Original Article - Clinical
Canine Hip Dysplasia: Reviewing the Evidence for Nonsurgical Management
Article first published online: 8 DEC 2011
© Copyright 2011 by The American College of Veterinary Surgeons
Special Issue: Advances in Hip Dysplasia
Volume 41, Issue 1, January 2012
How to Cite
Kirkby, K. A. and Lewis, D. D. (2012), Canine Hip Dysplasia: Reviewing the Evidence for Nonsurgical Management. Veterinary Surgery, 41: n/a. doi: 10.1111/j.1532-950X.2011.00928.x
- Issue published online: 23 JAN 2012
- Article first published online: 8 DEC 2011
- Manuscript Accepted: OCT 2009
- Manuscript Received: JUL 2009
To systematically review the evidence available for nonsurgical management of hip dysplasia (HD).
Databases (Pubmed, Veterinary Information Network) were searched for clinical studies on nonsurgical management of HD in dogs. The evidence in each study was reviewed and assigned a score (I–IV) based on previously reported levels of evidence.
Fourteen articles were identified that met the inclusion criteria, including 3 Level IV, 4 Level III, and 7 Level II studies. Methods of nonsurgical management reviewed included: activity restrictions, weight management, acupuncture, modulation of joint disease by polysulfated glycosaminoglycans, mesenchymal stem cell therapy, and extra corporeal shock wave therapy.
Weight management is an effective and important component of managing dogs with HD and associated osteoarthritis. Techniques that modulate the progression of joint disease may also be beneficial for treating dogs with HD. Further studies are needed to investigate other methods of managing HD such as hydrotherapy and physical rehabilitation.