TPLO surgery - what are your thoughts?

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Daisy2711 Icon representing the flag Polish
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Hi everyone, I’m facing a bit of a dilemma. My German Shepherd-type girl, who is about 14 years old and weighs 34kg (around 5st 5lbs), has a cranial cruciate ligament injury. The orthopaedic specialist is suggesting **TPLO surgery, but I’m terrified she might not wake up from the general anaesthetic (when she was spayed, she had breathing difficulties and had to be intubated).** Two other vets have already told me it's a huge dilemma; while the surgery would mean she’s no longer in pain, she is an older dog now. Even the specialist said he can't guarantee she’ll walk normally again after the procedure. At the moment, she’s on Librela injections (she's just had her second dose) and I’m also supporting her with Scanodyl tablets. She can still walk—she’s less active than she was two months ago, but she’s still keen to get about. I just don't know what to do. I’m so scared of the surgery and I'm frightened she won't come round from the anaesthetic.

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    Snaraellora17 Icon representing the flag French
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    Hello

    The dilemma is resolved if:

    • it isn’t life-threatening

    • you’ve accepted the balance between their age and the daily care involved

    • you also accept the risks of not going ahead with it

    • you don’t trust your vet (which is perfectly understandable)

    According to AniCura, it’s a degenerative condition. I think it’s up to you to make the final call on whether it’s worth it.

    Best of luck

    Translated from French
    R
    Recentturtle8018 Icon representing the flag Polish
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    Hi, I have a question. My Amstaff had TPLO surgery, but three weeks later he had to have another operation to remove the implant as he’d rejected it. It’s been 12 weeks in total now. My dog still isn't walking. He’s undergoing rehab, and during his physio sessions, he gently puts a little bit of weight on his leg. What are the chances that he’ll be able to walk again? Please help, thanks in advance.
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    ProvetoJuniorConseil
    Provetojuniorconseil Icon representing the flag French
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    Hi, I completely understand your concerns; it’s one of those dilemmas where there isn't really a perfect answer. TPLO surgery generally yields good results in dogs like German Shepherds, but at 14 years old, the anaesthetic risk is certainly something to consider, even if it is very well-managed these days. The respiratory issue you mentioned also needs to be taken into account, but intubation (which is standard practice in these cases) is actually one of the safety measures put in place during surgery. If she is still comfortable with her current medication and still has the will to get about, medical management can be a perfectly valid option, though it should be reassessed often depending on how her comfort and pain management progress. Don't hesitate to ask your vet for a full pre-anaesthetic check-up to better assess the actual risk. Best of luck, it’s not an easy decision to make. Maëlla
    Translated from French
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