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Total hip replacement in dogs with contralateral pelvic limb amputation: A retrospective evaluation of 13 cases
Amy B Gifford1, Peter J Lotsikas2, William D Liska3,4
1Virginia Veterinary Surgical Associates - BluePearl, Richmond, Virginia.
Objective:
To report the clinical characteristics, surgical management, and medium-term outcomes of total hip replacement (THR) performed in dogs with previous contralateral pelvic limb amputation.
Animals:
Thirteen client-owned dogs.
Study Design:
Multi-institutional retrospective clinical study.
Methods:
Data recorded from medical records included signalment, indication for amputation and THR, and surgical complications. Implant positioning and complications were assessed on radiographs. Clinical outcomes were evaluated during follow-up examinations by one of the authors and through a mobility- and lifestyle-based questionnaire completed by owners.
Results:
All 13 dogs had satisfactory clinical results at follow-up a median of 3 months (range, 2-36) after THR. No postoperative luxation was recorded. Four dogs had minor complications that did not require additional treatment. The only major complication was one failure of osseointegration of a cementless acetabular cup, and it was successfully revised.
Conclusion:
Total hip replacement resulted in satisfactory clinical results and acceptable morbidity in this population.
Clinical Significance:
Total hip replacement should be considered in dogs with severe coxofemoral joint disease and contralateral pelvic limb amputation.
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