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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

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Total hip replacement in a cat with contralateral pelvic limb amputation.

Alexandros Bourbos¹, Francesco Piana¹, Sorrel Judith Langley-Hobbs¹

¹Langford Veterinary Hospital - University of Bristol, Langford, Bristol, UK.

JFMS Open Reports

|April 25, 2024

Summary

Total hip replacement is a successful treatment for cats with hip pain and a missing limb. Even retained joints in amputated limbs can develop degenerative joint disease and require removal.

Keywords:

Total hip replacement amputee degenerative joint disease orthopaedic surgery

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Area of Science:

Veterinary Medicine
Orthopedic Surgery
Feline Medicine

Background:

Degenerative joint disease (DJD) is a common cause of pain and mobility issues in cats.
Hip joint replacement is an established treatment for coxofemoral DJD in various animal species.
Cats with limb amputations may present unique challenges for managing orthopedic conditions.

Observation:

A 10-year-old domestic shorthair cat with a history of contralateral pelvic limb amputation was diagnosed with coxofemoral DJD.
The cat underwent a total hip replacement procedure for the affected joint.
The contralateral coxofemoral joint, which was retained after the previous amputation, subsequently developed DJD and caused pain.

Findings:

The total hip replacement in the cat resulted in a favorable long-term outcome with no recorded complications.
The retained coxofemoral joint in the amputated limb became a source of pain due to DJD development.
Excision of the painful contralateral coxofemoral joint provided relief for the cat.

Implications:

Total hip replacement is a viable and effective surgical option for managing coxofemoral DJD in cats, even those with previous limb amputations.
Retained joints in amputated limbs are susceptible to developing osteoarthritis and can become a significant source of pain.
This case highlights the importance of monitoring all remaining joints for signs of degenerative disease, regardless of limb status.