I have a 65 lb 5 year old lab who had both knees fixed in October.
Her trouble started last spring. I really wanted to try conservative measures first- we tried aspirin, glucosamine, rimadyl (a great pain med by the way, but it still wasn't enough). It started with just her left, then the other one was bothering her as well. She's normally a really active dog (runs, cross-country skis, hikes with me). By the end of the summer she was clearly really uncomfortable most of the time. By the time I wound up seeing the the orthopedic surgeon I knew it was the right thing to do to have it operated on.
My operative report says 'fibular head transposition secured with a screw and spiked washer'. I suspect that it's the first surgery that you're talking about. Total cost to do both knees was $2200 (this was the low end of the estimate they gave me, everything went smoothly and she only needed one night at the vet).
We're now at the 3-4 month point and I'm really happy with the results. She's not normal yet (not sure if she'll get there or not), but she continues to get better all the time. She was really uncomfortable the first night I brought her home, but after that she did fine. I had her doing short runs 2 months later, and she's able to cross-country ski with me now. The biggest difference is that she's clearly not in the pain that she was in before having surgery. She's a pretty active dog (and not overweight) and that probably helped with the recovery. There's no doubt that it was the right thing for my dog (and again it took me a while to admit to myself that she needed surgery).
Good luck with whatever you decide to do!



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