Luxating Patella

By: Anna Hoeve

Signalment

Age: 1 year 6 months

Breed: American Staffordshire

Sex: Male

Reproductive Status: Neutered

Species: Canine
History

Both Kobe and his sibling were both adopted from the clinic and have both
experienced luxating patellas genetic disorder
Limping on the left rear leg
Sometimes non weight bearing
Will pause during walking or exercise and not want to move
Last year the right rear leg was operated on for a luxating patella
Diagnostic Workup

https://www.ndsr.co.uk/specialist-referral-service/pet-health-information/orthopaedic-surgery/patellar-luxation
https://www.doghealth.com/arthritis-and-lameness/luxating-patella-in-dogs
 Occurs in up to 7% of canines
Will usually need the opposite
leg operated on

Luxating Patella Due to traumatic injury or a

genetic disorder
Diagnosed is medial or lateral
depending on placement
Diagnosis

https://www.acvs.org/small-animal/patellar-luxations
Normal Patella Luxating Patella

http://www.vetsurgerycentral.com/patella.htm
Treatment Surgery
Premedication Induction Agent Post-Op Medication

Acepromazine (0.2 mL IM) Propofol (5 mL IV) Carprofen ( tablet PO

BID)
Immobilizes the body and Causes sedation and
lowers the seizure threshold relaxation. Will cause apnea if Pain medication
given too rapidly

Hydromorphone (1.3 mL IM) Cefpodoxime Proxetil

(1 tablet PO SID)
Causes mild sedation and
possible vomiting Antibiotic
Special Instruments

https://picclick.com/SATTERLEE-BONE-SAW-12-ORTHOPEDIC-SURGICAL-Veterinary-190855595194.html
http://www.ebay.com/itm/Nice-orthopedic-bone-Hand-drill-wood-handle-Veterinary-orthopedic-Instrument-/162193609585
http://www.plattsnisbett.com/catalogue.php?cat=26&page=2
http://www.ebay.com/itm/1-BONE-MALLET-7-5-034-SURGICAL-VET-ORTHOPEDIC-INSTRUMENTS-/160903637217
https://www.tradeindia.com/fp214167/Schanz-Screws.html
http://www.surgical123.com/pin-wire-cutter-7-tc-inserts.aspx
 Prognosis is normally good to
excellent

Recovery depends on
Prognosis/Outcome Age
Weight and BCS
Amount of degenerative
joint disease
 Performing X-rays
Pre-medicating and prepping for
surgery
Monitoring anesthesia and
recovery

My Role

Applying a Robert Jones Bandage
Discharging the patient
Dispensing and describing
medication to the client
Removing bandaging at the
recheck appointment
Client Discharge

Keep the pet quiet and confined for 5 days

Feed the normal amount of food the first night
Administer prescribed medication only
Leash walk the pet for 14 days
NO bathing or grooming
Keep bandaging clean and dry
Recheck appointment and bandage change in 7 days
Monitor for swelling, redness, discharge, vomiting, etc.

* Make sure to call with any questions or concerns!