Long-term Results of Conservative Treatment, Excision Arthroplasty and Triple Pelvic Osteotomy for the Treatment of Hip Dysplasia in the Immature Dog

J. Planté; J. Dupuis; G. Beauregard; N. H. Bonneau; L. Breton

doi:10.1055/s-0038-1632578

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 1997; 10(02): 101-110
DOI: 10.1055/s-0038-1632578

Original Research

Schattauer GmbH

Long-term Results of Conservative Treatment, Excision Arthroplasty and Triple Pelvic Osteotomy for the Treatment of Hip Dysplasia in the Immature Dog

Part 1: Radiographic and Physical Results

J. Planté

¹From the Department of Clinical Sciences, Faculté de Médecine Vétérinaire, University of Montreal, St-Hyacinthe, Québec, Canada

,

J. Dupuis

¹From the Department of Clinical Sciences, Faculté de Médecine Vétérinaire, University of Montreal, St-Hyacinthe, Québec, Canada

,

G. Beauregard

¹From the Department of Clinical Sciences, Faculté de Médecine Vétérinaire, University of Montreal, St-Hyacinthe, Québec, Canada

,

N. H. Bonneau

¹From the Department of Clinical Sciences, Faculté de Médecine Vétérinaire, University of Montreal, St-Hyacinthe, Québec, Canada

,

L. Breton

¹From the Department of Clinical Sciences, Faculté de Médecine Vétérinaire, University of Montreal, St-Hyacinthe, Québec, Canada

› Author Affiliations

Abstract

Summary

The efficiency of conservative treatment, excision arthroplasty of the femoral head and neck and triple pelvic osteotomy for the treatment of hip dysplasia in the immature dog were compared using locomotor, physical and radiographic examinations and owner’s evaluation. Cases selected for this study were dogs diagnosed with bilateral hip dysplasia, initially admitted with clinical signs (lameness, pain), immature at the beginning of the treatment (less than 12 months of age), with both hips subjected to the same treatment (conservative treatment, excision arthroplasty of the femoral head and neck or triple pelvic osteotomy). These dogs never showed any musculoskeletal problems other than hip dysplasia and the surgical treatment had been completed at least 20 months prior to re-evaluation time. Fourteen hips were re-evaluated in the conservative group, 16 in the triple pelvic osteotomy group and ten in the excision arthroplasty group. Locomotor, physical and owner’s evaluations demonstrated the superiority of the triple pelvic osteotomy. These evaluations also showed that excision arthroplasty was more efficient than conservative treatment. Radiographic examination demonstrated the obvious superiority of the triple pelvic osteotomy over conservative treatment.

Locomotor, physical and owner’s evaluations demonstrated the superiority of the triple pelvic osteotomy over conservative treatment and excision arthroplasty for the treatment of hip dysplasia in the immature dog. Radiographic examination demonstrated the obvious superiority of the triple pelvic osteotomy over conservative treatment for joint congruence and control of degenerative joint disease.

Keywords

Canine hip dysplasia - dog - triple pelvic osteotomy - excision arthroplasty of the femoral head and neck

