咨询描述:今天去体检拍片发现髋骨发育不良,医生诊断是之前受伤,误诊耽误病情导致的。医生建议置换手术。回想起小狗应该是3年前受的伤,现在跑跳也都正常,也很活泼,就是静止站立时,会垫脚尖
问题大致一样,细节不同?
吴继强
执业兽医师
你好,看您发的拍片,狗狗是有髋关节脱位,陈旧性损伤髋臼窝增生,
走路影响不大,损伤时间比较长了,狗狗可能已经现在这个状态了,但是关节摩擦多少会有些疼痛,触摸活动关节或者运动有无明显疼痛发抖反应,
没有发抖的反应,所以想听听您的建议,然后后面有没有恶化的可能性
吴继强
执业兽医师
没有明显疼痛反应还好,走路也没有大的影响,可以考虑不做手术,毕竟置换手术风险也不小。
目前骨头头关节已经完全脱出增生,不会再有严重恶化了,基本就这样,可能会有股骨头关节面和增生摩擦会有些反应,只要没有明显疼痛发抖一般没事,平时可以避免太剧烈运动和站起来扒人动作导致后肢负重过大,可以适当补充关节软骨素营养润滑关节避免摩擦反应。
我能不能这样理解,做手术就是为了怕他这样会痛,只要不痛,能走路,就没必要做,也不会因为没做手术导致以后不能走路
吴继强
执业兽医师
是的,狗狗已经适应目前这个情况了,没有异常一般没事勤观察走路反应,适当营养润滑关节。
那三年的时间不会再恶化了的话,是不是其实只要它不剧烈运动或者受伤,其实也不会痛了。那如果后面开始痛的话,就一定要做手术了吗,还是什么
吴继强
执业兽医师
如果三年没啥反应,后面再出现疼痛几率不大,即使有些疼痛也不会影响很大,狗狗忍痛能力是人的三十倍左右,除非发抖疼痛反应大可以适当止痛控制,补充软骨素保护关节。
那它平时的行动除了后脚站立,爬楼梯,还有什么要注意的吗?平地上跑步,以及平时的散步时间呢
麻烦医生能不能科普一下置换手术的利弊,以及后期的效果到底是怎么样的,就是好奇
吴继强
执业兽医师
你好,平时平地自己活动没事,他自己不舒服也会注意,狗狗后肢负重身体体重的百分之三十左右,尽量避免后肢负重过大,
对于髋关节股骨头脱位手术,临床上有两个方案,一个是股骨头直接切除,两个骨骼就不会挨着导致摩擦,比较好操作,费用低些,也比较好恢复,一般不会影响走路。
另一个就是钛合金置换手术,和人置换手术一样,手术操作需要特别专业的骨科大夫,费用比较高,只要固定好没有排异反应,会恢复比较好。
吴继强
执业兽医师
您好,咨询时间马上结束,希望我的建议能够帮助到您,非常感谢您的信任!请您在咨询结束后留下 5 星评价,您的评价是我工作最大的支持,感谢。需要复诊时可以加关注或者在您的咨询列表找到我,在我的主页选择合适的问诊服务包。祝小宝贝健康成长。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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