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Caring for a Three Legged Dog or Cat

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Elbow replacement on a front legged tripawd, yes or no?
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Member Since:
20 January 2016
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19 February 2016 - 11:46 am
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Hi,

I have been posting about my 6 year old Staffordshire Bull Terrier, Vader, recently and sharing his story regarding his trip to the vets when we found ourselves with a problem. For those of you who are new to his story, I adopted Vader from my work almost a year ago and I am a first time Tripawd owner 🙂

when I first came home with Vader, I found I was having to run in order to keep up with him on our walks, he pulled and pulled and pulled. He really surprised me, he loved trails and could run almost an entire fields length like it was nothing, he would only fall over at the end to put the brakes on. I had no idea a tripawd could adapt so well, when we went for his castration, the vet said how well he was walking as he placed his front leg directly in the middle.

Now, a few months ago I noticed him starting to slow down. He began to jog alongside me on his walks and not pull whatsoever, he also began falling more often. We are now at the point where he is falling every 3-4 strides or even refusing to walk altogether. Saying this he doesn't seem to fall on concrete? Pavements, car parks etc. and in the house it is a completely different story. He will leap up you for attention, clearing 3 foot off the floor at least. He has managed to jump on the dining table, can take the stairs 2 at a time and be very boisterous. He is just such a happy, over the top, excited Tripawd. I have been told by members that it is in his best interest to get him to slow down, I do do my best and have since invested in lots of padded dog beds to catch him when needed.

He went to the vets a few days ago for X Rays, what they have found is his elbow deteriorating and he has severe arthritis in it. They explained that the elbow is simply not working as it should and it is this which is causing him to fall. They gave me three options; elbow replacement, medication such as pain killers and joint aids or the third... put to sleep. I said to do everything possible and that putting to sleep was simply not an option. The vet agreed to ring the specialist about an elbow replacement and for the time being he would be on Pardale, Metacam and Nutraquin+.

Today we have had the phone call, the specialist says he is not a good candidate for an elbow replacement due to being a front legged tripawd. Obviously he does not have the other forelimb to limp around on while he recovered from the operation. He has advised our vet to do a cap test (think it was called that), taking a bit of fluid from his elbow to see if it is infected and needing a stronger dose of antibiotics. For now I have him booked in for this, as I wish to explore every possibility.

Does anyone think I should get a second opinion and push for the elbow replacement or do you think I should see how he responds to his current medication? I am willing to put in the effort to aid his recovery, I am already looking into doggy push chairs knowing for weeks he will be struggling to get around. At the same time, I do not want to insist on the operation and ask too much of him.

Our vets are good and I am letting them explore everywhere, but they did say if he doesn't start to respond to the medication then euthanasia may be best. I don't agree with this as they just see him whining and hating the vets, a sad little dog with a poorly front leg. They do not see him at home, bursting with energy, constantly under my feet. He really is a happy dog, so full of life. It is outside we have the problem.

I just want to do all I can for him and I want the vet to do the same, I'll do anything.

So sorry for the long read, I've basically just crammed everything I know into one forum post. If anyone wishes to see his X Ray, you can find it on his blog. http://vaderthe.....p?item=121

The ghosting/ fuzziness around the bone is the deterioration.

Thank you again x

Member Since:
27 August 2014
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19 February 2016 - 12:10 pm
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Oh, I am so, so sorry to hear this. I've been waiting to hear an update and have been hoping that it's good news. 

An elbow replacement is a difficult surgery for a dog with both front legs and I have read that recovery can take as long as 6 months. Having Vader relearn how to use the leg after the surgery without another leg in front to balance on would be my biggest concern. I looked into it briefly before deciding to go forward with Jack's amputation, but I don't know that much about it. I'm hoping someone else who knows a bit more can give their opinion. 

Idaho
Member Since:
12 March 2013
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19 February 2016 - 12:51 pm
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I don't have personal knowledge of elbow replacement in a Tripawd, but I did have a pretty good grasp on what it meant for a rear Tripawd to have hip replacement surgery. Murphy had a long recuperation, but eventually he was just about the happiest Tripawd you would ever meet.

Our orthopedic surgeon was the one who invented the TATE elbow replacement. See http://www.svan.....surgery/#/. Perhaps your surgeon might be able to talk with Dr Acker to get his opinion on the chances for a successful elbow replacement.

Kathi and the Turbotail April Angel...and the Labradork

Murphy is a five year old Lab/Chessie cross. He was hit by a car on 10/29/12 and became a Tripawd on 11/24/12. On 2/5/13, he had a total hip replacement on his remaining back leg. He has absolutely no idea that he has only three legs!

UPDATE: Murphy lived his life to the fullest, right up until an aggressive bone lesion took him across the Rainbow Bridge on April 9, 2015 and he gained his membership in the April Angels. Run free, my love. You deserve it!

Virginia







Member Since:
22 February 2013
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19 February 2016 - 11:24 pm
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Kathi, so glad you chimed in. Be sure and read all about Murphy and it will inspire you to be able to see how a very special dog and his very special humans, overca.e tremendous challenges.

I've responded to your blogs, so I won't be repetitive.

http://vaderthe.....pecialist/

Hugs!

Sally and Alumni Happy Hannah and Merry Myrtle and Frankie too!

Happy Hannah had a glorious additional bonus time of over one yr & two months after amp for osteo! She made me laugh everyday! Joined April's Angels after send off meal of steak, ice cream, M&Ms & deer poop!


Member Since:
22 August 2008
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20 February 2016 - 4:50 pm
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Elbow replacements are so new and it is hard to say how he would recover.  I think it is a long recovery and would be quite hard on a tripawd.

My first pitbull Kona had terrible arthritis in her elbows (and other joints) and I managed it with a combination of an NSAID such as Deramaxx, gabapentin, tramadol and glucosamine and fish oil.  I also used amantadine off and on as well as acupuncture and Chinese herbs. It  was hard to force her to slow down but I had to limit her Kong chasing and replace that with walks and other toy games.

Pam

Member Since:
4 December 2013
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6 March 2016 - 7:54 pm
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hello Im kind of late chimming in.. but I am kind of with you. I would keep fighting and researching, calling other ortho specialists, even out of state to get opinions. Even if its a long hard recovery, and if you had the capability of keeping him off of his legs, yes off of his legs, Ie: full suspension, adding maybe a quad wheelchair like they do for back and neuro patients to get him stronger and a very experienced rehab vet, VERY experienced. But would definitly get second/third opinions in addition to other consults/opinions. it would be hard, but in the end if he gets his full life back, even if hes not 10000% an altered mobile happy life is also wonderful. OR what about elbow brace in the meantime. Water treadmil for rehab pre and post recovery. Just some thoughts Im throwing out there, I am a human rehab therapist and am hoping to get into canine certified, so I feel researching options but being prepared for a long rigorous recovery. Long and rigorous doesnt mean its wrong, its just means more effort and time and information is required.

good luck.

Angel Neka

7/4/2003-4/5/2016

2.5yr 3x cancer warrior survivor

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