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Looking for some advice and opinions on amputation vs joint fusion
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17 November 2017 - 7:10 am
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Hi everyone! I'm new to tripawds and I'm looking for some advice and opinions for my new furbaby. I recently rescued a 4 month old kitten with a lame paw. When we did xrays, it appears that he has a chronic elbow dislocatation, some degenerative joint disease and that it is an old injury that occurred previously. Because he is so young, we have a specialist appointment with an orthopedic surgeon in three days. In the mean time, he has been splinted and on pain medication which has changed his demeanor like you wouldn't believe.

Here is where I am stuck. The two options here are amputation or arthrodesis (joint fusion). I'm worried about the joint fusion surgery because it's not completely successful, he can require more surgeries down the road, he will more than likely develop arthritis, and I'm worried that he won't be able to run and play with his kitty brothers. But then I consider amputation and I feel awful for considering not trying the joint fusion surgery and going right to amputation. Any advice, experiences, opinions are welcome here. I just want what's best for my little Howl HereImage Enlarger

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17 November 2017 - 10:10 am
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Hello and welcome, your future posts will not have to wait for approval.

Howl!!!!  I love it!  That is quite a splint your boy has- how does he do getting around?

My only experience with joint fusion was many years ago with one of our dogs.  She had jumped out a window when she got scared (our family was on vacation) and mangled her 'wrist' joint.  Back then there were not too many options- my parents had to make the decision long distance.  The vet put a plate in her wrist joint and fused it.  She did fine with it, she couldn't run as fast anymore but I don't remember her having any long term issues. 

That being said- I think there is a huge difference with mobility between the wrist and elbow.  And Howl is just a baby- our dog was 6 or 7 I think when she broke her leg. 

Karen and the Spirit Pug Girls

Tri-pug Maggie survived a 4.5 year mast cell cancer battle only to be lost to oral melanoma.

1999 to 2010

 

              Maggie's Story                  Amputation and Chemo

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17 November 2017 - 10:30 am
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What a DOLL! 

Yeah, it's a tough call, especially in a young kitten. Great move to see the ortho vet, I'm sure you will get some answers as to the success rates and what to expect as he ages. 

The thing about orthopedic surgeries like this is that yes, the animal can still need treatment or even repeat surgeries later on down the road. Sometimes amputation is still necessary even all that time and expense, which is a real heartbreaker. For many dogs and cats, their humans were glad they at least gave everything a try before resorting to amputation. 

It basically comes down to 2 things: 

1) can you live with not trying the surgery and going straight to amputation?

2) can you afford to try the first (and possibly repeated) surgery? 

Yeah, money definitely plays into it and you shouldn't feel badly about that. It's life and we have all made vet decisions based on cost. That's smart, because our animals don't want us to be stressed about paying those bills.

Odds are this kitty will be able to get around great on 3 legs. Cats make excellent Tripawds usuallly, and they age pretty well on 3, much better than dogs. About the only issue you may encounter is that he's so young he still hasn't developed his coordination and balance yet, so he may struggle for a time. But a good rehab therapist can show you how to help him along and build up those areas. 

If you're wondering how cats do, be sure to check out our TriKitty bloggers and this article too:

All About Tripawd Cats with Dr. Kennedy

I'm sure others will chime in soon so hang tight. Let us know how the ortho visit goes OK? 

Tripawds Founders Jim and Rene
tripawds.com | tripawds.org | bemoredog.net | triday.pet

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17 November 2017 - 12:53 pm
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krun15 said
Hello and welcome, your future posts will not have to wait for approval.

Howl!!!!  I love it!  That is quite a splint your boy has- how does he do getting around?

My only experience with joint fusion was many years ago with one of our dogs.  She had jumped out a window when she got scared (our family was on vacation) and mangled her 'wrist' joint.  Back then there were not too many options- my parents had to make the decision long distance.  The vet put a plate in her wrist joint and fused it.  She did fine with it, she couldn't run as fast anymore but I don't remember her having any long term issues. 

