Digit Amputation in Dogs
Written By hannah hollinger
Published: 04/07/2017Updated: 01/20/2022
Veterinary reviewed by Michele K.
Digit Amputation in Dogs - Conditions Treated, Procedure, Efficacy, Recovery, Cost, Considerations, Prevention
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What is Digit Amputation?
Digit amputation in dogs is an invasive surgical procedure involving the complete removal of the canine’s digit, also called the toe. An amputation will involve cuts made through skin, muscles, nerves, and bone.
Removal of the dewclaw (comparable to the thumb in humans) to prevent injury in hunting and working dogs is a form of digit amputation, as are declawing procedures (which are uncommon in dogs). Conditions that require digit amputation are usually limited to some form of malignant or benign tumor.
Digit Amputation Procedure in Dogs
Prior to amputating the digit, the surgeon will clip and prepare the site for aseptic surgery. The limb of the affected digit will likely have a tourniquet placed to cut off the readily available blood supply circulating to the paw and digits. Once the surgical site is created, the surgeon will proceed to conducting the amputation. 
A generous incision will be created to prevent closing tension later in the procedure. Any excessive skin created by this mass incision will be trimmed during the time of wound closing.
Throughout the surgical procedure, a good visualization will be made in reference to bleeding control. All major arteries and veins are doubled ligated to prevent mass hemorrhaging postoperatively. A scalpel blade will be used to cut the muscle of the digit, but only the necessary muscle tissue. If the canine is affected by a digit tumor, some healthy tissues must be removed with the growth to ensure all abnormal cells have been removed. All digital nerves will be gently pulled away, severed, and retracted into fascial planes. 
Before the digit bone can be cut, the periosteum is circularly excised to the level of amputation. The outer layer of the bone is cut first to prevent the formation of bone spurs in the digit. The bone is then severed at the joint, or is cut with bone cutters, a Gigli wire, or saw, depending on the veterinarian’s choice or available tools. All bone dust and fragments are then removed. The veterinarian will then close the surgical site with a non-absorbable suture and place the canine in recovery for monitoring purposes. 
Efficacy of Digit Amputation in Dogs
Digit amputation is a procedure that successfully removes the toe from the paw. Amputating a digit can also be successful in removing cancerous cell growth from the affected toe and lessening the chance for a recurrence. 
Digit Amputation Recovery in Dogs
Following the surgical procedure for digit amputation, the canine will be monitored for hypothermia, pain, and excessive bleeding. The dog will require assistance in standing and walking to prevent bruising the surgical site. At home, the canine will be required to wear an Elizabethan collar and remain in a well-padded area to prevent manipulation of the surgical site. Pain medications and an antibiotic will be administered as directed, in addition to temperature checks every day. 
Cost of Digit Amputation in Dogs
The estimated cost for a canine digit amputation is $1500. The price can vary depending on the condition the dog is affected with and aftercare needs. 
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Dog Digit Amputation Considerations
Digit amputation in dogs can cause immediate postoperative bleeding beneath the skin, gradually oozing from the surgical site.
In some incidences, massive hemorrhaging has been reported in dogs that receive improper home care or surgical technique. If the bleeding is not associated with a blood vessel, the blood can be aspirated and a pressure bandage is applied.
However, if a blood vessel has been opened, immediate surgical care is required before the dog undergoes major blood loss. Infections are also a possible postoperative consideration that can occur in canines and require prompt veterinary care. 
Digit Amputation Prevention in Dogs
Digit amputation in dogs can be avoided if the pet parent decides not to have the dewclaw removed or if other forms of treatment have worked effectively. Chemotherapy and radiation therapy may be used to treat digit tumors if the dog owner is not comfortable with an amputation.
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Digit Amputation Questions and Advice from Veterinary Professionals
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Pit mix
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dog-age-icon
Seven Years
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2 found this helpful

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2 found this helpful

My pet has the following symptoms:
Pad Impalement By Toenails W/Possible Nail Death
Cecilia Grace - Certified Service Animal - Works w/me as Red Cross Disaster Response Nurse - Thick nails - Long/dilated quicks - Nails curve under & impale pads - 4 of 10 nails w/this issue - Gait impaired - Dew Claws WNL - I’m in Brooklyn as a Travel PICU/Trauma Nurse from Ohio - Can’t access my home Vet & can’t manage at home - One Vet here recommended digit amputation(s) d/t nail death - Chronic issue - Has previously undergone surgical trimming x3 - No known medical issues/allergies - No current meds - I would value your assessment & opinion - Thank you for your help - Christina
Aug. 23, 2020
Answered by Dr. Sara O. DVM
2 Recommendations
Hello, Some nails will grow so long that they grow back into their paws. If you trim them very often this won't happen. There is a disease called Symmetrical lupoid onychodystrophy that can also cause toenail death. If keeping the nails trimmed does not help speak to your vet about this issue and see if starting him on medication will help.
Aug. 25, 2020
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Pit bull
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Tank
dog-age-icon
15 Years
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32 found this helpful

