Prognosis from Dr Brad Gray, Brandywine Vet Hospital, Chadds Ford PA - Angel - Both knees have advanced DJD with patellar involvement. The hips are of good quality. Both carpi are severely arthritic. There is severe carpus valgus as well.
Angel's orthopedic examination and radiographs reveal multiple issues. Her front limbs each have carpus valgus which is an abnormal positioning of her distal forelimbs. This is an aged problem that could have been from lack of exercise, poor nutrition, trauma and/or genetic predisposition. There is severe arthritis in her carpi. This could be surgically repaired through carpal fusion. This would permanently place her "wrists" in a proper walking position but they would not bend.
Her hind limbs are showing evidence of bilateral ACL tears with patellar arthritis. Due to the chronicity of these injuries and the amount of degenerative changes, surgery would not benefit Angel.
She has multiple injuries that are aged in nature. surgeries can be performed but I would like to manage her medically with Adequan, Dasuquin & J/D food. Another option that could be taken advantage of would be Stem Cell Therapy. This has been effective in managing some patients pain but is rather pricey, approximately $3000
She's a beauty. And she was so sweet when I met her.
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