Original Article - Clinical
Total Hip Replacement after Failed Femoral Head and Neck Excision in Two Dogs and Two Cats
Version of Record online: 23 JAN 2012
© Copyright 2011 by The American College of Veterinary Surgeons
Special Issue: Advances in Hip Dysplasia
Volume 41, Issue 1, pages 136–142, January 2012
How to Cite
Fitzpatrick, N., Pratola, L., Yeadon, R., Nikolaou, C., Hamilton, M. and Farrell, M. (2012), Total Hip Replacement after Failed Femoral Head and Neck Excision in Two Dogs and Two Cats. Veterinary Surgery, 41: 136–142. doi: 10.1111/j.1532-950X.2011.00940.x
- Issue online: 23 JAN 2012
- Version of Record online: 23 JAN 2012
- Manuscript Accepted: OCT 2011
- Manuscript Received: JUN 2010
To document outcome in 2 dogs and 2 cats after conversion of femoral head and neck excision (FHNE) to total hip replacement (THR).
Dogs (n = 2) and 2 cats.
For 1 dog and 2 cats, THR was performed using cemented acetabular and femoral components. Noncemented acetabular and cemented femoral components were used in 1 dog.
All animals presented with severe hip pain and chronic lameness after unsuccessful FHNE. Potential causes of suboptimal outcome after FHNE were incomplete resection of the femoral neck (n = 3) and fibrous adhesions involving the sciatic nerve (n = 2). Post-FHNE remodeling of the proximal femur and acetabulum necessitated unconventional modifications of surgical technique. In all 4 cases, final clinical outcome and radiographic reassessment were satisfactory. Aseptic loosening of the acetabular bone-cement interface necessitating surgical revision was the only complication noted in 1 cat.
Despite severe preoperative pain and chronic functional impairment in all cases, conversion of FHNE to THR produced marked clinical improvement including return to unrestricted exercise within 12 weeks of surgery.