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Vet Comp Orthop Traumatol 1994; 07(02): 82-87
DOI: 10.1055/s-0038-1633136
Clinical Report
Schattauer GmbH

Femoral Head Excision Arthroplasty Using the Vascularised Rectus Femoris Muscle Sling

Audrey M. Remedios
1   From the Department of Veterinary Anesthesiology, Radiology and Surgery, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
,
Hilary M. Clayton
2   Department of Veterinary Anatomy, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
,
Elizabeth Skuba
2   Department of Veterinary Anatomy, Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
› Author Affiliations
Further Information

Publication History

Received for publication 15 November 1993

Publication Date:
09 February 2018 (online)

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Summary

Rectus femoris muscle slings were transposed over femoral head ostectomy sites in four large breed dogs, while in three other dogs, standard femoral head and neck excision arthroplasty was performed. After the operation two dogs, with rectus femoris muscle slings, showed transient swelling of the operated limb and remained weight bearing minimally throughout the 28-day study period. In the two remaining dogs with muscle transposition, the surgical sites were normal, but decreased weight bearing and marked lameness were apparent. The dogs with standard femoral head excisions did not have any postoperative problems with the surgical sites and were weight bearing, with slight to moderate gait abnormalities, after the operation. All of the dogs showed decreases in coxofemoral range of motion, standing hip angle and limb length of the operated leg but postoperative differences between the two treatment groups were not significant. Thigh muscle circumference was significantly less in dogs with rectus femoris muscle slings than those with standard femoral head excision. Extensive perfusion of transposed slings was apparent on angiographic studies. Histopathology of muscle slings showed focal inflammation, muscle fibre atrophy and fibrosis with intact neurovascular supply.

Femoral head excisional arthroplasty was performed in seven large breed dogs, four of which had adjunctive rectus femoris muscle slings trans-posed over ostectomy sites. Although the rectus femoris muscle sling remained vascular and was associated with minimal immediate postoperative complications, dogs with muscle transposition showed decreased weight bearing, more obvious lameness and a slower return to function, than dogs with standard femoral head and neck excision. Dogs with rectus femoris muscle slings did not show any improvement in coxofemoral range of motion, standing hip angle or limb length, rather more thigh muscle atrophy was evident on day 28 after surgery.

