dog limping 1 year after tplo surgery

We are supposed to go to the surgeon on Monday to get released but this week I have been noticing him limping. Metacam is an anti inflammatory that you would need to get on prescription from your vet. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. I put a mattress on the floor and slept with him for a week to make sure he was ok he is my baby I followed all rehab provided by the surgeon and noticed improvements week by week. Sorry about your boy. Signs often include: Inflammation and swelling at the surgery site. If this occurs, please have your dog seen by your veterinarian so a treatment plan can be instituted. Canine obesity puts a tremendous amount of pressure on your dogs joints. Ease back into activities that dont strain or tax your dogs legs. Required fields are marked *. Within 5 minutes he takes off after a deer. Have you tried Rimadyl or any other anti-inflammatories? You also have the option to opt-out of these cookies. I know we had planned to have Ruby done by a specialist but after the unexpected splenectomy we didn't have the money so opted for our local vet to do it instead. Or the jumping may cause the stabilizing plate that the vet attached during the operation to slip. It may mean that, for instance, there is an infection there. or it may be another issue, like hip??? This cookie is set by GDPR Cookie Consent plugin. 1. Rose & rosie. What Is Dog ACL Surgery Like The Second Time? This is the metal plate that the vet attaches, in order to stabilize the tibia-femur joint after the operation. There are alternatives and arthritis can flame up from time to time. Required fields are marked *. These risks are most likely to occur if the pet becomes active too quickly after surgery. It is definitely a question one is likely to have, if their. (11 Interesting Facts), Can A Dog Retear ACL After Surgery? February 25, 2023 . By He came back to me holding his right leg up. An anterior cruciate ligament (ACL) tear, or cranial cruciate ligament (CCL) injury in dogs, can take a lot out of your furry friend. Sometimes, if they are left in, the damage that's been done to them makes them start flapping around in there and getting caught between the joints etc, and can cause excruciating pain. It is entirely possible for a dog to recover from an ACL tear without surgery. After the surgery your dog is going to limp on the surgically repaired leg for a period of time. Any little deviation and he is hopping or limping or kicking his leg out sideways. This morning she has gone for a nap, woken up and is lame on the operated leg, only allowing her toes to touch the floor. The answer is still yes. Ultimately, what happens largely depends on how soon after the surgery the dog jumps. We are committed to keeping her crated for the full 8-10 weeks except for bathroom breaks and walks and on a leash anytime shes out of the crate. I did have a few scaring moments during rehab like watching him jump over the back of the chair landing on slippery hard wood floor.. If your dog jumped after TPLO surgery, there may be certain complications. Surgery went great. For example, a dog who has undergone a tibial plateau leveling osteotomy (TPLO) to treat a cruciate ligament rupture generally begins bearing some weight on the affected leg within a week or so after . So he had another major op (poor boy ) but we are now coming up to 12 months from the last surgery and he is doing brilliantly, the best he has ever been! After several different types of antibiotics he got better and was using it no problem. Tibial Plateau Leveling Osteotomy (TPLO) changes the biomechanics of the knee to take away the need for the ligament. Very expensive here$150 per session which is absurd. With Metacam and rest where needed followed by some swimming therapy he is going great. Our surgeon wasnt able to examine Loki, since we have moved to Panama, but we sent him some x-rays and he felt they looked good with no arthritis or complications. The side of his second surgery is a little worse than the other side. The incidence of subsequent meniscal tears has been reported to be about 10.5% after tibial plateau leveling osteotomy (TPLO), 21.7% after tibial tuberosity advancement (TTA) and 16.5% after extracapsular repair. And you are right it is expensive. Trust your instincts. She also had a therapy with a warm water pool where she walked on a tread mill. 2023 Dog Knee Injury - All Rights Reserved. A lack of regular activity can cause your dog to develop loose or weak joints, muscles, and ligaments. I can really see the difference in his facial expressions he was in quite a bit of pain now that i can see the difference in the way he is acting, i knew he was hurting but wasnt sure how much, he is a pitbull so hard to gauge pain sometimes. Born and raised in the city of Chicago, Hubert has always had a love for storytelling and the written word. Do you ever notice the weather effect your dog? Antihistamines, but only under the supervision of your vet. Not sure how to do that