I have a spoiled rotten,10 yr old neutered male Shih Tzu, named Kuro. He's also blind, but still my sweet baby!
Although it's only him and me now, there's a lot of talking around our house. I didn't realize he knows so many words! Some people say it's repetition, but I prefer to think he's that smart.......
We moved to Michigan from Indiana 4 years ago, and for the first 7 years of Kuro's life, the only expense I had was vaccinations, grooming,and buying toys. ( Lots of toys)
But time passes on and age starts taking a toll, and he started having problems: bladder, tumor on paw,liver enzymes too high, dental work, eye problems,and for the past few months, skin problems.
Dr. Dhaliwal has done all of Kuro's surgeries, and worked with me on the other problems. He never loses his patience, and stays calm while I am asking my 100 questions .
Dr. Dhaliwal is definitely in the correct profession. It seems he has a passion for not only helping animals, but he takes every opportunity to learn new techniques so he can help them even more.
The staff is also very nice. They greet you with a smile, take the time to talk, explain meds,etc. and if Dr. D. doesn't call to check on Kuro after a procedure, the staff will, and that means a lot to me.
Michigan Avenue Animal Hospital is a caring place, and everyone makes sure your pet is given the best care. Whatever it takes to make you and your pet "HAPPY!"
Limb Amputation in Dogs & Cats
amputation is a surgical procedure commonly performed in dogs & cats to remove a diseased or
injured limb, either front or rear.
function exceptionally well on three legs and are able to run, walk, and play
without pain or discomfort. Dogs do not suffer the psychological distress of
losing a limb the same way a human does. The primary purpose of the limb is in
movement. Because dogs do not need to perform fine motor skills they easily adapt
to having only three legs.
can be performed on animals of all ages and breeds. Some older animals may take
a little longer to adapt to life on three legs, depending on the underlying
reason for the amputation.
Indications for Limb Amputation
- Osteosarcoma: One of the most common indications
for a limb amputation in dogs is treatment of osteosarcoma, which is the most
frequently diagnosed canine
bone tumor. This tumor tends to occur in large and giant breed dogs. It may
occur in young dogs (12 to 18 months of age), but is more common in older
animals. The most common locations are just above the carpus (wrist), the
proximal humerus (just below the shoulder joint), and around the bones of the
knee joint. Amputation is an excellent way to control the local disease, which
is the actual tumor on the limb. Unfortunately this is a malignant tumor and it
has almost always spread elsewhere by the time an amputation is performed.
- Soft tissue sarcomas are another type of tumor that can
develop on the limbs. These tumors are malignant, but tend to be slow to spread
to other parts of the body.
are locally aggressive (that is, they damage and invade the structures at their
location). If they occur on a limb it is often difficult to get rid of the
tumor in its entirety while maintaining muscles, tendons, nerves, ligaments and
bone needed for normal limb function. Thus, amputation may be the surgical procedure
addition to surgery, radiation therapy or combinations of
radiation/chemotherapy may be appropriate for certain limb tumors. Treatment
options can be discussed with your veterinarian or with a surgical or
in humans, even when money is not an issue, amputation may be the treatment of
choice for limb trauma where nerve supply or blood supply is severely damaged
or bone and soft tissue injury is beyond what can be repaired by modern
surgical techniques. Damage to the nerves that supply the limb, for example
following trauma that results in pelvic fractures, may be irreversible,
resulting in a non-functional limb that drags. This may result in abrasions of
the paw through failure of the animal to pick up the leg properly. Amputation
may be indicated in such cases.
- Severe trauma. Amputation may be recommended when there are accident-caused
multiple fractures and extensive trauma to the muscles, tendons and ligaments
of the limbs.When primary repair is too costly. Amputation may be recommended
in cases of fractured or traumatized limbs as a less expensive option to
treating a complicated medical or surgical problem.
your pet has suffered severe limb trauma your veterinarian
may recommend amputation after performing an orthopedic and neurological evaluation. Other organs
such as the lung, heart, or bladder may also be injured, necessitating that your
dog be stabilized prior to surgery to allow any life-threatening problems to be
cases of tumors, biopsy is usually performed initially to define the tumor type. This allows your veterinarian to plan the
best treatment regime and to give you an idea of the prognosis.
limb tumors are so large that amputation is the only effective treatment option. Alternatively, x-rays of
the limb may show severe bone destruction that has resulted in a fracture. In
such cases there may be no option to amputation, but a biopsy may provide
information regarding the prognosis.
undergoing an amputation for a tumor should have blood work and a urinalysis
performed to ensure that they are otherwise healthy.
series of chest x-rays may be performed to determine if there is evidence that
the tumor has already spread to the lungs.
can be taken by removing a small wedge or core of tissue or by using biopsy
needles when a sample of abnormal bone is required. A pathologist will examine
the tissue and the results should be available in a few days. When the biopsy
contains bone, the sample will need to be de-calcified before it can be looked
at with a microscope. This may take a few days to two weeks, depending on the
nature of the sample.
lymph nodes on or around the affected limb will be evaluated for enlargement.