That being said- I think there is a huge difference with mobility between the wrist and elbow.  And Howl is just a baby- our dog was 6 or 7 I think when she broke her leg. 

Karen and the Spirit Pug Girls  

Thank you for responding! He actually gets around much better with the splint than he did without. We just adopted him from a "rescue" not even a week ago, (if I can even call them that) that had neglected his injury and never had it checked so it is at least a month old injury and he hasn't been using his left leg at all since the injury so he's adapted pretty well to running around on three paws. 

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17 November 2017 - 1:03 pm
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jerry said
What a DOLL! 

Yeah, it's a tough call, especially in a young kitten. Great move to see the ortho vet, I'm sure you will get some answers as to the success rates and what to expect as he ages. 

The thing about orthopedic surgeries like this is that yes, the animal can still need treatment or even repeat surgeries later on down the road. Sometimes amputation is still necessary even all that time and expense, which is a real heartbreaker. For many dogs and cats, their humans were glad they at least gave everything a try before resorting to amputation. 

It basically comes down to 2 things: 

1) can you live with not trying the surgery and going straight to amputation?

2) can you afford to try the first (and possibly repeated) surgery? 

Yeah, money definitely plays into it and you shouldn't feel badly about that. It's life and we have all made vet decisions based on cost. That's smart, because our animals don't want us to be stressed about paying those bills.

Odds are this kitty will be able to get around great on 3 legs. Cats make excellent Tripawds usuallly, and they age pretty well on 3, much better than dogs. About the only issue you may encounter is that he's so young he still hasn't developed his coordination and balance yet, so he may struggle for a time. But a good rehab therapist can show you how to help him along and build up those areas. 

If you're wondering how cats do, be sure to check out our TriKitty bloggers and this article too:

All About Tripawd Cats with Dr. Kennedy

I'm sure others will chime in soon so hang tight. Let us know how the ortho visit goes OK?   

Thank you so much for such an insightful response! I'm having a really hard time making my decision, as I adopted him from a rescue fully vaccinated and fixed, I had assumed I wouldn't have much further costs right away, but upon bringing him home, I noticed he would not put any pressure on his left front paw, And when I tried to look at it, he attacked me. I took him to the vet immediately and they sent the xrays out to a specialist where they noticed that his elbow was dislocated and had been so for at least a month so we got him pain medication, anti inflammatories and splinted him until we see the surgeon. I then contacted the rescue who said they wouldn't pay for anything, and I could return him if I want but they will probably put him down (how awful is That?) So anyways, I'm pretty young, have a house to pay for, as well as three other kitty mouths, and wasn't expected to have to pay $600 within 24 hours hours of adopting him. But I love him and his kitty brothers love him and we're trying to make the situation work as best as possible. So that's where the money plays a role. We started a gofundme to try to raise money for his treatment and it is going pretty well so far, but I am worried that we do the joint fusion, put him through the pain, long term recovery, and then he needs to have it done again, go through it all over again, and then further down the road he ends up just needing an amputation anyways. So then I lean towards amputation over the surgery, but then I feel awful for making that decision for him and choosing to sacrifice one of his limbs. Like I said, serious internal conflict here, I haven't been able to sleep for days because I want what's best for him and I want him to have the best, least painful life as possible.

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17 November 2017 - 1:52 pm
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Omkittencuteness!

He looks like an American Curl!! I can see why you totally adore him!  I totally agree that you should try to step back and think about the whole picture.  I swear these little miracles are placed with specially picked humans that will find a way to take care of them.  If you read Huckleberry's story you will laugh and understand what craziness I am talking about.  Questions... ask questions,  lots of questions.  Write them down on a checklist and take them with you. It is so easy to go to an appointment like this and get side tracked,  before you know it you are on your way home saying crap! I forgot to ask..

Fusion,  the first thing I think of is will he ever be able to bend his elbow? And if not,  he's a kitten,  what are the odds that he may break it by being too active.  Secondly,  how good is the arm going to be after a procedure like that? It just sounds painful to me.  Also,  like jerry said, how much after a procedure like that will need to be spent if things don't go well and then, say, you have to end up amputating anyways? Can you afford that? 

