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Luxating Patella in Dogs: When Surgery Is the Best Choice for Dislocated Kneecaps

Cute puppies Pomeranian Mixed breed Pekingese dog run on the grass with happiness.

Does your dog seem to skip a step or suddenly lift their back leg while walking? While it might look like they’re doing a little dance move, your pup could be dealing with a luxating patella, commonly known as a dislocated kneecap. This condition affects many dogs, from tiny Chihuahuas to gentle giants, and orthopedic surgery may become necessary if they have difficulty walking or jumping or if their discomfort persists.

At Broadway Veterinary Hospital, our UC Davis-trained veterinarians have years of experience helping dogs with luxating patella get back to their happy, active selves. Our surgical team, including orthopedic expert Dr. Tyler, performs advanced procedures like MPL (medial patella luxation) repairs regularly, giving pet parents peace of mind knowing their beloved companions are in skilled hands.

Understanding Luxating Patella in Dogs

A luxating patella occurs when your dog’s kneecap pops out of its normal groove in the thigh bone. Think of it like a train coming off its tracks. The patella, which should glide smoothly up and down in its designated groove, instead slides to either the inside (medial) or outside (lateral) of the leg. This displacement can happen occasionally or become a permanent problem, depending on the severity.

Dogs with luxating patella often develop a characteristic hopping gait, especially noticeable when they’re excited or running. You might notice your pup suddenly picking up their back leg for a few steps before putting it back down. Some dogs learn to kick their leg out to pop the kneecap back into place, which can look quite amusing but actually indicates they need medical attention.

The condition ranges from Grade 1, where the kneecap occasionally pops out but returns on its own, to Grade 4, where the kneecap is permanently displaced and cannot be moved back into position. Smaller breeds, such as Yorkshire Terriers, Pomeranians, and Boston Terriers, are more commonly affected, although larger dogs can also develop this condition.

When Your Dog May Need Surgery for Luxating Patella

Not every case of luxating patella requires surgery immediately. Grade 1 cases might respond well to conservative management, including weight control, physical therapy, and anti-inflammatory medications. We may recommend these approaches first, especially for mild cases that don’t significantly impact your dog’s quality of life.

However, conservative treatment has its limitations. Dogs with Grade 2 luxating patella, where the kneecap dislocates more frequently and requires manual manipulation to return to place, often benefit from surgical intervention. By the time dogs reach Grade 3 or 4, where the kneecap is consistently out of place, surgery becomes the most effective option for restoring normal function and preventing further complications.

The decision to proceed with surgery also depends on your dog’s age, activity level, and overall health. Young, active dogs typically benefit more from surgical correction than older, less active pets. However, even senior dogs can experience significant improvement in comfort and mobility following successful surgery.

Signs Your Dog May Need Surgical Treatment

The following indicators suggest surgical intervention might be the best choice for your dog:

  • Frequent episodes of limping or non-weight-bearing lameness
  • Visible deformity of the leg when standing or walking
  • Difficulty jumping, climbing stairs, or participating in normal activities
  • Signs of pain or discomfort when the leg is touched or manipulated
  • Progressive worsening of symptoms despite conservative treatment

If you notice any of these symptoms in your pet, schedule a consultation with our veterinarians who have experience in orthopedic conditions to determine the best treatment approach.

What to Expect During Your Pet’s MPL Repair Surgery

MPL repair surgery involves several techniques to restore the kneecap to its proper position and prevent future dislocation. The procedure typically includes deepening the groove where the patella sits, repositioning the attachment point of the patella tendon, and sometimes tightening or releasing surrounding soft tissues to improve alignment.

Our experienced surgical team uses advanced techniques and equipment to ensure the best possible outcomes for your pet. We perform the surgery under general anesthesia, and most dogs can go home the same day or after an overnight stay for observation. Recovery typically involves restricted activity for several weeks, followed by a gradual return to normal exercise levels. After recovery, your pet should be able to run and play without the limitations they experienced before.

Trust Broadway Veterinary Hospital for Your Dog’s Orthopedic Needs

When your dog faces orthopedic challenges like luxating patella, you want a team that combines advanced surgical skills with genuine care for your pet’s well-being. Our UC Davis-educated veterinarians bring both the technical expertise and the compassionate approach that make all the difference in your pet’s treatment experience.

We understand deciding on surgery for your dog can feel overwhelming, so we take time to explain every aspect of the procedure and recovery process. Our caring professionals strive to help your dog return to the active, joyful life they deserve. Call us at (916) 446-6154 or contact us online to schedule a consultation and learn more about how we can help your pet feel their best.