Patellar luxation affects small and toy breeds at high rates, causing lameness and pain that demands both treatment access and breeding reform to reduce prevalence.
Dogs with Grade III-IV patellar luxation experience persistent pain from abnormal joint mechanics and secondary arthritis development. The characteristic 'skipping' gait seen in lower-grade luxations may look harmless but indicates recurrent dislocation events that are painful. Early surgical correction before arthritis develops produces significantly better long-term outcomes. Breed clubs that require orthopedic health screening of breeding stock reduce disease prevalence and prevent avoidable suffering in future generations.