Whatever you do, you will be giving this baby a chance at life.  You do have to factor in cost and how this will affect you and your family.  If you amputate,  they will take that painful leg off,  period. You will have pain meds and the cost of the procedure.  Modifications around the house, like throw rugs in areas where the floor may be slick. Other than that you will have a kitten that will heal and be otherwise normal. They adapt amazingly,  I have seen this first hand. You will have to be careful through the recovery process, but you will have to do that either way.  

Ask enough questions to satisfy what you need to know and you will make an informed decision.  Either way this is a very lucky kitten to have found you as his rescue pawrent! Good luck and please keep in touch to let us know how you make out.  Oh...MORE PICTURES PLEASE!!!!!

Jackie, David, and Huckleberry

Hugs,

Jackie, Bo, Andy, Oscar, Phoebe, and the coolest feral tripawd kitty Huckleberry

Huckleberry's Blog

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17 November 2017 - 2:24 pm
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paws120 said
Omkittencuteness!

He looks like an American Curl!! I can see why you totally adore him!  I totally agree that you should try to step back and think about the whole picture.  I swear these little miracles are placed with specially picked humans that will find a way to take care of them.  If you read Huckleberry's story you will laugh and understand what craziness I am talking about.  Questions... ask questions,  lots of questions.  Write them down on a checklist and take them with you. It is so easy to go to an appointment like this and get side tracked,  before you know it you are on your way home saying crap! I forgot to ask..

Fusion,  the first thing I think of is will he ever be able to bend his elbow? And if not,  he's a kitten,  what are the odds that he may break it by being too active.  Secondly,  how good is the arm going to be after a procedure like that? It just sounds painful to me.  Also,  like jerry said, how much after a procedure like that will need to be spent if things don't go well and then, say, you have to end up amputating anyways? Can you afford that? 

Whatever you do, you will be giving this baby a chance at life.  You do have to factor in cost and how this will affect you and your family.  If you amputate,  they will take that painful leg off,  period. You will have pain meds and the cost of the procedure.  Modifications around the house, like throw rugs in areas where the floor may be slick. Other than that you will have a kitten that will heal and be otherwise normal. They adapt amazingly,  I have seen this first hand. You will have to be careful through the recovery process, but you will have to do that either way.  

Ask enough questions to satisfy what you need to know and you will make an informed decision.  Either way this is a very lucky kitten to have found you as his rescue pawrent! Good luck and please keep in touch to let us know how you make out.  Oh...MORE PICTURES PLEASE!!!!!

Jackie, David, and Huckleberry  

Hi! I started a list but I have a hundred and one questions that are going through my head, and through lack of sleep and constantly worrying about Howl, I'm having trouble gathering my thoughts. I am lucky to have him though, he's such a goofy kitty and he is already giving his three brothers a run for their money. That's where my other concern comes in too, if we do the fusion, what if he wants to chase, run and play with his brothers and reinjures himself. I feel like I would end up being a helicopter pawrent, constantly worrying about him hurting himself and hovering. Huckleberry sure is cute!HereImage Enlarger

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17 November 2017 - 11:41 pm
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Howl is ADORAVLE!!!  And  sooooo lucky to have a furever home with you!

YOU ARE. NOT ALONE, okay?  We are all right by yiur side the whole way, regardless of what decision you make!

I'm really bummed the "rescue" group couldn't help with the finances, and further bummed that theyve let poor Holw go unattended!  I wonder if the Bet who does work for the rescue would be willing to help out on a discounted fee?  It's certainly worth checking into.

Try and keep things chunked down for now.   Try and get yourself in a grounded state without worrying about all the "what if".  Each scenario has its own set of "what ifs".  So in a calm and peaceful state, is there one scenr that "I intuitively" resonates with you moreso than the other?

