Hip Dysplasia Surgical Options

Better Options. Better Care. Betterph Options.608.845.0002 Better + fax Care. 608.845.2200 ph 608.845.0002edingersurgicaloptions.com + fax 608.845.2200 edingersurgicaloptions.com

HIPHip DYSPLASIA Dysplasia (TPO, Surgical THR, FHO) Options

WhatWhat is Hip is Hip Dysplasia? Dysplasia? HipHip dysplasia dysplasia is a isterm a term used used to describe to describe an abnormal an abnormal hip joint hip injoint which in which there thereis is laxity laxity(looseness) (looseness) between between the the femoral femoral head head and and the the acetabulum acetabulum (cup). (cup). This This developmental developmentalabnormality abnormalitytypically leads typically to secondary leads to changessecondary of changes the joint of including the joint thickening of includingthe joint thickening capsule, flof attening the joint of capsule, the femoral attening head, of and the osteoarthritisfemoral head, andof the joint. Some osteoarthritisdogs can lead of the normal joint. livesSome with dogs hip can dysplasia lead normal and thelives secondary with hip dysplasia arthritic changes andcaused the secondary by it. Other arthritic dogs changes will become caused lame by it.at Othera young dogs age will from become the joint lame pain. Lameness at ain young older agedogs from is typically the joint due pain. to Lamenessbone-on-bone in older contact dogs iscaused typically by duethe chronic,to severe bone-on-boneosteoarthritis. contact Hip dysplasia caused by can the happen chronic, in severe any breed, osteoarthritis. but it is most common in Labrador Retrievers, Golden Retrievers, and Newfoundlands. Treatment Options: TripleTreatment Pelvic Osteotomy Options (TPO) This procedure is performed on young dogs (5-12 months) diagnosed with hip dysplasiaTriple Pelvic prior Osteotomy to the onset (TPO) of osteoarthritis. In this procedure, the pelvis is cut in threeThis procedureplaces allowing is performed the acetabulum on young to bedogs rotated (5-12 using months) a specially diagnosed designed with hip plate.dysplasia This acetabular prior to therotation onset causes of osteoarthritis. the femoral head In this to procedure, completely theseat pelvis is cut in three withinplaces the allowing acetabulum. the acetabulum Since this procedure to be rotated modies using a patient’s a specially existing designed hip plate. This anatomy,acetabular it works rotation best on causes joints the that femoral have some head growth to completely potential seat left allowingwithin the acetabulum. themSince to grow this procedure (remodel) intomodifi their es newa patient’s anatomy. existing This procedure hip anatomy, has itbeen works best on joints shownthat tohave prevent some or growth slow the potential progression left allowing of osteoarthritis them to if grow cases (remodel) are selected into their appropriatelynew anatomy. This procedure has been shown to prevent or slow the progression of osteoarthritis if cases are selected appropriately. Femoral Head and Neck Ostectomy (FHO, FHNE) ThisFemoral surgery Head is a salvageand Neck procedure, Ostectomy which (FHO, FHNE)means that it can be, and usually is, performedThis surgery after isosteoarthritis a salvage procedure, has become which so severe means that that it limitsit can pets’ be, and activity usually is, and/orperformed makes themafter constantlyosteoarthritis uncomfortable. has become It so is thesevere osteoarthritis that it limits and pets’ activity and/ bone-on-boneor makes them contact constantly between uncomfortable. the femoral head It is and the acetabulum osteoarthritis that and results bone-on-bone in pain.contact This between procedure the consists femoral of head removing and acetabulum the head and that neck results of the in femur pain. This procedure (thighconsists bone). of The removing limb is thenthe head reliant and on neck muscles of the and femur the formation (thigh bone). of a brousThe limb is then jointreliant for support. on muscles Patients and undergoing the formation an FHOof a fiwill brous not jointhave forthe support.function Patientsof a undergoing normalan FHO hip andwill notcan havebe somewhat the function limited of ain normal the amount hip and of activitycan be somewhatthey can limited in the endure.amount However, of activity it signicantly they can endure. reduces However, or eliminates it signifi joint cantlypain and reduces results or in eliminates joint notablypain andimproved results rear in notablylimb function. improved rear limb function.

TotalTotal Hip Hip Replacement Replacement (THR) (THR) THRTHR results results in a functionallyin a functionally normal normal hip and hip is and performed is performed when whenhip hip osteoarthritis osteoarthritislimits a dog’s limits comfort a dog’s and comfort activity. and The activity. procedure The procedure consists consistsof removing of the existing, removingdegenerative the existing, acetabulum degenerative and femoral acetabulum head andand replacingfemoral head them and with prostheses. The replacingacetabulum them iswith replaced prostheses. with Thea plastic acetabulum cup and is the replaced femoral with head a plastic is replaced cup with a andcobalt-chrome the femoral head ball is and replaced stem. withThese a cobalt-chrome implants are secured ball and in stem. place These either biologically or implantswith bone are secured cement. in The place result either is biologicallya fully functional or with pain bone free cement. prosthetic The result joint. is a fully functional pain free prosthetic joint.