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  #1  
Old 02-22-2010, 07:09 PM
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Join Date: Dec 2009
Location: buckeye, az, usa
Hip Joint Ball fracture

Hello all,

This is my first post, and I wish it was a better one!

Just got Diesel 2 months ago. First day home, his back end slid out from under him(wood floors! hehe) and he yelped and started limping for a min or 2. No problems after that. He also jumped off the couch once, made a half ass yelp, and limped fora sec, then proceded to knock me over. Dumb dog!

Well, last night, he was up in bed, he flopped on me, and then rolled off the bed by accident(se dumb dog above!). Then he howled in for a few secs. I've never heard that before.

So, after seeing the vet, he got anesthesia, and the Vet felt him up(lucky dog!) and an x-ray. Also, when the first yelped happened when I got him, I took him into the vet, and she thought is was a pulled muscle from slipping.

The x-ray shows a fracture on the right hind hip at the growth plate. There was also some white stuff(i'm a diesel mechanic) in the joint. The vet was quick to offer a FHO.

She said due to what she saw, that could've been what the yelp was in Dec.

My question-Is there another option besides FHO? She also said Hip replacement! Is thee no other way to treat this?


Tom
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  #2  
Old 02-22-2010, 08:30 PM
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Join Date: Feb 2009
Location: N Z
Images: 19
Re: Hip Joint Ball fracture

Surely they would not be considering such surgery on a still growing puppy ??
(I'm assuming he's about 4 months old if you got him two months ago).
I do hope you've now learnt your lesson (at the expense of your puppy & your wallet), be more careful with him in future.
He is not a dumb dog, he's a little puppy who you are supposed to be taking care of. Put throw rugs down on the floor if it's slippery, don't let him run around in the house & keep him off the furniture !!
I would get him to an orthopaedic specialist, in case there is more that you can do to prevent him from being permanently disabled. Or at least get a second opinion from another vet (just in case).
Alison
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  #3  
Old 02-22-2010, 08:54 PM
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Join Date: Dec 2009
Location: buckeye, az, usa
Re: Hip Joint Ball fracture

Well, I guess i forgot some info. I got him at one year old. And the whole dumb dog this is sarcasm.

Be more careful with him? So your dogs aren't allowed to run around and play? I assume that's what your saying? And there are rugs on the floor. The really cool kind, ya know, with the rubber bottom?

And is an FHO permanently disabling? I can't find anything on a Rot with one.


Tom
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  #4  
Old 02-23-2010, 01:38 AM
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Re: Hip Joint Ball fracture

Quote:
Originally Posted by doitndirt View Post
Well, I guess i forgot some info. I got him at one year old. And the whole dumb dog this is sarcasm.
Well perhaps it's me, but I didn't find sarcasm appropriate given that your dog has seriously injured himself, and exactly who are you being sarcastic about ? The poor dog ?


Quote:
Originally Posted by doitndirt View Post
Be more careful with him? So your dogs aren't allowed to run around and play? I assume that's what your saying?
No, not in the house, darn right they're not !


Quote:
Originally Posted by doitndirt View Post
And there are rugs on the floor. The really cool kind, ya know, with the rubber bottom?
I can be forgiven for assuming otherwise surely, since you yourself mentioned the wooden floors....

With an issue like this I think it would be fair to get a second opinion ( Ideally from a specialist). This is still a very young dog, and deserves the best chance. Not all vets are created equal, and before I put my dog under major surgery I would want to know there was no alternative.
Have you done a search of the archives ? I seem to remember other dogs undergoing this procedure, although I may have seen it elsewhere. My advice to you would be do heaps of research and don't act in haste.
I hope everything turns out fine for you. Perhaps someone with more experience will post, lets hope so.
Alison

Last edited by roscoe; 02-23-2010 at 07:42 PM.
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  #5  
Old 02-23-2010, 05:41 PM
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Join Date: Feb 2010
Location: Russellville AR/USA
Re: Hip Joint Ball fracture

I would definitely go to an orthopedic specialist for a second opinion. Not knowing exactly what you are dealing with, and depending on the severity of the fracture and the exact location, there might be other options available. Fractures that do not involve the acetabulum can sometimes be allowed to heal on their own, again, depending on how bad they are. Is the femur fractured, or the acetabulum, or the sacroiliac?

If it's truly the hip growth plate that is affected, then your dog will most likely require some sort of invasive procedure. This type of injury would prevent the development of a proper "socket" for the "ball" to fit into. Probably your best options would be:

Cemented Total Hip Replacement
Cementless Total Hip Replacement
or Femoral Head and Neck Ostectomy (FHO)

There is a possibility that a new procedure, Bioscaffold Implantation, might be appropriate for your dog. This is a bio-engineered collagen implant system that mimics stem cells and stimulates regeneration of bones and tissue. There aren't very many veterinary hospitals that are approved to use this new implant system right now, as it's still in the study stage.