In some cases, a needle may be inserted into the nodes to aspirate cells. Such
aspirates can then be examined microscopically for evidence of tumor spread.
to general anesthesia your pet may have blood drawn to evaluate for underlying
or concurrent health problems.
- Chest X-rays are often be taken when
tumors are present to determine if there is evidence that the tumor has spread
to the lungs
- Amputation will be preceded by the
administration of pain-killers or analgesics, usually morphine derivative
drugs. By administering them prior to surgery they serve to block pain
receptors in the brain before the pain begins. They may be given in the form of
an injection or administered via a patch that is placed on a shaved area of skin approximately 6-8 hours prior to the surgery.
- For hind leg amputations an epidural
analgesic can be performed to reduce postoperative pain. Nerves will be cut
during the procedure and these will be blocked with a local anesthetic to
further reduce discomfort.
- Pain-killers will be continued after surgery
to ensure a smooth, comfortable recovery. Oral analgesics or anti-inflammatory
drugs may be sent home with your pet for a week or so after the procedure.
- For forelimb amputations, the limb can
be removed at the level of the humerus but removal of the scapula with the limb
is more cosmetic.
- With hind leg amputations, the level of
the amputation will depend upon where the lesion is located. The most common
location for amputations to be performed is at the upper third of the thigh
bone (the femur). At this site, muscle that has been cut can be brought over
the end of the bone to provide a smooth stump.
- If a tumor exists above or around the
knee this level of amputation may be too close to the lesion, necessitating
that the amputation be performed at the hip joint.
- If a tumor exists even higher up the
leg, then not only the limb but a portion of the pelvis may need to be removed
in order to help ensure complete removal of the tumor.
- After forelimb amputations a soft padded
bandage is usually placed over the surgical site. The bandage provides
protection for the wound and thus makes the animal more comfortable. It also
reduces swelling and fluid accumulation at the surgical site. For hind limb
amputations bandages are seldom applied.
- If the tumor involves the scapula,
resection of the scapular bone may be performed. Up to 80 percent of the
scapula can be removed without compromising limb function.
- As in humans, dogs can be fitted
with a prosthesis following an amputation. For this procedure the amputation is
performed lower down on the front leg (below the elbow) to leave an adequate
stump for application of a carefully and specifically fitted prosthesis. Many
dogs function normally with a prosthesis; tolerating the artificial limb
- Bone tumors are often painful and thus your pet may actually
feel better soon after the limb is removed. The ability of a dog to get up and
move around the day after surgery often depends on the amount of limb function
prior to the procedure.
- Many dogs with bone tumors will not have
used the leg for some time and are therefore well adapted to life on three
legs. The tumor becomes extremely painful in its own right whether the leg is
used or not.
- Amputation takes away the painful tumor
and these pets are already used to the change in gait the surgery produces and,
therefore their recovery is often surprisingly quick.
- If the tumor is not producing a
significant lameness, if a dog is overweight, has other orthopedic problems such as hip dysplasia,
or is an old pet, getting up and around after surgery may be more difficult and
more support and encouragement may be needed.
- If a tumor is suspected, X-rays are
taken of the limb and typically a biopsy will be obtained to confirm the
diagnosis prior to amputation.
- The majority of dogs are up and about the day
following the amputation. Some assistance may be necessary to help get larger
dogs outside, particularly if they are overweight or were not lame before
- The procedure takes about 1.5 hr to 2 hrs to
perform in most cases, including the needed time for preparation and
Risks & Complications:
- The overall risk of this surgery is low.
- The major risks those of general anesthesia,
bleeding (hemorrhage), postoperative infection and wound breakdown (dehiscence)
over the surgery site.
- Overall complication rate is low, but serious
complications can result in death or the need for additional surgery.