Keywords

Femoral head excision arthroplasty - rectus femoris muscle flaps
 

  • References

  • 1 Lippincott CL. Improvement of excision arthroplasty of the femoral head and neck utilizing a biceps femoris muscle sling. J Am Anim Hosp Assoc 1981; 17: 668-72.
    PubMedGoogle Scholar
  • 2 Berzon JL, Howard PE, Covell SJ, Trotter EJ. et al. A retrospective study of the efficacy of femoral head and neck excisions in 94 dogs and cats. Vet Surg 1980; 9: 88-92.
    CrossrefPubMedGoogle Scholar
  • 3 Duff R, Campbell JR. Long term results of excision arthroplasty of the canine hip. Vet Rec 1977; 101: 181-4.
    CrossrefPubMedGoogle Scholar
  • 4 Rettenmaier JL, Constantinescu GM. Canine hip dysplasia. Compend Contin Educ Pract Vet 1991; 13: 643-53.
    PubMedGoogle Scholar
  • 5 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.
    PubMedGoogle Scholar
  • 6 Wallace LJ. Canine hip dysplasia: past and present. Semin Vet Med Surg (Small Anim) 1987; 2: 92-106.
    PubMedGoogle Scholar
  • 7 Lippincott CL. Excision arthoplasty of the femoral head and neck utilizing a biceps femoris muscle sling. Part two: the caudal pass. J Am Anim Hosp Assoc 1984; 20: 377-84.
    PubMedGoogle Scholar
  • 8 Bjorling DE. The biceps femoris flap and femoral head and neck excision in dogs. Compend Contin Educ Pract Vet 1986; 8: 359-63.
    PubMedGoogle Scholar
  • 9 Tarvin G, Lippincott CL. Excision arthroplasty for treatment of canine hip dysplasia using the biceps femoris muscle sling: an evaluation of 92 cases. Semin Vet Med Surg (Small Anim) 1987; 2: 158-60.
    PubMedGoogle Scholar
  • 10 Prostredny JM, Toombs JP, VanSickle DC. Effect of two muscle sling techniques on early morbidity after femoral head and neck excision in dogs. Vet Surg 1991; 5: 298-305.
    PubMedGoogle Scholar
  • 11 Lippincott CL. Femoral head and neck excision in the management of canine hip dysplasia. Vet Clin North Am 1992; 22: 721-39.
    CrossrefPubMedGoogle Scholar
  • 12 Mann FA, Tangner CH, Wagner-Mann C, Read WK. et al. A comparision 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.
    CrossrefPubMedGoogle Scholar
  • 13 Montgomery RD, Milton JL, Home RD, Coble RH. et al. A retrospective comparison of three techniques for femoral head and neck excision in dogs. Vet Surg 1987; 16: 423-6.
    CrossrefPubMedGoogle Scholar
  • 14 Lewis DD, Bellah JR, McGavin MD, Gaskin JM. Postoperative examination of the biceps femoris muscle sling used in excision of the femoral head and neck in dogs. Vet Surg 1988; 17: 269-77.
    CrossrefPubMedGoogle Scholar
  • 15 Chambers JN, Purinton PT, Allen SW, Moore JL. Identification and anatomic categorization of the vascular patterns to the pelvic limb muscles of dogs. Am J Vet Res 1990; 51: 305-13.
    PubMedGoogle Scholar
  • 16 Chambers JN, Purinton PT, Moore JL, Allen SW. Treatment of trochanteric ulcers with cranial sartorius and rectus femoris muscle flaps. Vet Surg 1990; 19: 424-8.
    CrossrefPubMedGoogle Scholar
  • 17 Mann FA, Wagner-Mann C, Tangner CH. Manual goniometric measurement of the canine pelvic limb. J Am Anim Hosp Assoc 1988; 26: 189-94.
    PubMedGoogle Scholar
  • 18 Piermattei DL, Greeley RG. An Atlas of Surgical Approaches to the Bones of the Dog and Cat. 2nd ed. Philadelphia: WB Saunders; 1979: 132-3 162-3.
    Google Scholar
  • 19 Lewis DD. Femoral head and neck excision and the controversy concerning adjunctive soft tissue interposition. Compend Contin Educ Pract Vet 1992; 14: 1463-72.
    PubMedGoogle Scholar
  • 20 Mathes SJ, Eshima I. The principles of muscle and musculocutaneous flaps. In: McCarthy JG. (ed). Plastic Surgery. Philadelphia: WB Saunders; 1990: 379-411.
    Google Scholar
  • 21 Basher AWP, Presnell KR. Muscle transposition as an aid in covering traumatic tissue defects over the canine tibia. J Am Anim Hosp Assoc 1987; 23: 617-28.
    PubMedGoogle Scholar
  • 22 Mathes SJ, Alpert BS, Chang N. Use of the muscle flap in chronic osteomyelitis: Experimental and clinical correlation. Plast Reconstr Surg 1982; 69: 815-29.
    CrossrefPubMedGoogle Scholar
  • 23 Waldron DR, Trevor P. Management of superficial skin wounds. In: Slatter DS. (ed). Textbook of Small Animal Surgery. 2nd ed. Philadelphia: WB Saunders; 1993: 269-80.
    Google Scholar
  • 24 Swaim SF. Management of contaminated and infected wounds. In: Swaim SF. (ed). Surgery of Traumatized Skin: Management and Reconstruction in the Dog and Cat. Philadelphia: WB Saunders; 1980: 119-25.
    Google Scholar
  • 25 Mathes SJ, Nahai F. Classification of the vascular anatomy of muscles: experimental and clinical correlation. Plast Reconstr Surg 1981; 62: 177-87.
    PubMedGoogle Scholar
  • 26 Vasconez LO, McCraw JB, Hall EJ. Complications of musculocutaneous flaps. Clin Plast Surg 1980; 7: 123-32.
    PubMedGoogle Scholar