Good luck with your pup. Let us know how things work out.
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  #6  
Old 02-23-2010, 07:26 PM
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Join Date: Dec 2009
Location: buckeye, az, usa
Re: Hip Joint Ball fracture

OK, sorry for the sarcasm, it always comes across wrong in text. And no, the sarcasm is when hes just being himself. Quite goofy.


And the best chance is what he's gonna get, that's why I posted on here hoping some one could give me some advice. Which, BTW, here is just one of MANY places I've been picking brains.

And the technical term, I think, is a Femoral Head Fracture. I think the vet said the growth plate there? I've found one post about a FHO on a rottie, and everything I've read says they're not recommended for dogs above 50LBS.

And they quoted me 1700-2000 for a FHO? And my breeders vet said that was waaay high. LOL.

Anyway, I have the x-rays if anyone wants to see them, and I'm trying to get appts from an orthopedic for their opinio.


Tom
Attached Images
File Type: jpg 0Diesel.jpg (10.2 KB, 51 views)
File Type: jpg 3Diesel.jpg (12.8 KB, 48 views)
File Type: jpg 1Diesel.jpg (11.9 KB, 43 views)
File Type: jpg 2Diesel.jpg (10.2 KB, 43 views)

Last edited by doitndirt; 02-23-2010 at 07:55 PM.
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  #7  
Old 02-26-2010, 01:55 PM
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Re: Hip Joint Ball fracture

Just bumping this message now that the xray photo attachements have been approved.
Does anybody experienced in reading them have any advice to offer the OP ?
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  #8  
Old 02-26-2010, 10:21 PM
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Join Date: Dec 2009
Location: buckeye, az, usa
Re: Hip Joint Ball fracture

I had an appointment with a specialist.
We can go in there and see what the growth plate cap looks like, and maybe reattach w/ pins. But no promises due to what the xray doesn't show. And there's only a 60-70% chance of it working. Even if it CAN be rattached

An FHO, which I'm not too thrilled about.

Or THR. Which is prob the route I'm gonna go. Gotta get a second job! 5K!

But, since he's so young, and MY dog, he's getting the best. The vet said he should be fine until I want the surgery. Just keep him lean, so as t keep the strain off the leg.

Although, hes 14 Months and 70 lbs. Apparently that seems small?


Thanks for your input!


To
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  #9  
Old 02-27-2010, 12:00 AM
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Join Date: Apr 2001
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Re: Hip Joint Ball fracture

Well, I can read xrays well enough to see the one on the top right is flipped horizontally....

It looks painful! I'd be concerned about waiting too long - does the vet think it's better to wait or that it just won't make a difference either way?
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  #10  
Old 02-27-2010, 01:05 AM
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Re: Hip Joint Ball fracture

I have a 18 month old Rottie with ED and HD. He had had elbow surgery when he was 7 months old and is now doing great. If his hips ever cause him pain I will have an FHO done on him he is currently a lean 105 LBS. I was quoted 20,000 for THR which is what my dog would need. My Ortho vet said because my dog is so active and we have hard wood floors that an FHO would be more practical for him due to the high risk of him breaking and or dislocating the implant. I have seen 100lbs pound rotties and a huge German shepard the have had FHO and I was impressed. I think if you go to You Tube and search dogs with FHO you will see before and after video's. By the way a good friend of mine's mom just fell and broke her hip and they did a FHO on her.
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  #11  
Old 02-27-2010, 06:42 PM
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Join Date: Dec 2009
Location: buckeye, az, usa
Re: Hip Joint Ball fracture

The vet said unless he starts to get significantly worse, that the amount of time wont really matter.

Harley- You're telling me that a highly active dog is better with part of his skeletal structure removed that replaced?

A FHO on a human? I find that hard to believe since since when we walk, 100% of our weight is on either hip, plus the way the human skeleton is...But who knows! Google!


Tom
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  #12  
Old 02-27-2010, 08:25 PM
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Re: Hip Joint Ball fracture

Doitindirt- Yes that is what I am saying. For my dog and my situation FHO is what is best for him and me and most important my Ortho vet agree's.
And Yes a human has had an FHO go figure.. And I might say is doing wonderful I just visited with her last week. Do some research on it, it was considered a salvage procedure for many years but the way of thinking is changing in the Ortho world. Oh and I might also mention I do not have $20,000 for THR. I had the $8,500 FCP surgery done and was happy I did it.
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  #13  
Old 02-27-2010, 11:04 PM
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Re: Hip Joint Ball fracture

If you search on You Tube there is a Rottweiler named Finnie that they go from surgery through rehab following an FHO surgery. Pretty good stuff and he is a BIG boy.
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  #14  
Old 02-27-2010, 11:10 PM
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Location: buckeye, az, usa
Re: Hip Joint Ball fracture

Harley-

How long does the video follow him? Long term effects?

I guess what swayed me is that the THR is around 4-5K in AZ. Perhaps you should come out here! 20K!?


Tom
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