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Although we can see failure as a matter of course in some treatments, I agree that 3 failed surgeries sounds excessive.
Is your regular general practice vet doing these surgeries?
Where is Goddards located? I'm going to determine if he is a board certified surgeon.
Sorry about that, you have different initials in the UK, I had to figure them out!
Did you have Dr. Gardner do the surgery?
OK. I see from the CertSAS that he is indeed a qualified surgeon.
You mentioned that Junior is limping. Does he seem painful?
How long ago was the most recent surgery?
OK. Rather than moving forward with an additional surgery, I would strongly consider seeking physical therapy for Junior.
After having problems with this knee for so long, it can take additional pain management, time, and PT to help him use it appropriately again.
Is he on any pain medication now?
I strongly recommend a joint supplement (glucosamine and chondroitin sulfate), an NSAID like carprofen, gabapentin, and possibly amitriptyline.
Massage and therapeutic laser may be better forms of PT than hydrotherapy at this time.
After these, Junior should also have some stretching.
A qualified PT should be able to demonstrate how to stretch him so that you can do this at home.
I think we need to focus on reduction of pain before we try to force him to use the leg.
It all depends on how they are acting. If they are using the legs and putting normal weight on them, I don't worry about it. In other words, we can find a luxating patella during a regular exam, but if the owner doesn't see a problem at home, we do not pursue surgery.
If you are seeing non-weight bearing lameness, then unfortunately, surgery is the only way to go.
We can see increased lameness and arthritis in the long term if we do not go forward with surgical repair.
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