請醫生幫忙看一下是否需要開刀

[veavi_ya]

1.名字：QQ
2.年齡：七個月
3.犬種：紅貴賓
4.性別：男
5.體重：2.3公斤
6.病史：
7.發病經過、症狀：跳到我們身上有時會突然該該叫, 走路有時候會跛腳, 但是跟他玩時,跑和走都正常...
8.醫師的診斷：醫生說右後腳是股骨頭缺血壞死....但是症狀還沒有很嚴重(看得出來左後腳比較強壯, 右後腳比較瘦弱)要再觀察一個月左右...如果沒有改善建議開刀手術
右後腳拉至120度左右就會因為疼痛而叫
9.醫師的治療方式：目前只有開止痛藥給小狗吃
10.請儘量提供相關檢驗資料、x光片、Video檔：(因為X光檔案沒有辦法複製,只能用相機近拍拍照, 不知道是否可行?)
11.欲詢問醫生之問題 : 請問這樣的情況是否可以不用開刀以復健的方式慢慢恢復, 謝謝您!

[Jeff Wang]

First, I am sorry for the late response.
The radiograph's quality on this website is not clear enough for me to make a final diagnosis. Since the right rear leg's muscle is atrophy already, there is no reason to wait until the condition to get worse. According to your description, it looks like Legg Perthes' disease. However, I can not rule out patella luxation because the position of both tibias look shifted inward. Please make it clear before you go for the option of surgery.

Jeff