To piggy back on some of the piinrts Jackie made, amputation is ONE surgery.  Painful leg ks gone and BAM!  All done!  Recovery is no picnic for a couple of weeks, but after that you will be amazed at how carefree and happy he is!  I don't mean to sound "pro amputation".  It's just that, shoukd you decide to go thst route, we can all tell you that kitty mobility will not be an issue!!  Of course, every surgery has a risk, and amputation isn't meant to be taken likely.

Gsther the facts, do yiur research and ask any and all questions.

We are all nere for you, okay?   You WILL make the "right" decision vecause you will make a decision out of LOVE, and that is always the right decision! 🙂

Extra 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!

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18 November 2017 - 5:24 am
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benny55 said
Howl is ADORAVLE!!!  And  sooooo lucky to have a furever home with you!

YOU ARE. NOT ALONE, okay?  We are all right by yiur side the whole way, regardless of what decision you make!

I'm really bummed the "rescue" group couldn't help with the finances, and further bummed that theyve let poor Holw go unattended!  I wonder if the Bet who does work for the rescue would be willing to help out on a discounted fee?  It's certainly worth checking into.

Try and keep things chunked down for now.   Try and get yourself in a grounded state without worrying about all the "what if".  Each scenario has its own set of "what ifs".  So in a calm and peaceful state, is there one scenr that "I intuitively" resonates with you moreso than the other?

To piggy back on some of the piinrts Jackie made, amputation is ONE surgery.  Painful leg ks gone and BAM!  All done!  Recovery is no picnic for a couple of weeks, but after that you will be amazed at how carefree and happy he is!  I don't mean to sound "pro amputation".  It's just that, shoukd you decide to go thst route, we can all tell you that kitty mobility will not be an issue!!  Of course, every surgery has a risk, and amputation isn't meant to be taken likely.

Gsther the facts, do yiur research and ask any and all questions.

We are all nere for you, okay?   You WILL make the "right" decision vecause you will make a decision out of LOVE, and that is always the right decision! 🙂

Extra hugs

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

Hi! When I contacted the rescue regarding it, they said I could go to their vet for a second opinion and then decide what to do from there. So we went to their vet on Tuesday this week, and I left almost in tears. Their vet suggested I leave his leg the way it is. She said "the surgery is very expensive and that being said, the rescue will not pay for it or cover any of it. BUT, he can live without the surgery. So I asked what kind of life he would live, to which she responded with "well, he'll never use that leg again. It will always drag behind him or he'll hold it up. Then I asked about pain, and she responded "well, he's a kitten. He will learn to adapt and live with the pain." I was disgusted with her answer and left feeling horrible. I couldn't believe a vet suggested I leave an animal suffering. So that's when I decided to do things my way and got in contact with my vet who referred me to an orthopedic surgeon. The whole situation with the rescue makes me sick and no matter the costs, I want to get Howl either back on all four paws or comfortable on three paws. I'm ready for whatever it is, his one brother is a special needs kitty so I'm ready for whatever obstacles there are. Two more days until I go to the ortho appointment and hopefully get all of my answers and make the best decision for Howl.

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18 November 2017 - 8:34 am
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Good morning Howl and his pawrent smiley

I understand totally the frustration you are going through with the rescue. It is disheartening to say the least when you find out that organizations such as those fall short of the expectations that we have of them. And they are all different. I think that some of it truly has to do with location. I had similar experiences here in Kentucky. I had asked the group that did the trap neuter release program to have the vet just look at Huck's leg while he was under for the neuter. They never did. The volunteers were all over helping until I gave them the news that his leg was broken. My pushing for Huck got me total silence and a "good luck with him" but we can't do anything for you. LOL, they did not even offer to give back the donation that we had made when they neutered him. Some of it is definitely funding, a lot of places are run by the donations they take in. Some of it is education, or lack of. Not all places consider animals important, and you will find different levels of importance across the country. 

Another way to look at this if you will. Lots of places could have taken a kitten in like Howl and just put him to sleep. Especially if he was aggressive when you tried to handle his leg. If the animal is not totally healthy and "adoptable" then they euthanize. You saved his life, and now you are giving him a chance at life. If you look at it that way, maybe it's not so bad. I took Huck for a low cost neuter and feral release. If the vet had seen that his leg was broken in half they may have pushed euthanasia, or god forbid even followed through with it because he was a feral stray. Sometimes things do happen for a reason. 