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32 found this helpful

My pet has the following symptoms:
Tumor Between Toes
My dog needs his back right paw, pinky toe amputated due to a tumor thats growing very fast. He is 15 yrs. old but very energetic, loves to run & overall healthy. How will this effect him after the amputation? What should I expect? Will his balance be bad? Does he need to learn how to walk again? Is the pinky toe a balancing toe?
Aug. 25, 2018
32 Recommendations
The amputation of a ‘pinky’ toe isn’t so bad as one of the two centre toes which are more weight bearing; there should be little effect on Tank’s overall mobility and I wouldn’t be too concerned in amputating one of the outer toes. Regards Dr Callum Turner DVM
Aug. 26, 2018
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Bichon Frise
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Larry
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14 Years
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15 found this helpful

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15 found this helpful

My pet has the following symptoms:
None
14 year old Bichon who has a tumor on foot and vet says to amputate toe. Needle biopsy- she said not mast cell but not benign. She said further testing would not lead to different recommendation. (New in town so this vet doesn't know us.) She is to call re: whether the surgeon there can do it or whether we'd have to go somewhere else. The tumor has been there about a month and isn't bothering him. Larry is an extreme licker anyway and when he's had to have a cone before we've never had any luck keeping it on. He's on the anxious side! I'm worried about the aftercare with the surgery. How would we keep him from licking? He also still jumps on the furniture. Wonder about doing nothing and not put him through something that will stress him/us out at his age.
July 5, 2018
Answered by Dr. Michele K. DVM
15 Recommendations
Doing nothing is always an option, and Larry's age and behavior is a concern, true. If the tumor is growing quickly, that may make removal more urgent. I think I would want more details on the type of tumor so that you know what to expect as far as aggressiveness of growth, and then have a conversation with your veterinarian about his tendencies, your concerns, and what you might expect after surgery vs. if you do nothing.
July 6, 2018
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Chihuahua
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Cognac
dog-age-icon
9 Years
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3 found this helpful

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3 found this helpful

My pet has the following symptoms:
Swollen Joints
My dog was diagnosed with cancer in his toe, we are talking about toe amputation or entire leg amputation, of course its a matter of money and time, as far as we know the cancer has not spread- now i know this cancer spreads fast, is toe amputation going to get rid of the cancer, or do i take his whole leg and it definitely will ? Im just lost at what to do, and i dont have much time
June 21, 2018
3 Recommendations
There are many factors to consider when thinking about cancer of the toe; the origin of the cancer (bone or soft tissue), the type of cancer among other factors are important to consider. Generally depending on the suspected type of cancer we may amputate the toe, the paw or the leg depending on whether we believe the cancer has spread; your Veterinarian will be able to guide you on this based on their evaluation of the cancer. Regards Dr Callum Turner DVM
June 22, 2018
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Labrador Retriever
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Sandy
dog-age-icon
Ten Years
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3 found this helpful

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3 found this helpful

My pet has the following symptoms:
Licking
I see you have dog walkers in Boston - do you have a surgical facility? My yellow lab (10 yo) has a growth/tumor between her toes. Medication (ointment) helped with it temporarily, but now it's back even bigger than before. I think her toe needs to be amputated.
May 10, 2018
Answered by Dr. Michele K. DVM
3 Recommendations
Most veterinarians will be able to perform that procedure, if her tow does actually need to be amputated, you may not need to have a referral to a specialist. It would be best to have her seen by a veterinarian first, as they can determine what the best course of action is with you, and they will be able to let you know if oral medications may help, if amputation is necessary, and if they are comfortable performing that surgery. I hope that all goes well for Sandy.
May 10, 2018
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lahsa poo
dog-name-icon
wilbur
dog-age-icon
13 Years
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0 found this helpful

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0 found this helpful

My pet has the following symptoms:
Pain, Limp
My 13 year old lahsa poo has chronic non union fractures and possible luxations of three of the digits on this leg, in terms I understand: it appears that in three of four toes the first two bones are dislocated and and it also appears one of the metacarpal bones has a fracture. The xray findings were delayed because of a number of errors and the fact that he has a history of nerve pain so when he initially went lame we (dr and me) thought it was nerve related. He has a limp that varies with his pain level but he does get around and still instigates play on occassion, even though I think he suffers for it later. To complicate things his other front foot has always been turned out (club) and has gotten much much worse as he compensates using the club foot. Sounds like the ortho may recommend digit removal for all three toes or more? I can't find info on multiple digit amputation and wondering if the stress of surgery is wise and what the healing and recovery would be for him. If in the long run it decreases his pain significantly and if he can still get around we may go ahead with amputation.
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