Not Every Problem Gets Better With Surgery !

Elbow Hygroma Day 1

Elbow Hygroma Day 60

 I have to admit, I am not a surgeon. I also have to admit that there are many times, as a veterinary clinician, that I really like the option of recommending surgery for some patients. The ability to have a procedure performed that  promptly removes a problem or eradicates a disease is very attractive, but often unrealistic.

As the practice of veterinary medicine has become more refined we have learned that resorting to the seemingly easy answer of surgery is not always the best option for our patients. The case of Jade is a great illustration. Jade is a young adult Labrador that had developed hygromas on both elbows. A hygroma is an area of swollen, fluctuant tissue that is often ulcerated and plagued with secondary infections. They are typically on the lateral (outside) aspect of the elbows and they can be painful.

Jade with her styling new elbow braces

When Jade came to see me the owners were seeking a second opinion. They had tried changing Jade's bedding and they tried wrapping her  elbows, nothing worked. Another veterinarian had recommended surgical excision. I've witnessed the result of trying to remove hygroma's. Just imagine removing abnormal, inflamed tissue from a bony protuberance, like the elbow, where most of these dogs abrade that area whenever they lay down. The removal isn't difficult, it's the healing that is almost impossible. The patients that do have surgery suffer a protracted and difficult recovery time and often have a recurrence of the hygroma.

I suggested to the owners that they consider braces to protect Jades elbows and support the tissue so it might heal.  Two months later the owners sent me these great photos. I have seen Jade since and she continues to do well. She enjoys wearing her braces, in fact the owner says she doesn't like to leave the house without them!

Jade is happy and so are her parents and so surgery!
( Braces like Jade's can be purchased from www.dogleggs.com. )

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