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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

Dogster Trauma: Hip Dislocation in Dogs

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September 01, 2006 / (17) comments


Yesterday I became engrossed (yet again) in reading and responding to posts on Dogster`s health forum. I love the mix of zany and knowledgeable that serves as advice on this forum. One person posts a problem or just vents about their dog’s condition. The subsequent ten or twenty posts are usually caring, compassionate versions of advice.

Although some very misleading information is often provided, I love this forum and support its approach entirely—it’s like having your friends over for coffee to talk about the dog. The culture at Dogster is educated and no one expects veterinary advice, just an understanding ear.

During my surf, I located a thread labeled, URGENT. In it, a dog lover agonized over a housemate’s dog. The lab mix (as I recall) had been hit by a car, suffering what she assumed to be a hip dislocation. Because the dog was still able to amble around on its own three legs, the housemate had refused to seek veterinary care for the dog.

These are the cases that haunt me—all the pets badly maimed and suffering in silence that I will never see because of human irresponsibility. I try not to think of it as evil. I have to assume these owners are just ignorant or truly destitute (in which case responsibility would dictate they at least take the dog to humane services).

There are three options for hip dislocation (coxofemoral hip luxation) in dogs that don’t involve a trip to humane services or euthanasia. I presented them in my Dogster reply as follows (expanded somewhat for this audience):

1-Do nothing: Your dog may walk and make it around the house OK, but he’ll never run and play without experiencing serious pain. Silence (lack of whining) is NOT evidence of a pain-free life. Eventually, a fibrous connection may form between the leg bone and the pelvis that will allow your dog to bear weight on the limb. This feels like arthritis-plus. It is indisputably painful—all the time.

2-Take him to a surgeon: You will likely pay $1500 to $2500 to have the hip properly repaired, if that’s possible at this point. Time is of the essence in hip dislocations as with most orthopedic injuries. Definitive repair, where the ball and socket joint are restored to their original condition, is usually possible within a few days. After that, the dog’s body will start to repair itself by attempting to form a false joint that will stabilize the area. This attempt at healing brings lots of fibrous tissue into the area, which makes proper reconstruction of the joint very difficult. A drastic salvage procedure, such as hip replacement, is often needed if enough time has elapsed. That’s $3500 to $5000—ouch!

3-Take him to a vet and have his leg amputated: Amputation is by far the best solution for an otherwise healthy dog whose owners have no funds for a veterinary surgeon. Three-legged dogs do very well and usually live long, pain-free lives. An amputation usually costs about $750 to $1000 but many hospitals can do a bare bones approach for less. Don’t expect a payment plan if you don’t have an established relationship with a veterinarian.

It sickens me to know this dog sustained a severe injury two weeks ago and has yet to receive any medical attention. In a perfect world, his owners would be tried for animal cruelty. In ours, dogs are property unless you actively hurt it in an unusually cruel way. Most people are still too ignorant to know that passive neglect of a hip dislocation is a horribly cruel sin of omission.

Dogster`s typically sympathetic crowd was of the same mind. Even those with empathy on overdrive were out for blood.

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COMMENTS (17)
1
by Ben on 01/06/2010 02:12pm

I had a quick question - my wife and I recently took in a stray lab/beagle mix (?), and has recently developed a limp.  Took her to vet on Sunday, and xrays showed a dislocated hip.  Tuesday we took her in to get it fixed, and brought her home Tuesday night to rest - seemingly the end of the story, until I started looking around online.


Do dogs need to have any bandages or slings placed on their leg/hip joint while this healing is happening?  Right now there is nothing holding this joint in place... and the more websites I come across, the more I am hearing about bandaging and Ehmer slings, etc.  Do I need to go back to the vet (or go to a different vet)?  Any thoughts on this issue are welcomed.

2
by Matt on 01/04/2010 11:10am

We have an 11 month old Golden Ret. I ran over her the day after Christmas. She has a dislocated hip. The vet tried to sling it but it popped back out. The initial visit and overnight stay at the vet was $1700. We think that amputation may be the best action at this point. I would hate to do a surgery and have it not work or have complications. She seems to get around on three legs really well. Any thoughts?

