Knee Trauma - Help Leeloo

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LeeloosMommy
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Knee Trauma - Help Leeloo

Post by LeeloosMommy »

Leeloo in happier days...
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I am trying to gather information on how to best help my young three year old cat who has had trauma to her hind leg from an injury. Friends of ours were 'watching her' when she got left outside in the Smoky Mountains. She had a completely vertical deep gash down her hind leg along with a few other minor lacerations, was suffering shock when she was found, and was taken immediately for critical care. Because the laceration was so 'clean', it's hard to say what kind of injury it was, for instance, a dog bite might be more 'of a 'rip' than a straight gash. Initial examination revealed no breaks, but the doctors said that nerve damage was most likely a given. They installed a drain in her back and stitched her up, without bracing or splinting anything or giving the joints any kind of 'crutch' or 'cast' to heal correctly. She was also confined for at least three weeks which they said would help her regain her mobility back and allow it to heal properly. This happened about mid-May.

We since have gotten her back now, and when I watched her limp, it seemed obvious to me that something in the joint was out of place, as her leg looked 'bowed' out. She was taken to a vet where we were at, who did more diagnostics and determined that she had had a minor fracture, and that her hip joint was healthy but that the patella was completely rotated out. She was lightly sedated and the joint was put back in place. I can't remember which he specified, but one or more of the ligaments or tendons is damaged and is unable to keep the knee joint properly in place. It was also determined that her leg is much lighter, as if she has lost bone density, perhaps from having to redistribute her weight from discomfort, and from a lack of proper circulation. After seeing his care, she was taken immediately to a certified animal chiropractor care specialist who could utilize a cold laser to help with the circulation, etc. and were given omega supplements and proper nutrition to help her on the road to healing. The difference of these two visits in one day was so completely dramatic that someone might not have even known she was lame. I was ecstatic to see her feeling so much better and she was completely using the leg to walk, it was in line and even with the other one.

However, it has only been a week since this very effective initial treatment, and despite all our efforts, the patella has completely rotated out again. The difficulty for us is the financial investment we have had to make in her critical care and her follow-up care recently. The second doctor informed me that the time to 'splint' the injury was immediately following the trauma. Therefore he did not split the leg either the second time it was corrected. The sad fact is seeing the effect it has on her quality of life, which is upsetting me tremendously. With few options of managing pain (over the counter not an option), she often hides underneath the bed for the majority of the time. When she lays down, she has to carefully set herself down, and repositions herself often. Walking is completely disformed and awkward, and she still insists on jumping on things despite our trying to keep her from it. She lets out little mews and cries often now in response to weight-bearing movement. However, when she lays down, she can scratch and move it around perfectly.

We are trying to figure out what her options are realistically and her quality of living. I am stressed that about $1000 worth of medical care has not even come close to helping her chances of long-term healing. The closest certified animal chiropractic alternative health provider is hundreds of miles away, so weekly visits are not an option there. She is only three years old and could likely live another ten, inside of course, where she is now kept permanently. I've had her since she was a kitten and love her to pieces, and more than anything, do not want to see her in such discomfort. I do not want to have to make any difficult decisions.

In the case that you or someone you know could enlighten me a little better than the vets I have gone to, or suggest another way I can help her other than weekly visits to reposition her patella, I cannot express my thanks to you enough.

-Sincerely, Leeloo's Sad Mommy
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Tambrey
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Post by Tambrey »

I am trying to figure out where you are located...Kentucky?....

try searching at this site to find a orthopedic or small animal/feline veterinary surgeon...
http://www.kvma.org/displaycommon.cfm?a ... ticlenbr=2
in the specialty code dropdown box, choose SA and also ACAD...hold your control key down while you click on each of these...
also be sure to enter the work city and state....try cities around you as far as you are willing to travel for veterinary care...

a chiropractor cannot repair damaged broken ligaments, tendons and bones...these need to be set properly and at this time, it will most likely take surgery to do so...
a chiropractor might be able to help ease pain for a short while, but long term...your kitty needs more specialized care with a surgeon familiar with this sort of injury and he or she can give you all of your options...

You can apply to http://carecredit.com as well for help with bills...again, on the right side of the screen is a dropdown box for veterinary assistance...

Traci will also be online sometime this evening or tomorrow and can probably give you more "medical" options...she is the vet tech here and an awesome lady who really knows her stuff!!!
good luck and let us know what the ortho vet says...

