orthopedic

Patellar luxation in dogs

Answer

Luxating patella surgery typically costs $1,500 to $3,500 per knee in the US, including trochleoplasty, tibial tuberosity transposition, and lateral imbrication. Grade 1 cases are managed conservatively at $200 to $600 per year. Insurance covers patellar luxation when not pre-existing; bilateral exclusions are common.

Signs to watch for

  • 01Intermittent skipping or hopping on a rear leg.
  • 02Sudden lameness that resolves when the dog stretches the leg.
  • 03Bow-legged stance in advanced cases.

Treatment options

  • 01Weight management and NSAIDs for Grade 1.
  • 02Surgical correction (trochleoplasty + tibial tuberosity transposition) for Grade 2 to 4.
  • 03Post-op crate rest 4 to 6 weeks.
  • 04Rehabilitation: range-of-motion, sit-to-stands, underwater treadmill.

Prognosis: manageable

Typical cost in the US

ScenarioUSD
Low end (conservative care)$1,500
Median$2,500
High end (specialty / advanced)$4,500

Industry-aggregated ranges OFAAKCMerck

How insurance handles it

Covered when not pre-existing. Many puppies show Grade 1 luxation on exam before coverage starts — read the policy's bilateral and pre-existing wording carefully.

Frequently asked

Usually not. Grade 1 and many Grade 2 cases are managed with weight control, joint supplements, and rehab. Surgery is recommended for Grade 3 to 4 or when the dog has persistent pain or muscle wasting.