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Peer-reviewed veterinary case report

Outcomes of cementless hip replacement with cerclage in dogs

By Israel, Sarah K & Liska, William D·Published in Veterinary surgery : VS·2022·BluePearl Stone Oak, United States·View original on PubMed

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Original publication title: Outcome of canine cementless collared stem total hip replacement with proximal femoral periprosthetic cerclage application: 184 consecutive cases.

Species:
dog
Hip dysplasiaMovement & jointsDogs

Plain-English summary

A group of dogs underwent total hip replacement surgery using a special technique that involved placing a cerclage wire to help support the femur. After the surgery, three dogs experienced minor issues near the tip of the femoral stem, but they were successfully treated with additional surgery. Overall, all the dogs returned to normal function, and their owners were pleased with the results. This method appears to be effective and safe, reducing the risk of fractures in the femur after surgery.

People also search for: dog hip replacement recovery · total hip replacement for dogs · dog femur fracture treatment

Abstract

OBJECTIVE: To report outcomes of cementless collared stem total hip replacement (THR) with proximal femoral periprosthetic cerclage application in dogs. STUDY DESIGN: Retrospective case series. ANIMALS: Client-owned dogs (n = 150) with THR (n = 184). METHODS: Serial postoperative radiographs and medical records of dogs that underwent consecutive index cementless THR, with a single full cerclage wire placed distal to the femoral neck osteotomy line and proximal to the lesser trochanter, were reviewed for intraoperative and postoperative complications. RESULTS: No proximal femoral fractures occurred. No complications associated with the use of the cerclage wire were encountered. A fissure (n = 1) or fractures (n = 2) occurred near the tip of the femoral stem in three cases postoperatively. All three cases required plate and screw fixation. All dogs returned to subjectively normal function at home and all owners were satisfied with the outcome. CONCLUSION: A single full cerclage wire may minimize the risk of a proximal femur fracture following cementless collared stem total hip replacement in dogs. No complications were encountered with the cerclage wire. CLINICAL SIGNIFICANCE: Application of a cerclage wire is a simple and economically feasible procedure that requires minimal additional instrumentation, takes little time, and may decrease the risk of proximal femur fractures after cementless press-fit THR.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34655241/