3岁柴犬疑似髌骨脱位

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咨询描述:请问一下老师,我家柴犬狗狗3岁,这几天发现脚瘸着走路,拍片医生说髌骨脱位2.5级的,不知道有没有什么好的办法吗?

问题大致一样,细节不同?

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曹元钊

执业兽医师

您好,请您把狗狗走路的视频发过来我再看一下,它确实有髌骨脱位,像这种情况一般是建议做手术来去解决问题的,早点做手术会恢复的程度会比较好一些。 如果是口服药的话,其实想想也知道,药物怎么可能能够治疗一个形态学的异常呢?但是口服药可以减轻症状,然后缓一缓,接下来呢再口服一点营养关节的 也许可以把最严重的那种级别的发生时间往后拖一拖。

我想问一下是一只脚还是两只都有啊?医生检查说两只,我想确认一下

曹元钊

执业兽医师

这个两只腿都有的

是达到了几级了,严重吗?因为我一个人总是拍不了清晰的视频

为保护用户隐私不显示图片/视频

曹元钊

执业兽医师

这个两级肯定是有的,至于更高的级别这得医生去摸,他得把这个髌骨弄出去,然后感受一下他能否自己再回去,他得靠这种办法来去分级,而不是说靠一个x光或者我自己看一下走路的视频才行。 不过根据目前走路的情况加上x光,我是建议你要是能手术就赶紧手术。这种早点做手术对以后的恢复是很好的,我举个例子来说,如果真的到了四级,那你做完手术,他都不可能再恢复到正常,如果三级可能也就能恢复到一级。

曹元钊

执业兽医师

因为手术是迟早的事儿,所以宜早不宜迟。

刚才那个视频发错了,麻烦你看看这个,能看见一点点

为保护用户隐私不显示图片/视频

曹元钊

执业兽医师

没错,这个视频的话至少两级 三级的话还不至于。如果有条件做手术,还是尽快做手术吧。 如果不想冒麻醉的风险,就在用户端申请开药,可以给一点非甾体抗炎药试着看能不能把这段时间缓过来,但是之后可能还会再复发的。

柴犬很皮,就是怕在手术后应该不好恢复

为保护用户隐私不显示图片/视频

曹元钊

执业兽医师

这个没办法,如果您觉得手术风险太高,就在用户端申请开药,提供个非甾体抗炎药方案给您,处方不要钱,你自己根据需要选择从哪买都行。

谢谢老师,因为我不懂怎么问,我想知道狗狗现在的情况手术后会复发吗?因为我们这里是县城,把握不住手术医生的手术情况,狗狗如果手术后应该怎么照顾?不知道还有什么咨询的,想麻烦老师多给我讲一点,谢谢老师,其他的还要注意一下什么事项

曹元钊

执业兽医师

如果手术做得好 基本上不会复发的。手术后呢,前两天或者三天稍微限制一下膝关节的活动,之后呢,就要慢慢的开始鼓励活动这一整个过程,实际上属于复健不是说做完手术就完事了,复建其实也是治疗的,很重要一部分,这个过程是在医院进行的,直到半个月左右才可以接回家,在家里面慢慢的在家里运动,只要不是蹦跳什么的,一般没事儿。 所以其实这个做完手术以后不归你们管,做完手术以后归做手术的医院管,不是说做完手术就回家的。

曹元钊

执业兽医师

回家以后的注意事项,主要的就是 少量多次运动,不要剧烈运动,每个狗它都不一样,它能承受的运动量也都不一样,所以只能主人自己在家里慢慢的去调试观察。但常规来说,半个月到一个月的时间里面可以慢走,最好不要奔跑,尤其是不要上下坡奔跑

曹元钊

执业兽医师

处方如下****一天一次,每次半片,口服14天,关节的****一天一次,每次两片口服一个月。(但是实际要长期服用) 另外呢,换成这种关节粮食直接掺到原来的粮食里面,用5~7天的时间慢慢换就可以了。

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我家柴犬狗狗右脚不能着地走路2天了,去医院医生说是膑骨脱位需要马上手术,先开了点消炎止痛药吃,现吃了一颗已能正常走路了。我想请问一下,狗狗一年多前还是右大腿粉碎性骨折手术钢板还未取,现在可以做膑骨手术吗?手术预后效果好吗?

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狗狗髌骨脱位需要进行屈膝体位拍摄的x光片角度,首先判断等级情况。如果狗狗出现髌骨脱位的问题只是1-2级以内,可以考虑先保守治疗观察。保守治疗期间只要等级不提升,通常正常饲养以及维持即可。但如果脱位现象超过2级,就需要考虑手术治疗。

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狗狗髌骨脱位,已经进行了内固定,但还是有踮脚走路的症状,有可能是由于长时间行走、运动,从而引发患肢手术位置出现了不舒服或者疼痛问题。这种情况您暂时先不用着急,可以先静养狗狗12-24小时,观察一下狗狗是否逐渐恢复。如果狗狗逐渐恢复正常,那么问题不大,可以后续继续静养观察,直到康复为止即可。但是如果24小时之后,狗狗症状没有缓解,甚至越来越严重,那么就一定要及时就诊,以免耽误狗狗的治疗时机。

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