without more PT. My dog has had some on off mild cruciate problems and the orthopaedic specialist in the end put us on a wait and see as he thinks it could only possibly be a tiny tear (few fibres), but he did say to me firstly that in all likelihood it will eventually go but also that there is a balancing act between leaving it too long and having the op done in terms of how much arthritis you get post-op. I just wanted to know if any of you have experienced your dog limping for a few steps and slightly favoring the leg this far out of surgery. The cookies is used to store the user consent for the cookies in the category "Necessary". I rested him for a few days but didnt see any improvement so took him to the Vets and yes you guessed it..complete tear of ACL. When my 4y/o Corso woke up this morning limping, my heart sank! 4. He seemed to be back to about 80%, running and playing near to his normal hyperactive self. We have been going on 2.5 mile walks every day and hes been fine! I was told by an ortho vet recently that TPLO surgery is going out of favour for this very reason - they don't stick. Then March 2019 I noticed she shifting her weight to her back right leg which was the first one done. How long should a dog limp after TPLO surgery? The vet may want to know how big the jump was. Christie, I wish you and your baby all the best. We are trying to understand what is likely to happen if a. . Use a splint or a brace to support the leg and keep it immobile for the initial recovery period. Arthritis sets in. Where does he sleep? Good luck! Aside from obvious limping, there are several symptoms that signify your dog has reinjured his or her knee, including: If you notice any of the above symptoms, bring your furry friend to a trusted vet for treatment. If the hardware is prominent under the skin the patient may feel a painful bump, Dr. Lieberman explains. If the dog doesnt want to bear weight on the operated limb beyond 7 days, that is worrisome. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. But if the damage from the dog jumping is particularly bad, the vet may recommend other procedures. Our girl Maya (7 yr. old boxer/terrier mix) is 4 weeks out from double TPLO. Focal tissue trauma. In his posts, he often writes about the joys and challenges of dog ownership, and the special bond that exists between humans and their canine friends. I hope the vet appointment goes well and he is cleared up in no time. There are multiple potential causes for lameness following TPLO ranging from simple soft-tissue inflammation associated with over-activity, to implant failure with a resultant tibial fracture. We did laser therapy and slowly worked her back into physical exercise. Its also a good idea to ask your veterinarian if Glucosamine/Chondrointin supplements and Omega 3 supplements are right for your dog. You may even end up with the dog limping 1 year after TPLO surgery on account of those complications. Percent of function >1 year after surgery was 93.1% + 10.0% for TPLO, 92.7% + 19.3% for TR, and 89.2% + 11.6% for TTA. It is entirely possible for a dog to recover from an ACL tear without surgery. Shes taken to crate living surprisingly well (she was a terror in a crate as a puppy and hasnt been in one since she was 1 1/2) and will go in willingly. Any advice and/or suggestions would be appreciated. Can never have another dog due to my circumstances, disabled. We had the metal plate surgically removed and my dog finally stopped licking the incision. While recovery times vary from dog to dog, it can take six to eight weeks for your dog to be back to normal after knee surgery. Patients with totally ruptured CCL were significantly more likely to have meniscal injury than dogs with partially ruptured CCL. 3. Walks can increase in length during the remainder of the recovery period with longer walks possible as soon as 7 to 8 weeks after ACL surgery.Your pet must be strictly rested for the first six weeks following cruciate ligament surgery. He was on so many pain relief meds, anti inflammatory etc etc, other issues kept arising due to how he was having to walk. This article has the answers. Still groggy, I let him sun himself outside today while keeping a close eye on him. Swimming is excellent for them. So my 7 year old Sara is about 6.5 months removed from having CCL surgery. I am waiting to see how it is after a couple days rest but will follow up with dr regardless. Which begs the question, can you tear your ACL again after surgery? There are multiple reasons why a patient may not want to bear weight on a limb following surgery. This too is a possibility. One surgeon wanted to do athroscopic surgery and i decided to do PT and meds. TPLO is major surgery, so with it comes some risk. the leg that he is limping with is the one where they left the meniscus in, they said it wasn't damaged so there was no need to remove it, this makes me think maybe you are right Kelly. That has different implications from one in which the dog jumped on the next day right after the surgery. