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Hip Dysplasia
An ounce of prevention is worth $2500 of cure

If you are thinking of getting a new puppy, especially if it is a large breed, we recommend that you ask the breeder or pet store if there is any history of hip dysplasia in the puppy's bloodline. Hip dysplasia is a genetic malformation of the hip joint. The hip joint should be a deep ball and socket type of joint, but in dysplastic dogs, the socket is shallow and the head of the femur (thighbone) becomes thickened and flattened, resulting in arthritis and pain in the joint. Symptoms include: trouble getting up of down stairs, "bunny" hopping when running, limping, trouble rising when laying down, bearing excessive weight on the front legs. Some dysplastic dogs develop these signs very early as puppies; others may not show symptoms of hip dysplasia for years.

Hip dysplasia can be diagnosed with a physical exam and X-rays. Once you know that your dog has this condition the options are few: medication to control the pain  or surgery to correct the problem. For mildly dysplatic dogs or dogs that are too old to consider surgery we recommend various anti-inflammatory medications like buffered aspirin or the new (but expensive!) medication called Rimadyl. We also usually add a natural type medication called Glycoflex that helps lubricate the hip joint and nourish the joint cartilage.

For some dogs these medications are not enough to keep them comfortable, and for these dogs we recommend surgery. The most common surgery for hip dysplasia is a total hip replacement, where an artificial joint is inserted that takes the place of the dog's hip joint. Hip replacement surgery is performed by a team of orthopedic specialists in Annapolis, costs about $2500.00, and the dog has a 3-month recovery period. Younger dogs (<1 year) whose hips don't look too bad on X-rays may qualify for a little different type of surgery that costs a little less but has the same recovery time. Smaller dogs (< 40 pounds) whose hips don't have to bear as much weight as the large breed dogs can usually get by with a salvage type of surgical procedure that is MUCH less expensive and is performed at our hospital by Dr. Spofford.

The best way to eliminate hip dysplasia is to prevent it. Conscientious breeders will have their dogs checked for hip dysplasia before they breed them. When the potential breeding dog is 2 years old, it should have x-rays taken under sedation. The x-rays are then sent to one of 2 possible organizations to be evaluated by experts. Based on the x-rays, the dog will receive a grade that will determine whether it is a good candidate for breeding, or if it might pass on hip dysplasia to its offspring.  Dogs may be given a poor, fair, good, or excellent rating. Any dog that receives less than a good rating should not be used for breeding. Unfortunately, breeding dogs that have not been screened for hip dysplasia has perpetuated this disease.

If you are thinking of adopting a puppy, ask for papers that show that both of the puppy's parents received a favorable rating on their hips. It is not enough that the puppy's parents look okay and don't seem to be limping. As we mentioned above, some dysplastic dogs don't develop a limp or show any symptoms until later in life.

 







 


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