BTW...love the name...a great movie!!
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Traci
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Re: Knee Trauma - Help Leeloo

Post by Traci »

The first problem is that the first vet(s) did absolutely nothing to address what is obviously a luxating patellar. The second problem is that one canot physically manipulate a luxating patellar back into place, it must be done surgically, and under general anesthetic, NOT light anesthesia. The first vet is either a total incompetent or thought he could get away with trying to "pop" a joint back into place when he obviously knew this was a patellar that was not going to align itself by this incompetent method.

The third problem was allowing a chiropractor to treat your cat. Chiropractic in animals is not only a serious risk, but also dubious treatment. No chiropractor can fix a luxating patellar with a "cold laser", nor supplements, nor nutrition. You've been fooled by a quack, and I am sorry for putting that so bluntly, but that's the truth of the matter. Avoid chiropractors at all costs, this practice on animals is not researched enough nor proven effective for a variety of "ailments" these quacks claim. (same goes for acupuncture in animals) As a matter of fact, pet owners could be putting their pets at great risk by these methods, because the "treatments" are risky to spine and bones, and are only temporary treatments, and do not CURE conditions.

The money you've "wasted" should have been put to better use by seeking the opinion and new examination by a qualifed veterinary surgeon or a qualified vet experienced with orthopedic procedures and who could have surgically corrected the condition at the first sign of a problem, saving you money in the long run, and saving your poor kitty from MONTHS of pain and discomfort and obvious worsening of the ligament, it could also be ruptured by now because both practitioners were incompetent and did not refer you to a qualified surgeon to get the condition corrected properly. Unless you declined a referral, or declined surgery once you were given that option, then both practioners failed your cat and you, miserably and I personally would hold them accountable.

If this is indeed, a luxating patellar, they were neglegent in treating your cat. Alot of damage could have occured from then until now, and the only way you're going to resolve this is by seeing a QUALIFED, VETERINARY SURGEON, and making darn sure it is not an alternative practioner, period. This includes chiropractors, alternative vets, homeopaths, whatever, you're only wasting your money and delaying vital treatment for your kitty by seeking any alternative treatment, it's all a waste of time, and at the expense of your kitty's health and safety. It is obvious by your posts that these two people caused more damage by not treating properly.

She's suffered long enough, and so have you. See a REAL vet surgeon, and first thing TOMORROW - he can get this set up for you, schedule surgery and the sooner, the better for your kitty. Yes, it's that black and white. I am appalled at how your kitty has been treated, and appalled that these "vets" call themselves vets. They're quacks.

If there has not been too much damage, the luxating patellar could be corrected with proper surgery, but you will need to listen carefully to the surgeon's recommendations and instructions for after care and be diligent about following up with him to ensure kitty is healing properly. There might be the potential for the other knee to have to undergo the same procedure at some point, or it may not, it depends on the situation.

You need to understand that luxating patellars are excrutiatingly painful and can cause considerable amount of damage to the ligament and tisues. It should have been corrected in the beginning, and your kitty deserved so much better than the incompetents who treated her. See a vet surgeon IMMEDIATELY. Yes, the surgery is expensive but most often corrective, and your kitty will be feeling so much better than having had suffered months of pain and disability. This isn't the time to be worrying about how much the surgery is going to cost, but you should be worried about the two incompetents who failed her and you.
..........Traci
MJ
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Post by MJ »

I'm not even very knowledgable when it comes to medicine, and even I immediately felt by reading your post that the vets you took your cat to were woefully incompetent. It really scares me, I get the impression that 9 out of 10 vets are idiots sometimes. Our poor kitties deserve so much better.

I know it's a matter of opinion, and a lot of people disagree... But I agree with Traci when it comes to chiropractic and others sorts of dubious medicine. I would never go to one for my self, let alone my cat.

The first thought I had after reading your entire post was that it sounded like something that needs major surgery... And from what Traci said, it's pretty terrible that no one seems to have even suggested it to you.

I also thought... Though it should definitely only be an absolutely last resort after major surgeries are a failure... And it's a kind of terrible thing to do... That amputation would be better than living with a leg in constant terrible pain. A three legged cat is much happier than a cat who can't walk without audible pain... Which means it has to be INCREDIBLE pain. :/ But I hope it doesn't come to that for you.

I also hope you don't take Traci's post personally... She seemed extra heated there, but it was definitely more anger at those terrible vets than pointed at you. She knows what she's talking about, and she's clearly very concerned for your cat.
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