Patellar luxation is a common orthopaedic condition in small and toy breeds where the kneecap dislocates from its normal position, causing pain and lameness.
Dogs with severe patellar luxation experience chronic intermittent or continuous pain when walking and standing. The characteristic skip gait is an adaptive behavior reducing load on the affected limb but indicates pain avoidance. Grade 1-2 luxation may be managed medically, but grade 3-4 typically requires surgical correction to restore welfare. Early surgical intervention has better outcomes than delayed treatment. Patellar luxation is partially heritable, and breeding protocols should screen for and exclude severely affected animals. Puppy buyers of small breeds should ask about parental orthopaedic screening.