Cruitate (acl surgery) gone bad??
I recently had a 18 month old Grady pup that had cruitate surgery. It was a small tear and the vet in Memphis suggested a tplo surgery. After talking to a few people that all suggested I go to Birmingham to a vet that is very good at this surgery, I decided that it would be worth the extra 1000.00 to have it done in Memphis. Time, fuel, etc..
Surgery was complete, she had to remain in a crate for 6 weeks. 2 days prior to the 6 week checkup she started hobbling real bad. I took her in and they x rayed and said her fibula was broke. Said she must have done it jumping, etc. the dog has been in a crate and only out 4 times a day to go to the restroom on a 2'lead. She also had infection setting in from the plates they screwed to the bones. This was not the vet tht performed the surgery, but another vet in his office.
So now another 4 weeks in the crate. Went back today for checkup and now I'm being told that the plate is what caused the fibula to break, and they will need to remove the plates screwed to the leg in a couple weeks. Now more crate time/down time from training. Oh and not to mention the 4000.00 for what????
And also the plates apparently moved, and everything is heeling, BUT THE LEG IS NOT PROPERLY ALIGNED. So after the plates are remover we will need to do more surgeries to properly align the leg.
The X-rays 4 weeks ago showed the leg not lined up properly and nothing was mentioned at this time. They even acted like it was my fault she broke the fibula. Now he's saying it was due to the plate, it will have to be removed, and more surgeries.
I feel like this is BS, and should not have happened. Or at least at the 6 week checkup, been told that the plate caused it and the leg was not lined up instead of like everything was good. I have never been through this I would appreciate some thoughts from anyone on how to handle this without getting myself into trouble.
I'm young in the vet world and have no experience in post OP orthopedic procedures but your dog is definitely the youngest I've ever heard of having this procedure. Maybe talk to other area specialists in canine orthopedic surgery. Wouldn't go trying to hang the surgeon or anything, could be a multitude of explanations.
I have an extensive background in human orthopedics, and have been through the TPLO experience with my dog, including an infection. The infection my dog suffered had not gone to the bone, so plate removal was not needed. It was superficial when I found it... early. Unfortunately you have had a huge piece of bad luck and have gotten every piece of bad luck in one pup. Post op infections are a known risk of the procedure, and sometimes fractures can happen although uncommon. Believe it or not, bones have some pliability to them, and putting a metal plate in the knee restricts the pliability of the bone, and puts more stress on the bones.
Originally Posted by Jthweatt
There are many surgeons who believe that the plates should come out anyway after healing. But, with an infection in there, you have no choice but to remove the plate as it will harbor the infection if the infection has gone to the bone. Do they have her on antibiotics now? If not, they should. And, yes, if you want to do the best you can for your pup, you will need another surgery to correct the alignment.
this all stinks, no doubt about it. But I will also tell you that you have the option to get a 2nd opinion as to all of this. It might make you feel better. I would also just have a heart to heart with the doctor, and tell the you feel that this should not have happened. Don't get nasty, just tell them how you feel. you were trying to do the best thing for your dog, and it all turned to poop.
I am sorry this is happening to you and her.
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While the surgery is generally very successful, a small pecentage of them do not go well, even with proper rehab and post-op treatment. I had a bad experience that resulted in a permanently lame dog and $10k in expenses to try to fix it. I hope you and your vet can figure it out and, at least, fix it well enough for the dog to be pain free.
Originally Posted by Jthweatt
If you look at what the surgery entails, there are many things that can go wrong. The bones are small, the cut needs to be done exactly right, there needs to be enough material to hold the screws, the dog's body needs to accept the plate without a reaction, infection prevented or cured, and rest/ rehab needs to be done properly. It is remarkable how successful the surgery is. I am not a vet, but have had to study it out of necessity. I hope for an easier but equally robust repair for CCL ruptures.
Last edited by Sabireley; 04-22-2013 at 10:24 PM.
That's tough, sorry to hear. How do they determine the infection?
The swelling around the cut . They scrapped a sample of the tissue and said it was nothing to worry about that the antibiotics would take care of it.