions now allow him to heal and lead a normal life in the future?
No, they will not. No matter how well his knee heals, he will Always risk injuring it more. He will always have to be watched carefully. The ligament is completely stretched out and will never go back to normal. This has allowed his patellar bone to ride high. It is riding so high that about 1/8" is still in the groove (dont ask me how its still in there, but you should see the x-rays!!). That will never come down either. If he flexes to twists too much then that bone will luxate fully out of the groove. In a normal dog they would just do LP surgery. Since Rileys ligament is so stretched and torn the surgery wouldnt work. So amputation.
We will never be able to go on long walks again, or hiking, or really playing with other dogs.

Thanks for the support guys! It helps alot. I will look into the braces. The ortho doc at UW that we see said ideally he would be in a brace, but that because of how dogs legs are shaped they rarely stay on well enough to make a difference. For Rileys case they were even researching human patellar injuries as it is so uncommon to see what they could do. He is going into a case study too.
 
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#11
So sorry to hear about your gorgeous boy's leg problem.

Both of my poodles have luxating patellas in their hind legs and I am dreading this causing them major problems as they grow older.

In your situation I would probably let my girls have a little play too, but perhaps not if they always seemed to be in a great deal of pain afterward. I would probably increase the fun little games we play laying down/sitting that don't really involve the legs. Perhaps you could adapt your playtime to better suit?

I would very much like to hear how the case study goes... keep us posted!

C xx
 

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