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Veterinary Surgical Specialists
Postoperative Care:
Femoral Head and Neck Excision
Your pet had surgery
to relieve a significant amount of pain associated with its hip problem. You
can generally anticipate a 70-80% return to normal function in the operated
leg following this type of surgery.
The ultimate outcome will be
determined by many factors, such as the type of disease that made
the surgery necessary, the age and size of your pet, the amount
of effort you place in rehabilitation, whether or not your pet
builds a good scar tissue pad in the area of the socket, and your
pet's pain threshold. Generally speaking, small animals
(less than 60 pounds) regain better leg function than do larger
animals, and younger animals rehabilitate better than do older
animals. Importantly, animals that undergo an active
rehabilitation program fare better than those that do not.
The following is an attempt to outline an average rehabilitation
program for your pet following surgical removal of the "ball"
of the hip joint.
Surgery through 2 Weeks:
Your pet needs some tender loving care only. No exercise is
indicated although you may gently move your pets leg through
a normal range of motion for 5 minutes twice daily.
We need to give the operative site time to heal. Pain medication
and tranquilization may be needed.
Weeks 3 through 4
: Leash
activity is appropriate. You should walk your pet on a short,
tight leash at a pace that is compatible with your pets using
the leg. At first this will be very slow, but the pace will
quicken soon enough. Again, passive range of motion exercises
are appropriate, but to be of value they must be performed
for 10 minutes, twice daily and you must extend and flex the
hip just until it begins to hurt your pet a little--then you
know that you are increasing the range of motion in the hip
area and benefiting your pet. Massage therapy, heat therapy,
water massage and swimming are all beneficial as well.
Weeks 5 through 8: As
your pet becomes more willing to use the leg, you should begin
demanding more. Walks uphill, upstairs, in deep sand at the
beach, jumping up, standing on the hind legs, etc. are in
order. These activities place stress on the hind legs, forcing
your pet to use them more, and thus strengthening the muscles
and new scar tissue that is forming in the area where the ball
of the hip joint used to be.
Weeks 8 through 12: Light
ball playing is fine, as it requires rapid starts from a
stationary position. Athletes may be jogging, jumping, pulling
sleds, etc. Playtime with other pets is beneficial. Any activity
that forces your pet to use it's back legs is appropriate.
It will, on the average, take a minimum
of 12 weeks for your pet to use the operated leg well. During
this period of rehabilitation it is not unusual for your pet to
strain it's muscles or stretch the scar tissue that has newly
formed in the operative site, causing lameness. This lameness
is typically rapid in onset and gradually gets better over 3-5
days time. Treatment with aspirin or other nonsteroidal
anti-inflammatory drugs (Nsaid's) (e.g. Rimadyl, Deramaxx, Etogesic, Zubarin, etc.) is appropriate
during these episodes. Be sure to contact your veterinarian
to ensure that your pet will be receiving the proper dose prior
to giving any medication!! Never give your pet Nsaids meant for human
consumption! Most of these anti-inflammatories (e.g. Advil) will kill your
pet. If your pet does not seem to be
rehabilitating normally, or if you have concerns, you should
reschedule an appointment so that we may see your pet and
determine exactly what is wrong and take the proper steps
to correct the problem.
If you have any questions or problems
during your pet's rehabilitation, please do not hesitate to
contact us. We are available to answer questions during regular
office hours as well as evenings and weekends via our voice mail
system. Please leave a message and a member of our staff will
return your call as soon as possible. Thank you for trusting
us with the care of your pet.
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