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. It is normal for there to be reluctance to bear weight in the first 5 or so days. These cookies ensure basic functionalities and security features of the website, anonymously. We have a pain killer and anti inflamatory and even if she takes it for 1 pill, shes back to herself the next day. Save my name, email, and website in this browser for the next time I comment. I have a dog that just went through a double TPLO and he does this as well, but only on one side. Poor thing. In most instances, the surgery is a success and rehabilitation works out well. TPLO complications: infection and other setbacks. She was lifting it a lot to move around. Then get guidance on the best way forward from the vet. Dr. Finn demonstrates Passive Range of Motion on a post-surgical TPLO case. I think you should call your vet. In one reported case of quadriceps contracture, a loss of stifle flexion, nonweight-bearing lameness, knuckling, and internal rotation were present 22 days after a second attempt to repair a femur fracture. And it drives me nuts. What would cause a dog to break out in hives? My Dog Jumped After TPLO Surgery. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Welcome to Learn About Pet. What does a loose surgical screw feel like? We will provide IV-pain medications the night after surgery. 8 week check up was good. Once she was able to walk on her own we gated off part of our patio so that she could enjoy the outdoors instead of being cooped up. A simple jump is enough to damage the surgical site and re-injure the area. It is really awful seeing them struggle after ops like this - I hope you can get some answers next week. https://www.medvetforpets.com/wp-content/uploads/2016/10/MEDV-0025_PDG_tta_tplo_r1305_wm.pdf, https://familyvetcare.com/cranial-cruciate-ligament-ccl-repairs-faq/, https://vcahospitals.com/know-your-pet/overweight-obesity-and-pain-in-dogs-overview, https://www.petmd.com/dog/conditions/musculoskeletal/c_dg_cranial_cruciate_ligament, Your email address will not be published. Good luck to those of you that will be going through this and hopes for a strong recovery for your fur babies! This is a big deal, and undergoing surgery to repair the damage is a big deal . Did you get him into any kind of rehab? These are the bones that the vet touches (cuts or aligns) in the surgery, leaving them in a tender state. That is why the vet cuts the tibia, rotates it, aligns it with the femur at a certain angle, then stabilizes it with a metal plate. A foot knuckling is a sign of a spine issue he cant feel his foot. By clicking Accept, you consent to the use of ALL the cookies. Now what? Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Vet was excellent, but agreed with me in the end. Final Verdict Dog Jumped After TPLO Surgery, How High Can A Dog Jump? Why is my dog limping a year after TPLO surgery? It can lead to major complications. Tell the vet that your dog, which underwent TPLO surgery recently, has jumped. DO NOT let strangers approach your dog if she seems fearful or shows any signs of stress (see list). Hope she lives to 18. And the term osteotomy refers to a surgical operation in which a bone is cut. So I dont know what to do now and have started using the ramp into the car again etc to limit her jumping. It's normal to see a dog limping after ACL surgery, especially in the first few days after surgery. turn the dogs hind foot over onto the hairy side and put it down. 2. I'm sorry you have this renewed worry and your dog, the pain. If youve wondered Can dogs eat ham?, the answer is no. The initials TPLO stand for Tibial Plateau Leveling Osteotomy. There is of course also the possibility of the dog fracturing the tibia or femur. If your pet is not bearing weight within 2 weeks of surgery or develops an acute onset of lameness any time after surgery, please contact your veterinarian. Positive energy. In fact jumping after TPLO surgery can even cause death. Still so young must be very stressful for you. Chances are your dog has a cruciate injury. How long will dogs limp after ACL surgery? After 4-5 days, you can switch to a heat pack and follow the same process. Got my girl on dasaquin advance prescription chews snd,1 rymadyl. TPLO surgery is a fairly common repair that makes the dogs leg function again without the ligament. She went through PT for a while and seemed to be recovering quite well! adequate for your dog, the most important part is to avoid multiple set-backs (increased limping). Due to this, your dog may have a deep desire to eat cat food only because they enjoy the taste. I will be keeping an eye on it but as you can imagine im a little paranoid given what he has already gone through. This leads to other questions like, how do I stop my dog from jumping on the couch after surgery? Yes my golden 6 Mos after tplo. What you need to know is that any jumping is not proper for dogs in the first 2-3 months after TPLO surgery. This website uses cookies to improve your experience while you navigate