Hugs,

Jackie,David,and Huckleberry heart

Hugs,

Jackie, Bo, Andy, Oscar, Phoebe, and the coolest feral tripawd kitty Huckleberry

Huckleberry's Blog

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18 November 2017 - 8:53 am
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paws120 said
You saved his life, and now you are giving him a chance at life.         Sometimes things do happen for a reason. 

Yes, extremely frustrating to hear hownHowl has been treated and basically dismissed!!  And to hear a Vet say he'll ADAPT TO PAIN is just plain scary to think a Vet would find that acceptable!

You,'ll feel so much better when you go to the Ortho.  You may want to video it so you can review everything he discusses.  I know when I'm at the Vet I think I'm retaining everything they say perfectly.....until I get home and can't remember half of it! 🙂

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!

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19 November 2017 - 6:38 am
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Thank you so much, everyone. Everyone has been so supportive and understanding and it has helped me so much. I've been really scared and confused and sad because I feel so awful for what Howl has gone through and what he will have to go through, but I feel better knowing that everyone here is with me along the way. We see the orthopedic surgeon in about 24 hours and I have my list and I am going to voice record everything so I can take everything in properly and make my decision. I will let everyone know how the appointment goes tomorrow! HereImage Enlarger

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19 November 2017 - 6:50 am
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Awwwww, how sweet is that? He is a very lucky boy to have found such an awesome mama heart

hexicsparx said
 I feel so awful for what Howl has gone through and what he will have to go through

What he will have to go through is probably not going to be nearly as bad as what he has already been through. Yes, he will have discomfort, and will take time to heal but this time it will be with pain management and lots of love. All of this you are doing FOR him not TO him. I am smiling on this side now because people here had to tell me the same thing, and they were right. We had to butt heads with the vet to manage Huckleberry's pain properly but we did it. They wanted to give him 3 days of pain meds. We made sure he had about 14 days. Might be a question to add to your list, pain management - what meds and for how long? 

He looks very content with you, thank you for that picture! Hang in there, you will be finding out things and moving forward before you know it!

heartheart

Hugs,

Jackie, Bo, Andy, Oscar, Phoebe, and the coolest feral tripawd kitty Huckleberry

Huckleberry's Blog

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19 November 2017 - 10:40 pm
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Hi! To start, Howl is soooo freaking cute. I can see why you are invested in this sweet baby's well-being. I'm sorry you haven't been well supported by the rescue and vets so far. I don't know much about joint fusion for cats, but Huckleberry, Purrkins, and others are great examples of kitties who are doing well post-amp. As a kitten, Howl would probably adapt quickly... way better to three legs than to chronic pain, anyway! Keep us updated and keep posting those adorable pictures!

Hugs and puppy kisses,

Brittnie and Loki

🐾 Loki, Dog of Mischief 🐶

I loved life as a tripawd for over three years following right forelimb amputation due to an aggressive and recurrent hemangiopericytoma. I reclaimed my place among the gods and valkyries in Valhalla on November 11th, 2020. My parents miss me tremendously, but I know they'll keep me in their hearts forever... and don't worry, I've approved my mom's use of my Tripawds account.

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20 November 2017 - 1:46 pm
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Hey everyone! 

Well, we went to the orthopaedic surgeon today. She agreed that the best thing to do for Howl is to amputate his leg. There are too many issues surrounding his elbow and too many "what-ifs." The ortho surgeon quoted me a very very high price, So I spoke to our regular vet on our way home since we had to stop there to get his splint changed, and she said they have a surgeon that can do the surgery there, at a much more reasonable rate. Then the lovely ladies at the vet clinic took him and did a very festive splint change for him. Now we are waiting for our vet to put together a quote and to book a surgery date. Howl will be joining the tripawd crew in less than two weeks. 

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