Full Text

References

REFERENCES
1 Lust G. Hip dysplasia in dogs. In: Textbook of Small Animal Surgery 2nd ed.. Slatter DH. (ed). Philadelphia: Saunders; 1993: 1938-43.
2 Lust G, Geary JC, Sheffy BE. Development of hip dysplasia in dogs. Am J Vet Res 1973; 34: 87-91.
3 Riser WH. Canine hip dysplasia: cause and control. J Am Vet Med Assoc 1974; 165: 360-2.
4 Wallace LJ. Canine hip dysplasia: past and present. Semin Vet Med Surg (Small Anim) 1987; 2: 92-106.
5 Fries CL, Remedios AM. The pathogenesis and diagnosis of canine hip dysplasia: a review. Can Vet J 1995; 36: 494-502.
6 Johnston SA. Conservative and medical management of hip dysplasia. Vet Clin North Am (Small Anim Pract) 1992; 22: 595-606.
7 Barr ARS, Denny HR, Gibbs C. Clinical hip dysplasia in growing dogs: the long-term results of conservative management. J Small Anim Pract 1987; 28: 243-52.
8 Wallace LJ. Pectineus tendon surgery for the management of canine hip dysplasia. Vet Clin North Am (Small Anim Pract) 1992; 22: 607-21.
9 Piermattei DL. Femoral head ostectomy in the dog: indications, techniques, and results in ten dogs. J Am Anim Hosp Assoc 1965; 1: 180-8.
10 Duff R, Campbell JR. Long term results of excision arthroplasty of the canine hip. Vet Rec 1977; 101: 181-4.
11 Duff R, Campbell JR. Radiographic appearance and clinical progress after excision arthroplasty of the canine hip. J Small Anim Pract 1978; 19: 439-49.
12 Gendreau C, Cawley AJ. Excision of the femoral head and neck: the long term results of 35 operations. J Am Anim Hosp Assoc 1977; 13: 605-8.
13 Berzon JL, Howard PE, Covell SJ. et al. A retrospective study of the efficacy of femoral head and neck excision in 94 dogs and cats. Vet Surg 1980; 9: 88-92.
14 Bonneau N, Breton L. Excision arthroplasty of the femoral head. Canine Pract 1981; 8: 13-25.
15 Slocum B, Devine T. Femoral neck lengthening for hip dysplasia in the dog. Vet Surg 1989; 18: 81
16 Slocum B, Devine T. Pelvic osteotomy technique for axial rotation of the acetabular segment in dogs. J Am Anim Hosp Assoc 1986; 22: 331-8.
17 Slocum B. Devine T. Pelvic osteotomy in the dog as treatment for hip dysplasia. Semin Vet Med Surg 1987; 2: 107-16.
18 Slocum B, Devine Slocum T. Pelvic osteotomy for axial rotation of the acetabular segment in dogs with hip dysplasia. Vet Clin North Am (Small Anim Pract) 1992; 22: 645-82.
19 Braden TD, Prieur D. Three-plane intertrochanteric osteotomy for treatment of early stage hip dysplasia. Vet Clin North Am (Small Anim Pract) 1992; 22: 623-43.
20 Jensen DJ. Sertl GO. Sertl shelf arthroplasty (BOP procedure) in the treatment of canine hip dysplasia. Vet Clin North Am (Small Anim Pract) 1992; 22: 683-701.
21 Olmstead ML, Hohn RB, Turner TM. A five-year study of 221 total hip replacements in the dog. J Am Vet Med Assoc 1983; 183: 191-4.
22 Olmstead ML. The canine cemented modular total hip prothesis. J Am Anim Hosp Assoc 1995; 31: 109-24.
23 Slocum B, Smith G, Olmstead ML. Treatments for hip dysplasia spark controversy. J Am Vet Med Assoc 1992; 201: 205-9.
24 Mc Laughlin R, Miller CW, Taves CL. Force plate analysis of triple pelvic osteotomy for the treatment of canine hip dysplasia. Vet Surg 1991; 20: 291-7.
25 Plante J, Dupuis J, Beauregard G. Longterm results of conservative treatment, excision arthroplasty and triple pelvic osteotomy for treatment of hip dysplasia in the immature dog. Part 2: Analysis of the ground reaction forces. V.C.O.T 1997. (in press)
26 Mc Laughlin R, Miller CW. Evaluation of hip joint congruence and range of motion before and after triple pelvic osteotomy. V.C.O.T. 1991; 4: 65-9.
27 Mann FA, Wagner-Mann C, Tangner CH. Manual goniometric measurement of the canine pelvic limb. J Am Anim Hosp Assoc 1988; 24: 189-94.
28 Riser WH. The dysplastic hip joint: its radiographic and histologic development. J Am Vet Rad Soc 1973; 14: 35-50.
29 Remedios AM, Fries CL. Implant complications in 20 pelvic osteotomies. V.C.O.T. 1993; 6: 202-7.
30 Hosgood G, Lewis DD. Retrospective evaluation of fixation complications of 49 pelvic osteotomies in 36 dogs. J Small Anim Pract 1993; 34: 123-30.
31 Hulse DA, Shires P, Waldron D, Hedlund CS. Sacroiliac luxation. Comp Cont Educ 1985; 7: 493-9.
32 Mann FA, Tanger CH, Wagner-Mann C. et al. A comparison of standard femoral head and neck excision and femoral head and neck excision using a biceps femoris muscle flap in the dog. Vet Surg 1987; 16: 223-30.
33 Sardinas JC, Kraus KH, Sisson RD. Comparison of the holding power of 3.5-mm cortical versus 4.0-mm cancellous orthopedic screws in the pelvis of immature dogs (cadavers). Am J Vet Res 1995; 56: 248-51.