- The pet is usually sent home same day or next
- For extensive surgery, hospital stays vary
depending on overall health of the pet.
operative care & prevention:
return home with prescriptions for oral analgesics or anti-inflammatory drugs.
surgery there will be an incision that needs to be assessed daily for swelling,
redness or discharge. Contact your veterinarian if you have questions or
and fluid accumulation around incisions are common. Owners can apply hot packs
for a few minutes two or three times per day.
must remain indoors until their surgical sites heal and stitches or staples are
or staples need to be removed in 10-14 days. Do not allow your pet to lick or
chew at the surgical site. An Elizabethan collar may be necessary to prevent
this from occurring.
is little that you can do to prevent your pet from developing a tumor that
might necessitate amputation. However, if trauma is the cause, steps can be
taken to avoid it from occurring in the first place.
that your dog remains on a leash and providing adequate fencing will reduce the
chance of your pet getting hit by a car.
- According to the Dogs' Health Symptoms website, the critical
consideration of where to amputate, at the leg, shoulder or hip, "depends
partly on the reason for the surgery, and whether or not you intend to give
your dog a prosthetic leg." The site says a prosthetic limb provides a dog
with almost full functionality.
dogs function normally with a prosthesis, tolerating the artificial limb
extremely well," Unfortunately,
when a dog's leg requires complete amputation, as is the case with bone cancer,
a prosthetic limb cannot be attached.
it is easier for a pet to adapt to a hind leg amputation than a forelimb
amputation, because most dogs bear more weight on their front legs than their
is common to feel worried and maybe even ashamed when deciding on an amputation
of your pet's limb," Dogs' Health Symptoms says. "But rest assured
that even though your dog's life will certainly change, it will move on to be
healthy and happy just as it used to be, after the surgery is completed."
upon the cause of your dog's limb amputation surgery, and whether or not there
was an underlying disease or other condition at fault, you are going to have to
work with your veterinarian about rehabilitating the animal so that he can get
back to good health and emotional stability.
a “Tripod” Three legged dog:
- Most often, dog owners are going
through the experience of their lovable pet having a limb amputation for the
first time, and hopefully the last. What is common among all of these people is
the thought that they should not exercise their dog once it is back home and
getting used to living with three legs. This could not be further from the
- Amazingly, within a week or two,
dogs pretty much forget that they are missing a limb altogether. These doggie
"tripods" (as they are called) can jump around, run, swim, play, and
even climb stairs just as good as other dogs. They adapt very quickly to
getting used to having only three limbs.
- Not only is it a delight to see your
dog back to normal, with the exception of a hop or a limp (of which the animal
does not notice after a while), watching this quick healing process take place
is also an up lift to your emotional experience as well.
care and watch out for your dog:
- Although your dog will bounce back
to normal as soon as possible, and with vigorous energy and excitement, you
still need to take a bit of care and use caution in order to help him prevent
injuries, at least at first.
- For example, dog amputees that have
a prosthetic leg installed face great danger when it comes to slippery floors.
This hazard can cause your dog to have a terrible fall or possibly knock the
prosthetic limb off in the process, if he has one. To prevent this from
happening it is wise that you replace any hard surfaces in the house with rugs
or better yet, have a carpet installed for long-term security.
- Another situation to keep an eye on
after limb amputation is your dog's remaining healthy limbs, especially the leg
which is opposite of the amputated one. Dogs can live a long and healthy life
with only three legs, but of course if another of his healthy limbs starts to
decline in any form or fashion, this can cause a serious mobility problem.
- What you need to do is make sure
that his other limbs are strong enough to hold the extra weight. Watch his
movements on a daily basis and make sure that he is not getting slower or
weaker. Should this happen, you must use a harness if necessary, anything that
can help remove the extra weight. It is better to utilize a harness and keep
his healthy legs strong instead of creating a situation where the dog will be
immobile for the rest of his life.
I would like to truly thank Dr. Dhaliwal and his entire staff for their professional veterinary expertise in caring for my dog Mandy. From the moment I walked into the office, I was comforted and reassured that my dog could recover from her affliction.
Mandy previously had surgery at another veterinary hospital for the removal of a growth on her hind leg. For some unfortunate reason, the area became badly infected that the doctor's opinion was amputation to save Mandy's life.
At first, I was devastated about this news and wanted to get a second opinion. Therefore, I began seeking other veterinary hospitals that specialized in this area. However, for some reason Michigan Avenue Animal Hospital would constantly reappear on my list. I began to read the testimonies from his previous clients and suddenly a peaceful feeling came over me. Even though Dr. Dhaliwal's hospital was a great distant from Detroit to Ypsilanti Michigan, it was worth the ride.
Mandy's outcome was the same, yet the calming and patient manner in which my dog and I were given from Dr. Dhaliwal and his loving staff made a difference. Today, Mandy is still running, climbing and playing even with three legs and I am thankful for the time and quality of life I still share with her.