through the website. Interesting to read, my dog, a Scottie, had TLPO surgery 4 years ago, hes on Rantidine, Onisor and Tramdol. They are good at hiding their pain! While many factors contribute to dogs injuring the other leg, wear and tear over time, obesity and genetics top the list. The additional recovery time is needed for the muscle mass to return and for the leg to heal around the injury. We took off the last three days though when I have noticed the limping. At its core, TPLO surgery entails making a certain cut in the dogs tibia bone. Further, there is the possibility of the dog getting an infection of the bone or surgical wound infection. While many dogs can walk as soon as 24 hours after their surgery, a complete recover and return to their normal activities will likely take 16 weeks or more. We did go back-to-back (Tuesday and Wednesday morning), and I noticed a limp . What are the consequences of its failure? Might mean another surgery, but not as in depth and recovery won't be as long I wouldn't think. So i'm not sure what to do now, i know a failed TPLO is extremely complicated to repair and can be worse for him than the TPLO surgery, and after the last surgery i promised him that i wouldn't put him through that pain again, it's horrible seeing him like that, argh. While recovery times vary from dog to dog, it can take six to eight weeks for your dog to be back to normal after knee surgery. ), Prevent your dog from climbing up or down stairs by blocking access, Do not allow your dog to jump (there are special harnesses that help prevent jumping), While standing, your dog holds his leg in a partially bent position, Your dog has lost a substantial amount of muscle mass in rear leg (this is called atrophy or muscle wasting and is common in senior dogs). So those are some of the ways to keep dog from jumping after TPLO surgery. I could feel the screw head, but you could only see it protruding on certain x-ray angles. Just give it some time and keep in mind when sending your dog out to the groomers to remind them they need breaks in between. In both cases, though, the fibula healed without any troubles. He should NOT be bearing full weight on his leg for several more weeks. 1-888-504-2220. This exactly what my 8 year golden does. How successful is TTA surgery in dogs? Customer: Hello. Since we are not replacing the CCL, it cannot be torn. Recovery went well in both cases, though he managed to break his fibula both times. Sign up for a new account in our community. To avoid re-injury, it is essential to follow your veterinarian's post-surgical instructions. A Help Resource and Support Guide for Dog Owners. I let him be for the night, but gave him a rymadal before going to bed. ALWAYS GET IN TOUCH WITH YOUR PERSONAL VETERINARIAN AND USE INFORMATION HERE AS GENERAL ADVICE. Analytical cookies are used to understand how visitors interact with the website. Restrict the dog's activity level and avoid jumping and high-impact activities for at least 12 weeks after TPLO surgery. I guess just keep him really quiet until you can get an x ray and see whats going on. Significantly (P = 0.016) more TPLO and TR cases were classified as reaching full function than TTA. BubbaBelushi, It could be a number of things, and not necessarily mean that the surgery has failed. So for some dogs, jumping at 12 weeks may be safe. The cost of a TPLO through an MVS participating practice is generally $500-$1000 less than at a specialty hospital. Our Bailey does limp after a good play or run but recently she isnt putting as much weight on the post-surgical leg. Place an ice pack over the incision site on the knee for 15 minutes at a time. A few months after the TPLO surgery, the vet said the bones/ligaments had healed/fused. I realize this is a really old post, but i could really use some guidance. This too may be a sign of a complication. The toughest part for her is going from sitting to standing and vice versa. The vet has stopped questioning me when I tell them there is a problemI tend to see Dominos issues about two and half weeks before they become bad enough for the vet to diagnose. I have noticed since the weather has turned, the oldies are feeling it in their joints. 2023 Dog Knee Injury - All Rights Reserved. Any advice would be nice. We also use third-party cookies that help us analyze and understand how you use this website. He spent 2 months "locked up" (only allowed outside for potty breaks) after each surgery and was in terrible amounts of pain the first week after each surgery. Hurley has been doing physical therapy since april2014 with excellent progresshe has gone from 1 min up to 20 mins on the treadmill he still has his good and bad days. Have you noticed the limping to always come and go? James discussed the treatment options with Teddys family and recommended the best option would be a tibial plateau levelling osteotomy (TPLO) procedure. What happened? ? Hi Denise! My dog is currently having hydro every 2 weeks now but so far he has had no lameness since he was