咨询描述:你好,我2022年9月发现Doffy右腿骨折,当时由于它左腿刚做完手术,就没马上给它再做手术。今年6月份也给它拍了一次片,那时医生建议手术可做可不做。最近九月份又给Doffy拍了一次片,医生建议做手术。它现在正常吃饭睡觉,跟其他猫不一样的地方是,不能跳高,正常的桌子跳不上去,椅子可以。平常看不出很疼的样子。
请问它这个情况需要做手术吗?这种疾病会进展吗?做了手术能改善生活吗?如果不做手术,对它的健康和生命有没有影响?
问题大致一样,细节不同?
魏新立
执业兽医师
主人您好,右侧股骨头位置有股骨颈部骨折的问题,这个位置一开始都还是有必要做手术的,每次活动都会有有一定的疼痛症状,只不过您的Doffy宝贝的忍痛能力要强一些的。建议还是做股骨头的切除手术,恢复之后,可以,恢复到完全正常走路的状态。
刚好可以做右边股骨头切除和左侧取克氏针一起,相对来讲,这样恢复的也会比较快的。
魏新立
执业兽医师
如果不做手术的话,右边股骨头和髋臼窝会有慢慢的炎性反应,肯定会有疼痛症状,这条腿使用的频率会降低,从而可能会有肌肉萎缩的情况出现。所以还是建议给宝贝做股骨头的切除手术,自己可以给宝贝准备****类的抗炎镇痛药物,会有很好的改善目前以及手术后的疼痛症状。
魏医生,你好,我有以下疑问麻烦您解答:
1.片子上显示有骨刺,手术能否改善骨刺症状,以及以后还会不会继续长骨刺
2.这种动过关节手术的猫咪,以后会有关节炎吗,应该怎么预防和治疗?
3. 手术是建议切除股骨头就可以吗?它现在看起来是自己长上去导致骨骼畸形。
魏新立
执业兽医师
1.股骨头位置切除干净之后,长时间生长成的骨刺(增生)就会有改善的,切除股骨头,同时可以把局部的增生切除干净。
2.手术位置有碰到关节,多少对关节会有一定的影响,但是宝贝还比较年轻,大概率会恢复的状态比较好,后面很大的概率不会有反复性的骨关节炎症问题。
3.就是要做股骨头的切除手术,目前17号拍的片子,也没有再畸形长回去的情况,还是有明显的骨折线,建议还是做股骨头的切除手术,当然,也可以考虑做髋关节置换,到这个费用会有点昂贵。
魏新立
执业兽医师
不客气的,感谢您对蘑菇宠医的信任,如果我的回答能够帮助到您,请您在咨询结束后留下5星评论。
后续宠物有其它问题,您可以到“蘑菇宠医”官方微信公众号找到我的医生继续向我提问。
谢谢您的支持和鼓励,祝您的爱宠早日康复!
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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