J Vet Sci.  2015 Mar;16(1):131-134. 10.4142/jvs.2015.16.1.131.

Total hip replacement in two dogs with unsuccessful femoral head ostectomy

• Heo SY
• Seol JW
• Lee HB

• KMID: 2160831
• DOI: http://doi.org/10.4142/jvs.2015.16.1.131

Abstract

An English setter (case 1) and a Tibetan mastiff (case 2) presented with intermittent weight-bearing lameness on the right hind limb when trotting. The dogs had a history of femoral head and neck ostectomy (FHNO). Orthopedic examination revealed pain and crepitus on the right hip joint. The dogs underwent total hip replacement (THR). At the 2-year (case 1) and 1-year (case 2) follow-up, both dogs had resumed normal activity without lameness. The muscle mass and range of motion were significantly improved in the affected hind limb. In conclusion, FHNO with poor functional outcomes can be successfully ameliorated with THR.

Keyword

dog; femoral head and neck ostectomy; lameness; total hip replacement

MeSH Terms

Animals
Arthroplasty, Replacement, Hip/methods/*veterinary
Dog Diseases/*surgery
Dogs
Female
Femur Head/*surgery

Figure

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  Fig. 1 Preoperative radiographs after femoral head ostectomy performed 2 years prior to the study (A), immediate postoperative frog-legged radiograph (B), and 3-D reconstructed computed tomography (CT) images (C and D) showing that the cup angle of the lateral opening was 60° (θ1) with a 21° (θ2) angle of anteversion (case 1). Preoperative ventrodorsal (E) and lateral (F) radiographs of a pelvis with bony proliferation in the acetabulum and dorsal displacement of the proximal femur (dotted line) 1 year after explantation of a primary hip prosthesis. Insufficient dorsal acetabular rim in the right acetabulum (double-headed arrow) of a stereolithographic model (G). Rehearsal surgery was performed on the stereolithographic model (H). Postoperative ventrodorsal radiograph (I) of a pelvis showing appropriate implant positioning, orientation, and reduction (case 2).

Reference

1. Allen MJ. Advances in total joint replacement in small animals. J Small Anim Pract. 2012; 53:495–506.

2. Berzon JL, Howard PE, Covell SJ, Trotter EJ, Dueland R. A retrospective study of the efficacy of femoral head and neck excisions in 94 dogs and cats. Vet Surg. 1980; 9:88–92.

3. Dogan S, Manley PA, Vanderby R Jr, Kohles SS, Hartman LM, McBeath AA. Canine intersegmental hip joint forces and moments before and after cemented total hip replacement. J Biomech. 1991; 24:397–407.

4. Fitzpatrick N, Pratola L, Yeadon R, Nikolaou C, Hamilton M, Farrell M. Total hip replacement after failed femoral head and neck excision in two dogs and two cats. Vet Surg. 2012; 41:136–142.

5. Gofton N, Sumner-Smith G. Total hip prosthesis for revision of unsuccessful excision arthroplasty. Vet Surg. 1982; 11:134–139.

6. Grisneaux E, Dupuis J, Pibarot P, Bonneau NH, Charette B, Blais D. Effects of postoperative administration of ketoprofen or carprofen on short- and long-term results of femoral head and neck excision in dogs. J Am Vet Med Assoc. 2003; 223:1006–1012.

7. Off W, Matis U. Excision arthroplasty of the hip joint in dogs and cats. Clinical, radiographic, and gait analysis findings from the Department of Surgery, Veterinary Faculty of the Ludwig-Maximilians-University of Munich, Germany. Vet Comp Orthop Traumatol. 2010; 23:297–305.

8. Rittmeister M, Manthei L, Müller M, Hailer NP. Reimplantation of the artificial hip joint in girdlestone hips is superior to girdlestone arthroplasty by itself. Z Orthop Ihre Grenzgeb. 2004; 142:559–563.

9. Sharma H, Dreghorn CR, Gardner ER. Girdlestone resection arthroplasty of the hip: current perspectives. Curr Orthop. 2005; 19:385–392.