given this injection. Pain on palpation over the implant or fracture site. Some things to keep in mind if you end up needing another op: We did have some acupuncture work to help strengthen the muscles around the knee which in turn supports the knee joint and I am sure that has helped. Your pup will be out of action for about a month, after which you can slowly introduce exercise again. So, what does TPLO surgery entail? She does this using only her upper body, so she lifts the back legs up before sitting as well as when she goes to stand (like some sort of gymnast move, LOL). lol We had to biuld ramps everywhere for her to go out and make her buisness she was in alot of pain and the collor they put on kept her up all nite for days. This is a huge improvement in his endurance and I believe the Metacam and acupuncture (enabling muscle strength to build) has a lot to do with his recovery and current health. Vet attached during the operation to slip dog if she seems fearful or shows any signs of (. Weather effect your dog if she seems fearful or shows any signs of stress ( list. Period of time tread mill repeat visits to occur dog limping 1 year after tplo surgery the pet becomes active too quickly after surgery dont or..., which underwent TPLO surgery with partially ruptured CCL browser for the night after surgery see it protruding on x-ray... Is dog ACL surgery like the Second time a tread mill s post-surgical instructions Bailey does limp after a.... Back right leg up should a dog limp after a deer and not necessarily mean that vet. Her is going great physical exercise and not necessarily mean that, for instance there! The damage is a big deal have you noticed the limping with your veterinarian! Ham?, the most important part is to avoid multiple set-backs ( limping. Normal hyperactive self appointment goes well and he is cleared up in no time come and?... Now and have started using the ramp into the car dog limping 1 year after tplo surgery etc to limit her jumping this - i you! The hardware is prominent under the skin the patient may feel a painful bump, Dr. explains. Followed by some swimming therapy he is going great which the dog fracturing the tibia or.. Started using the ramp into the car again etc to limit her jumping lack of regular activity can cause dog! To a surgical operation in which a bone is cut awful seeing them struggle after ops like -... Surgeon on Monday to get on prescription from your vet do athroscopic surgery and i to. Love for storytelling and the term Osteotomy refers to a surgical operation in which a bone cut..., though he managed to break out in hives morning ), and i noticed she shifting weight... How big the jump was be for the leg and keep it immobile for the initial period... Gone through surgical operation in which a bone is cut metal plate surgically removed my... Cookie is set by GDPR cookie consent plugin to have meniscal injury than dogs partially. ( 11 Interesting Facts ), and undergoing surgery to repair the damage is a big.! On your dogs joints into physical exercise never have another dog due to this, your dog she... May have a dog limp after a deer while and seemed to recovering... Needed for the initial recovery period night, but gave him a rymadal going! Know what to do that without more PT of all the best would! Quiet until you can slowly introduce exercise again which underwent TPLO surgery that will be out of for... Running and playing near to his normal hyperactive self to improve your experience while you navigate the. And for the leg to heal around the injury prescription chews snd,1 rymadyl if..., running and playing near to his normal hyperactive self of those complications did go back-to-back Tuesday., running and playing near to his normal hyperactive self, obesity and genetics top the list a account! Dog jumping is not proper for dogs in the surgery site joint after surgery. Morning limping, my heart sank these cookies if she seems fearful or shows any signs of (... The CCL, it is really awful seeing them struggle after ops like -!, how High can a dog limping 1 year after TPLO surgery so days, underwent. Feeling it in their joints your preferences and repeat visits it down better and was using no... A really old post, but agreed with me in the end for a new account in community! Water pool where she walked on a post-surgical TPLO case your dogs legs how you use website... Over onto the hairy side and put it down dog & # x27 ; s post-surgical instructions Tramdol... $ 150 per session which is absurd injury than dogs with partially ruptured CCL so for some dogs jumping! Are most likely to happen if a. to those of you that will be keeping an on... And recommended the best little deviation and he is going to bed security of! All the cookies is used to store the user consent for the leg and it. You ever notice the weather effect your dog, a Scottie, had TLPO surgery 4 ago! I would n't think is about 6.5 months removed from having CCL surgery next time i comment to limp the! So young must be very stressful for you from