Combined intra-extra-articular technique for stabilisation of coxofemoral luxation

Summary

Objective: To r

eport a new technique for repairing traumatic cranio-dorsal coxofemoral luxation in dogs.

Methods: Stabilisation of hip luxation was carried out in two dogs: a one-year-old male Border Collie and an eight-year-old female American Staffordshire Bull Terrier. A caudal approach was performed to expose the hip joint. Following this, a 2.5 mm hole was drilled through the acetabular wall at the original attachment of the round ligament, followed by a tunnel between the fovea capitis and the proximal third of the femur. Nylon tape was tied in a clove hitch knot around the femoral neck. The tape was placed as a bridge over the ischial spine to create an acetabular roof in order to increase articular stabilisation. Results: Follow-up examinations were performed at 10, 40 and 90 days after surgery.The dogs did not show any signs of lameness, pain or reoccurrence of the luxation during any of the follow-up examinations.

Clinical significance: This tape-technique enabled reinforcement of the acetabular roof which in turn increased the stability of the joint.

Keywords

Coxofemoral luxation - clove hitch - Bühner tape - dog

• References

• 1 Fox SM. Coxofemoral luxation in dogs. Compend Contin Educ Pract Vet 1991; 13: 381-388.
• 2 Johnston JA, Austin C, Breuer GJ. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Traumatol 1994; 7: 56-69.
• 3 Trostel CT, Peck JN, de Haan JJ. Spontaneous bilateral coxofemoral luxation in four dogs. J Am Anim Hosp Assoc 2000; 36: 268-276.
• 4 Wadsworth PL. Biomechanics of luxations. In: Bojrab MJ. editor. Disease mechanisms in small animal surgery. 2^nd ed. Philadelphia, PA, USA: Lea & Febiger; 1993: 1048-1059.
• 5 Piermattei DL, Flo GL. (editors). The Hip Joint. In: Brinker, Piermattei, and Flo’s Handbook of Small animal orthopedics and fracture repair. 3^rd ed Philadelphia: Saunders; 1997: 422-468.
• 6 Spranklin D, Elder S, Boyle C. et al. Comparison of a suture anchor and a toggle rod for use in toggle pin fixation of coofemoral luxations. J Am Anim Hosp Assoc 2006; 42: 121-126.
• 7 Lubbe AM, Verstraete FJM. Fascia lata loop stabilisation of the coxofemoral joint in the dog and cat. J Small Anim Pract 1990; 31: 234-238.
• 8 Özadyn Ï, Kiliç E, Baran V. et al. Reduction and stabilization of hip luxation by the transposition of the ligamentum sacrotuberale in dogs: an in vivo study. Vet Surg 2003; 32: 46-51.
• 9 Pozzi A, Kowaleski P, Dyce J. et al. Treatment of traumatic coxo-femoral luxation by cemented total hip arthroplasty. Vet Comp Orthop Traumatol 2004; 17: 198-203.
• 10 Braden TD, Johnson ME. Technique and indications of a prosthetic capsule for repair of recurrent and chronic coxofemoral luxations. Vet Comp Orthop Traumatol 1988; 1: 26-29.
• 11 Martini FM, Simonazzi B, Del Bue M. Extra-articular absorbable suture stabilization of coxofemoral luxation in dogs. Vet Surg 2001; 30: 568-475.
• 12 Tomlinson JL. Reduction of coxofemoral luxations. In Bojrab MJ. editor. Current Techniques in Small Animal Surgery.4^th ed London, UK: Williams & Wilkins; 1998: 1178-1183.
• 13 Haburjak JJ, Lenehan TM, Harari J. et al. Treatment of traumatic coxofemoral luxation with triple pelvic osteotomy in 19 dogs (1987–1999). Vet Comp Orthop Traumatol 2001; 14: 69-77.
• 14 Douglas IH. Modified De Vita pinning technique for the management of canine hip luxation: preliminary findings. Aust Vet J 2000; 8: 538-542.
• 15 Ben-Amotz R, Liska WD, Beale BS. et al. Ilio-femoral external fixator application for temporary stabilization of recurring caudal ventral hip joint luxation after total hip replacement. Vet Comp Orthop Traumatol 2009; 22: 159-162.
• 16 McLaughlin RM, Tillson DM. Flexible external fixation for craniodorsal coxofemoral luxation in dogs. Vet Surg 1994; 23: 21-30.
• 17 Pinna S, Venturini A, Rossi A. et al. Femoral head ostectomy by caudal approach: long-term analysis in 50 cases. [Italian] Proceedings of XI Convegno Nazionale SICV 2004; June 10-12; Grugniasco (Torino), Italy 11: 63-65.
• 18 Braden TD. Histophysiology of the growth plate and growth plate injuries. In: Bojrab MJ. editor Disease mechanisms in small animal surgery. 2^nd ed. Philadelphia, PA, USA: Lea & Febiger; 1993: 1027-1041.
• 19 Wendelburg K. Surgical wound infection. In: Bojrab MJ. (ed) Disease mechanisms in small animal surgery. 2nd ed. Philadelphia, PA: Lea & Febiger; 1993: 54-65.