3
by julia on 12/26/2009 12:33am

I HAVE A 5 YEAR OLD FEMALE LAB MIX HER NAME IS CANELA FEW YEARS AGO SHE HAD HIP DISLOCATION COST ME $2500 FOR HER SURGERY VET SAID THAT SHE NEEDS NOT RUN OR CLIMB BECAUSE SHE MIGHT DISLOCATED HER HIP AGAI NOW THIS AFTERNOON OUT OF NOWHERE SHE START DRAGING HER BACK LEGS INSTED OF WALKING I WONDER IS SOMEONE KNOWS IF THIS IS MAYBE BECAUSE SHE STAR HAVING ARTHRITIS N THIS WEATHER IS NOT HELPING SPEACIALY WHEN SHE NEED IT TO GO DO HER THING? IF ANY INFO REGARDING THIS LET ME KNOW CUS AM NOT SURE WHAT TO DO VET R REALY EXPENSIVE I WILL THANK U FOR ANY INFO THAT U CAN GIVE ME..THANKS


 


 


JULIA

4
by Ruby on 11/25/2009 08:42am

Hi, I think one of my puppies has just dislocated her hip this morning. I have a vet appointment for today. But I was wondering if with a hip dislocation if the puppy will grow up and get hip dysplasia? If any one could let me know so I can start planning for future problems and save the money. Thanks for all of your answers.

5
by Janice on 09/01/2009 02:19pm

My 17 yr old beagle suffer hip dislocation last night.  We took him immediately to the emergency vet.  They suggested trying closed reduction - which we did.  He comes home from the vet this afternoon in a sling.  The vet said the odds are 50-50 that this will work.  They said the sling for 2 weeks.  Will longer in the sling increase the chances that the closed reduction will work?  He is an elderly 'puppy' with other health issues.  If the closed reduction is not successful, at 17 is the pain of the surgery fair to him? I'm so torn over what I want, what I can afford and what is right for him. 

6
by Lisa on 07/31/2009 09:11am

My 3 year old male Aussie was run over by a truck in our driveway on Monday. Took him to the vet. Dislocated hip. She did a closed reduction and the dog is currently in an ehmer sling and seems to be doing really well. What is the prognosis for this staying put? She said she got the hip back in place and it stayed right away. And that his hips are good and he is young and healthy and she feels that this should work without further surgery. Any opinions?

7
by Violet on 04/24/2009 02:04pm

Figaro had his surgery (femoral head ostectomy)and is recovering beautifully. Today, he started using his leg a little more and a full recovery is expected. Total cost for this was $3,500. Of course, I live in NY and everything is more expensive here. I want to respond to the person with the lame pitbull. My vet told me that I could avoid surgery and just leave Figaro lame, using 3 legs. However, he also told me that the femoral head was in his pelvis pressing on muscles and ligaments and that it is very painful for the dog. Figaro did not show any signs of pain, but I know from experience, that dogs are very stoic and hide pain very well. That is why I opted for the surgery. Whatever you decide, I wish you and your dog well.

8
by Andrew on 04/22/2009 08:16pm

I agree with Frog Pants. I have met my share of unscrupulous vets. To correct the hip dislocation takes a Vet no more than an hour. i think they can do with charging less and it would still be great compensation. How about charging a cool grand for 30 to 40 minutes of work. I wish someone paid me that. Even the most experienced corporate lawyers in NYC don't bill more than $700 an hour and those that do are incredible experienced partners, and those are very few. I think there is a middle ground. Vets need to be less greedy, provide good care (and not make up frivolous issues), and they will enjoy a better reputation and earn more as more people will be able to afford the care.

9
by Violet on 04/16/2009 08:19pm

Today, for no apparent reason, while returning from a nice peaceful slow walk in my suburban neighborhood, my dog, Figaro, stopped walking and started whining. I checked him over and saw his right rear leg was folded under his body. I immediately took him to the vet and they x rayed his leg and hip and showed me that his hip was dislocated. He is now in a hospital and will have surgery to correct this problem. So far, it looks like the total cost will be around $3,000. But to have Figaro back, playing and feeling good and pain free - priceless.

