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Peer-reviewed veterinary case report

Hip pain in dogs and cats after surgery - what helped?

By Fitzpatrick, Noel et al.·Published in Veterinary surgery : VS·2012·Fitzpatrick Referrals, United Kingdom·View original on PubMed

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Original publication title: Total hip replacement after failed femoral head and neck excision in two dogs and two cats.

Plain-English summary

A dog and two cats were suffering from severe hip pain and limping after a previous surgery to remove part of the hip joint didn't work. They underwent a total hip replacement surgery, which involved replacing the damaged parts of the hip joint with new components. After the surgery, all three pets showed significant improvement and were able to return to normal activity within about 12 weeks. One cat did experience a complication that required further surgery, but overall, the outcomes were positive for all the animals involved.

People also search for: dog hip pain treatment · cat hip replacement recovery · total hip replacement for pets

Abstract

OBJECTIVE: To document outcome in 2 dogs and 2 cats after conversion of femoral head and neck excision (FHNE) to total hip replacement (THR). STUDY DESIGN: Case series. ANIMALS: Dogs (n = 2) and 2 cats. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/23253039/