咨询描述:柯基犬 六岁半,21年1月右腿十字韧带断裂做过TPLO手术,今年七月底左腿十字韧带又断裂,目前没有做手术,已经一个半月了,目前恢复的和正常腿差不多了,不知道这一次到底是不是十字韧带断裂,是否还需要做手术?请医生给看看片子,片子是七月底拍的,诊断一下。谢谢
问题大致一样,细节不同?
陈奕达
执业兽医师
你好,根据你提供的现有信息,1.如果狗狗逐渐恢复正常行走,那么应该不是十字韧带断裂,而是损伤问题。2.如果逐渐恢复正常行走,并且姿势也还算是正常的情况下,那么可以暂时不用再考虑手术了,正常饲养观察即可。
大夫,您看一下视频,目前的状况,我刚拍的。我们是否还可以再观察观察?需要在观察多久?您从片子上能看出来是断裂还是损伤吗?
为保护用户隐私不显示图片/视频
陈奕达
执业兽医师
你好,从小视频上看,还可以,不仔细看,暂时看不出来太明显的异常问题。
可以再观察3-4周,看看后续状态如何。
看片子,无法看到韧带,需要结合触诊进行综合性判断。
如果是韧带断裂,那是不是就是一直脚没办法落地呢?如果再观察一个月那就两个半月了,两个半月在做手术不影响是吗?
陈奕达
执业兽医师
你好,是的,如果完全断裂这种程度,那么狗狗自愈的概率只有10-20%。
如果没有恶化的情况下,观察一段时间不会影响手术。
那大夫目前需要吃药什么的吗?一直没吃药。目前这么看,大部分时间还比较正常,偶尔还会有点没力气,如果十字韧带撕裂不严重,是可以不手术治疗的是吗?
陈奕达
执业兽医师
如果韧带没有断裂,只是损伤,维持的好,可以考虑不手术。
可以暂时给予狗狗口服一些营养关节用药,观察一下后续状态。
然后这边根据宝贝的情况,我给宝贝开个营养关节用药处方。以备不时之需。
药物具体用法用量已经帮你计算妥当,可以点击查看详情按钮,进入处方页面查看。
处方里面的
1. ****,宠物专用营养关节用药,增加关节液调节,促进关节疾病恢复。
可以根据需求自行选择购买。
发病期间,禁止宝贝剧烈,长时间运动。尽可能静养。注意不能着凉,尤其是趴在地上休息。
(由于没有宝贝的详细体重信息,然后预估宝贝体重为10公斤体重计算用药量,如果预估不准确,你可以根据宝贝实际体重,结合药物说明书,重新计算用量)
陈奕达
执业兽医师
非常感谢你对蘑菇宠医的信任,如果对我的解答满意,请帮我点亮五星哦!祝爱宠早日康复!
后续宝贝有其它问题,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,有问题随时联系。
希望我的建议可以帮到宝贝,如果爱宠平时有什么养护小问题也可以通过蘑菇宠医小程序搜索了解哦~“
为保护用户隐私不显示图片/视频
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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