10
by Truffle on 03/06/2009 07:59pm

My mixed breed has the same problem (19.8kg). The closed reduction was failed and I have arranged an operation (removinbg the femoral head) for her two days later. Want to do it quick, otherwise all the fibrous tissue set in, maybe more difficult by then?!

11
by Sad dog mom on 03/05/2009 01:48pm

My dog was hit this morning and I immediately took her to the vet. Her right hip is dislocated. She is young and I want her to be able to use her the leg and run again without pain. The vet has said the only option is to cut the ball from her femur. I have read that closed reduction should be attempted first. She is a mid-sized pit bull mix (about 50lbs). Has anyone had this done to their dog and has it been successful?

12
by Dr. Patty Khuly on 08/01/2007 12:15pm

"Natural causes" and "surgery" don't quite go together, but I'll let that one slide...

As to how much we make, you're right. As to how much we make relative to our student loan debt and level of education...you're ignorant. The salary of a veterinarian is seriously tempered by the huge debt we must take on to stay in school for 8+ years. Even when debt isn't an issue, our salaries are way out of line with those of other professions with similar levels of education.

And if you can't afford the high cost of a pet, no one's forcing you to have one. It's not our job to subsidize your choices.

Finally, just because you had a bad experience with a vet, don't assume you can vent your stress on this site. We have a thoughtful, caring community here and I urge you to respect that.

13
by Frog Pants on 08/01/2007 02:22am

The US Bureau of Labor Statistics says that the mean (average) salary for a veterinarian is about $75,000.
The salary for a graduate is any where from 30,000-37,500. After years of work your salary will increase a great deal, any where from 65,000-128,000 a year.
http://wiki.answers.com/Q/How_much_money_does_a_ve...

14
by Frog Pants on 08/01/2007 01:39am

Maybe if vet care wasn't so damn expensive, animals wouldn't have to *suffer*. Even pet ins. is friggin expensive. If "responsible" owners are made up of people who can afford these services when trauma occurs, then pet-owning would be prohibitive for most of us. Don't want to see an animal suffer? Then don't charge $2,000 for surgery. Our last dog died of natural causes at the *beginning* of surgery and we still had to pay $1,000. The last vet we tried bragged b/c he had been in business for so long that his bldg was paid for and it was all profit for him. So screw you vets who charge so damn much while continuing on with your *holier than thou* crap.

15
by Peggy Sloan on 09/08/2006 06:37pm

You will find alot of that on Dogster, why people post in a forum about health care for thier dog or cat and do not take advise, without getting hateful is beyond me. Today I saw another post about greenies, the post made no sense to me, being that the dog had a cough, I'd seen you had posted very good information only to have it edited by a moderator. The OP had gotten nasty with another poster and after the poster was e-mailed by the OP (very hatefully I might add) the thread was threaten to be closed.

I tend to stay away from such posts, being some people on that site only want to listen to what they just want to hear. Bottom line is if your animal is sick or in pain, consult a vet. They don't go thru school for the amount of time that they do, just for the fun of it. If you cannot afford vet costs there are other outlets you can take, my vet will do payments. My daughter is RVT and with 4 dogs and 6 cats, her working at the clinic helps alot with the care and costs of procudures.

16
by Gina on 09/01/2006 11:29pm

As we used to say when I was running the Pet Care Forum on AOL: "Get off the 'Net and see a vet!"

I get letters like these every day. What do they think I'm going to say? "I wave my magic wand in your direction and your pet is healed!" :::sigh::::

17
by Shannon on 09/01/2006 05:58pm

It is sad that people ignore problems like the one described in this story. Whatever the reason, its not enough to leave a dog to wander around in pain as this one is. Hopefully, all will turn out for the best, although the best as of right now, if it is a hip dislocation, doesn't sound very good.

Have a good Labour Day weekend. Hopefully all the animals will be well taken care of this weekend.

Shannon

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About fully vetted

Patty Khuly, VMD, MBA

Photo of Dr Khuly

Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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