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关于狗狗本身CHD缺陷,现在股骨头与髋关节脱开。 

关于狗狗本身CHD缺陷,现在股骨头与髋关节脱开。

不論家中的寶貝有沒有髖關節疾病的困擾,都歡迎你一起來加入討論,一同分享酸甜苦辣.

版主: 啾球麻, machi

文章amy » 2013-07-05, 13:32

mutong_85 寫:好的,非常感谢呢。那光片是在狗狗疼痛没有麻醉的时候拍的可能有问题呢。谢谢了我还是听您的意见,努力的配合保守治疗,再次非常感谢了


如果以狗的利益上考量.手術可以讓狗恢復健康.風險也在可接受的範圍內
那麼手術就該被認真考慮.但如果並不是合適的例子.就不該輕易被嘗試
我們會建議慎重考量是否有其他適合的方式
因為無謂的醫療.只有加深狗狗的痛苦

狗狗會長短腳沒錯.但狗狗是四隻腳的動物.他會自己調整活動的方式
已經受傷脫臼是已成的事實..主人也必須接受.給予適當的照顧
只要不疼痛不影響生活品質.至少是醫療上首要要考慮達到的
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文章mutong_85 » 2013-07-10, 09:59

您好,请问今天摸狗狗的腿,感觉肌肉有些萎缩,怎么办呢?现在这段时候感觉又不能增加运动量,天天给他按摩,但是还是不管用呢
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早上好,今天我联系了美国的住北京的医生,带LEO去看给我发了如下的结论。

文章mutong_85 » 2013-08-05, 09:25

各位前辈和狗友,受累帮我看看那有什么建议呢?
Hi Mr and Mrs Tong,

Dennis contacted me about Leo's hip; whilst I have not had time to review Leo's history in depth, as I had to fly to Shanghai for work, I did review the x-rays.

Leo's hip is dis-located and there is no doubt in my mind that he requires surgery.

I believe there is some discussion as to the surgery type required. The surgery options are:
1) Hip toggle replacement whereby the ball is tied back into the cup. Please note the prosthetic used to do this snaps after 4-8 wks but the tissue has healed sufficiently to keep the ball in place.
2) Femoral head and neck excision. The ball of the hip joint is cut off. These days this procedure is viewed as a salvage procedure however is indicated in certain instances. After removal of the ball the muscles of the leg hold the leg to the pelvis. With the ball removed the leg is alot more comfortable as when dis-located the ball is rubbing against the pelvis abnormally.
3) Total hip replacement. This is as it sounds: the ball and hip are placed with a titanium alloy joint. This procedure is expensive but is the latest procedure.

Now to anatomy of the joint:

The ball of the hip joint is kept in the cup of the hip joint by the shape of the bones, the ligaments around the joint and the muscle attaching the leg to the pelvis. All these points are important.

In breeds that have poor hip confirmation the poor confirmation will have helped lead to the dis-location because the shape of the ball and cup are bad.

Once the hip dis-locates the ligaments around the joint are damaged and will not help to keep the ball in the joint.

In certain breeds such as Golden retrievers the conformation of the hip is so bad that option 1) above is very likely to fail. Either option 2) or 3) are recommended.

In Samoyeds the hip confirmation is usually good and appears to be so in Leo. Hence option 1) appears to be worth trying.

I say ' worth trying' because repeat dis-location is always possible however on the information I have at this time it would be my recommended option.

Dennis did mention that there had been some discussion that the femoral head is degrading in some way; that the head has avascular necrosis. Whilst this is possible in my experience it would be unusual in this breed, though I would like to do some research concerning this and we would need to re-X-ray at the time if surgery to fully understand the internal structure of the femoral head.

One thing is certain regardless of whether surgery 1) or 2) is performed. A dislocated hip leads to reduced use of the leg. Recovery from the surgery is very much dependant upon the strength of the muscles of the upper thigh. Leaving this surgery for too long greatly extends the recovery period.

Obviously we have not spoken directly and I do not want to interfere, however if you would like to continue the dialogue please either email me your questions or we can schedule a time to talk Tuesday or Wednesday.

Considering all options is very sensible however if Leo was my dog I would be scheduling one or other surgery type for certain, and in this instance it might be sensible to decide whether to perform 1) or 2) at the time of surgery.

Warm regards

Dr Tony Beck
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文章mutong_85 » 2013-08-05, 11:36

坛主大人还没光临呢
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文章amy » 2013-08-05, 17:47

板主英文不好.還在找翻譯
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文章amy » 2013-08-07, 08:55

你好.
我們幫你咨詢了醫生.由於沒有看到你的狗狗的X光片
無法確實了解他現在關節的結構位置和狀況
以及發生了多久.不知是否可以將X光片傳上來.我們比較可以給你適當的建議
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文章mutong_85 » 2013-08-08, 08:52

您好,之前您给我过宝贵的回复呢,这个是最新的情况呢。
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文章amy » 2013-08-08, 09:33

以幫你將以前發表過的合併.這樣比較能夠知道狀況
你的狗狗如同先前建議的並不適合復位手術.因為失敗率高
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文章mutong_85 » 2013-08-08, 13:09

嗯,最后医生给出的结论就是髋关节切除,保守治疗肯定不可行,对以后宝宝的生活可能会有问题,这些信息是通过美国的资深训犬师和医生给的
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