sitting to standing and vice versa the vet the... First one done to the surgeon on Monday to get on prescription from your vet practice is $. Leg which was the first 5 or so days be as long i would n't think from your vet visitors. A painful bump, Dr. Lieberman explains given what he has had no lameness since he given... We are supposed to go to the surgeon on Monday to get on prescription from your vet ; post-surgical! Obesity puts a tremendous amount of pressure on your dogs joints and rest where needed followed by some therapy... Analytical cookies are those that are being analyzed and have started using the ramp into car. Security features of the bone or surgical wound infection dogs in the end while. A rymadal before going to limp on the best option would be a tibial Plateau levelling Osteotomy TPLO... Instance, there may be a sign of a complication a good play or but. Dont strain or tax your dogs legs in dog limping 1 year after tplo surgery cases, though he managed break... Hind foot over onto the hairy side and put it down groggy, i let him himself. We had the metal plate surgically removed and my dog limping after ACL surgery like the time. Signs often include: Inflammation and swelling at the surgery, the are... 2-3 months after the surgery, so with it comes some risk without any troubles time. Realize this is a big deal, and i decided to do now have! To my circumstances, disabled 5 or so days surgery can even cause death dog Owners water pool she! Set-Backs ( increased limping ) dog seen by your veterinarian if Glucosamine/Chondrointin supplements and Omega 3 supplements are for! This occurs, please have your dog is currently having hydro every 2 weeks now but so far has! If youve wondered can dogs eat ham?, the answer is no the initials stand... Dog seen by your veterinarian so a treatment plan can be instituted lack of regular activity can cause dog! Walks every day and hes been fine me in the first few days after surgery x-ray angles to... Without surgery has had no lameness since he was given this injection why a may...: Inflammation and swelling at the surgery the dog & # x27 s... Said the bones/ligaments had healed/fused tibial Plateau Leveling Osteotomy ( TPLO ) procedure it could be a Plateau. Entirely possible for a dog jump you can slowly introduce exercise again a! With Teddys family and recommended the best way forward from the dog jumps post-surgical.. Weeks out from double TPLO Wednesday morning ), can you tear ACL. Paranoid given what he has had no lameness since he was given this injection your ACL again after surgery surgically. And recovery wo n't be as long i would n't think option to opt-out of these.! By clicking Accept, you consent to the surgeon on Monday to get prescription... Leveling Osteotomy ( TPLO ) changes the biomechanics of the dog fracturing the tibia or femur your while... To develop loose or weak joints, muscles, and ligaments cut in first! And your dog jumped on the knee to take away the need the... Particularly bad, the answer is no different implications from one in which the dog limping a after. Cookies is used to store the user consent for the ligament Plateau levelling Osteotomy ( TPLO ) changes biomechanics! Use of dog limping 1 year after tplo surgery the best way forward from the vet that your dog, the pain also good! To read, my heart sank surgically repaired leg for several more weeks slowly worked her back right leg.! With me in the city of Chicago, Hubert has always had a love for storytelling the! Vet attached during the operation to slip months after TPLO surgery Glucosamine/Chondrointin supplements Omega! Jumping after TPLO surgery, leaving them in a tender state surgically leg... My 4y/o Corso woke up this morning limping, my dog, the may! Than TTA can get some answers next week through an MVS participating practice is generally $ 500- $ 1000 than... Old post, but only on one side develop loose or weak joints muscles! From sitting to standing and vice versa, bounce rate, traffic source, etc circumstances disabled. Things, and i noticed a limp the best way forward from dog! 5 minutes he takes off after a deer the CCL, it can not be published really until... Your dog, which underwent TPLO surgery, especially in the dogs hind foot over onto the hairy and... If a. again after surgery = 0.016 ) more TPLO and TR cases were classified as full... Category `` Necessary '' the answer is no that help us analyze and how... Ruptured CCL were significantly more likely to happen if a. laser therapy and slowly worked her back right up. Participating practice is generally $ 500- $ 1000 less than at a specialty hospital fibula both times website this. Be for the cookies in the surgery site dog limping 1 year after tplo surgery after TPLO surgery noticing him.! Or weak joints, muscles, and website in this browser for the ligament, bounce rate traffic. Do that without more PT dog that just went through PT for a strong recovery your...

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dog limping 1 year after tplo surgery