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Peer-reviewed veterinary case report

Dog with hip fibrosarcoma treated by arthroscopy and hip replacement

By Scherrer, William et al.·Published in Veterinary surgery : VS·2005·Department of Surgical and Radiological Sciences, United States·View original on PubMed

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Original publication title: Coxofemoral arthroscopy and total hip arthroplasty for management of intermediate grade fibrosarcoma in a dog.

Species:
dog

Plain-English summary

A 6-year-old spayed female Rottweiler was brought in for sudden lameness in her right back leg that lasted about 10 days. After examining a suspicious area in her hip joint, the vet performed a procedure to take samples and found an intermediate grade fibrosarcoma (a type of cancer). To treat it, the vet did a total hip replacement, which involved removing part of the femur. Fifteen months later, the dog was using her leg normally, with only slight limitations in movement and some muscle loss. The hip implant remained stable, showing that this treatment was successful.

People also search for: Rottweiler limping · dog hip replacement recovery · fibrosarcoma treatment in dogs

Abstract

OBJECTIVE: To report the use of arthroscopy and total hip arthroplasty (THA) for management of intermediate grade fibrosarcoma of the femoral head in a dog. STUDY DESIGN: Clinical case report. ANIMAL: A 6-year-old spayed female Rottweiler presented for evaluation of acute-onset of lameness of the right pelvic limb of approximately 10 days duration. METHODS: Coxofemoral arthroscopy was performed to obtain fine needle aspiration and Jamshidi biopsy of a lytic lesion of the femoral head. A cemented THA was performed removing as much of the femoral neck and proximal femur as possible while not compromising implant or joint stability. RESULTS: Histologic evaluation of specimens from the femoral head and neck remnants confirmed an intermediate grade fibrosarcoma. Fifteen months after THA, subjectively there was normal use of the right limb with only limited decrease in range of motion and mild muscular atrophy. Radiographs demonstrated stationary positioning of the THA implants. CONCLUSIONS: Arthroscopy of the coxofemoral joint is an effective diagnostic tool for evaluation of disease of the articular structures and canine total hip replacement may be an appropriate means of limb salvage in rare cases of disease of the femoral head. CLINICAL RELEVANCE: This case provides support for the use of coxofemoral arthroscopy as a diagnostic tool as well as an aid in acquiring representative intraarticular tissue samples. Additionally, the case presented demonstrates the potential use of THA as a limb sparing technique in cases of disease affecting the femoral head of dogs.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/15720595/