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One Lucky Puppy

He didn't run like a puppy; he flopped like a seal. His back hunched when he moved as if he was stalking stray sheep. Lucas was born with his front legs curved inward, hobbling his every step. In February, he arrived at Glen Highland Farm's Sweet Border Collie Rescue in Morris, New York, run by Lillie Goodrich and John Andersen. His new caretakers were smitten with him. But what good was their 175 - acre wooded, stream-filled sanctuary to a badly handicapped pup?

Worse, Lucas didn't seem to know he had any limitations. He tried to run and play as hard as any three month old pup; even though all of the bones in his elbows were displaced and separated, leaving him with no range of motion. His rescuers struggled to find solutions when veterinarians offered little hope. A canine cart? The “wheelchair” option led them to consider euthanasia. With his energy and powerful herding drive, Lucas might as well be imprisoned.
Then they met Dr. Kei Hayashi, an orthopedic veterinary surgeon at nearby Cornell University, who told them about a new surgical technique that might offer the best outcome.

Lucas before SurgeryThe traditional way of reconstructing limbs is to cut bone and utilize biomechanical devices, such as pins and screws, to hold the bone in place as it heals. In Lucas's case, a traditional approach could help, Dr. Hayashi says, but his deformity was so severe that “there is no ideal treatment.”

The chosen procedure would focus on stretching and adjusting the position of the muscles in order to reposition the bones. The method, which is inspired by a few veterinarians, including one from Cornell, doesn't replace other techniques, Dr. Hayashi says. “It's not very different from any other surgical procedures in principle,” he says. “It is a modification” of existing techniques used in other types of deformity. “Each case is different. Each deformity is different.”

Lucas's defect is “very rare,” the surgeon says. While the cause is unknown, genetics probably play a role.

In early March, Lucas underwent the operation at Cornell, where he is now in the first phase of physical therapy. Everything went well, but it's still too soon to gauge its success. “Lucas is still recovering and is fighting this tough battle, and he will probably need to go through more procedures,” Dr. Hayashi says.

His rescuers anxiously monitor his progress. “The process will be a slow one since he has never stood upright on his front legs and has no muscle development” for such movement, Lillie Goodrich says. “His attitude is terrific and he is truly loved by all the team in the hospital. This first two weeks is a vulnerable time when the therapy is critical. Then he returns to the farm for continued therapy up until age one.” The costs are extreme and caretaking is only half the job. His rescuers must also raise the funds for his recovery.

However, the future is looking a lot brighter for the once-unlucky puppy, who still has plenty of time to grow into his limbs. “His prognosis for a normal joint is poor,” Dr. Hayashi says. “His prognosis for a happy life is good.”
 

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Sheila Pell is a journalist and contributor to The Bark.

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