
Lily Anne
Lily Anne is a happy, healthy 9 year old yellow Labrador
Retriever with loving people she adores. Her family marvels
at how active she is, hunting for lizards, gophers and
squirrels in the family olive grove, “guarding” her family
and greeting visitors. It’s easy to forget how many issues
Lily and her family had to overcome to be where she is
today.
It all started in January, 2006 when Lily was brought to our
hospital limping on her back legs. Dr Aaron Schechter
examined her and found that she had ruptured cranial
cruciate ligaments in both knees. These ligaments are very
strong bands which cross under the kneecap and keep the
tibia and femur from sliding forward and backward on each
other. Tearing one of these major ligaments leads to joint
instability with pain and arthritis.
Dr Schechter explained that there were 2 commonly used
techniques to correct ruptured cruciate ligaments. The first
method involved replacing the ruptured ligament with a
synthetic material which is threaded through holes
strategically drilled into surrounding bone and the second
technique called the Tibial Plateau Leveling Osteotomy (TPLO)
which was devised by Dr B. Slocum. (For more information,
click here to view our handout on TPLO surgery and
recovery.)
TPLO requires specialized training and advanced radiographic
measuring techniques. Fortunately, Dr Aaron Schechter was a
graduate of the Slocum TPLO Program and was routinely using
this surgical technique for ruptured cruciate ligament
repair on larger dogs.
Click on images for larger view.
A plan was made to repair her left leg in January and
operate on the right leg in February after the first one
healed enough to provide adequate support. The first surgery
went well and Lily was rehabilitating at home when her
family noticed an odd growth on her lower gum. Dr. Schechter
performed a quick biopsy which the pathologist determined
was an acanthomatous amaloblastoma, an aggressive type of
cancer which can invade the underlying bone.
Dr. Schechter operated on her jaw, resecting a large area
around the tumor including several front teeth and part of
her jawbone. This radical approach was successful in
removing all of the cancerous tissue and Lily recuperated
quickly. The second TPLO was performed a month later as
well.
She was back to her normal activities in a few months,
running around the property, keeping track of her family and
performing her other dog duties until May, 2009 when she was
brought to our emergency hospital after being hit by a
truck. Lily was hospitalized in Critical Condition for
possible internal injuries and for a severely fractured left
hind leg which left exposed bone.
After she was stabilized and it was determined that her
internal injuries were healing, Dr. Schechter operated on
her fractured leg. The injuries were so severe that he had
to use an external fixation device to lock the pieces in
place while they healed and the open wounds had to be
carefully cleaned and treated several times a day to prevent
infection.
Lily’s spirit and the dedication of the doctors and staff
and her family enabled her to heal from this devastating
injury and she is once again patrolling her property,
wagging her tail and loving her human family.
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