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Vet Comp Orthop Traumatol 2001; 14(02): 69-77
DOI: 10.1055/s-0038-1632678
Original Research
Schattauer GmbH

Treatment of traumatic coxofemoral luxation with triple pelvic osteotomy in 19 dogs (1987-1999)

J. J. Haburjak
1   Department of Veterinary Clinical Medicine, University of Illinois at Urbana- Champaign, Urbana, IL, USA
,
T. M. Lenehan
2   Veterinary Surgical Specialists, San Diego, CA, USA
,
J. Harari
3   Veterinary Referral Services, Spokane, WA, USA
,
R. Gurevitch
4   Veterinary Referral Surgical Service, Petaluma, CA, USA
,
B. Rivers
5   Animal Radiology Consulting, San Bruno, CA, USA
,
G. B. Tarvin
2   Veterinary Surgical Specialists, San Diego, CA, USA
,
P. D. Constable
1   Department of Veterinary Clinical Medicine, University of Illinois at Urbana- Champaign, Urbana, IL, USA
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Publikationsverlauf

Received 20. Juli 2000

Accepted 25. Januar 2001

Publikationsdatum:
09. Februar 2018 (online)

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Summary

The objective of our study was to investigate, retrospectively, the role of triple pelvic osteotomy in the management of traumatic coxofemoral luxation. Nineteen patients were identified from medical record data and four dogs returned for long-term physical, goniometric and radiographic evaluation. Seventeen of nineteen dogs had maintenance of reduction of the hip. Due to poor outcome, two of these seventeen dogs required salvage procedures. Three of four dogs that returned for long-term follow-up, owner evaluation, radiographic scoring, and physical examination had satisfactory results. These four dogs had manual goniometric evaluations performed on the affected side, and the contralateral hip. A paired student t-test was used for statistical analysis, and internal rotation was the only value which was significantly (p d0.05) different between the two sides. Reduction alone is not a representation of success when evaluating open management of coxofemoral luxation, because two dogs with poor limb function necessitated femoral head and neck excision for limb salvage. The TPO does have a role in the treatment of traumatic coxofemoral luxation, but may not be sufficient in cases involving congenital dysplasia and/or intraarticular fractures.

Triple pelvic osteotomy is a successful means of mitigating the sequela of congenital hip subluxation. This surgical technique can be used to manage dogs with traumatic coxofemoral luxation. There was an indication in this study that reduction alone is not a satisfactory means of evaluating management of traumatic coxofemoral luxation. Dogs with congenital dysplasia or intra-articular fractures associated with traumatic luxation may require alternate methods of reduction.

Keywords

TPO - traumatic hip luxation - open reduction
 

  • REFERENCES

  • 1 Basher AWP, Walter MC, Newton CD. Coxofemoral luxation in the dog and cat. Vet Surg 1986; 15: 356-62.
    CrossrefPubMedGoogle Scholar
  • 2 Beale BS, Lewis DD, Parker RB, Macpherson GC, Kuntz CA. Ischio-ilial pinning for stabilization of coxofemoral luxations in twenty-one dogs: A retrospective evaluation. Vet Comp Orthop Traumatol 1991; 04: 28-34.
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 3 Beckham HP, Smith MM, Kern DA. Use of a modified toggle pin for repair of coxofemoral luxation in dogs with multiple orthopedic injuries: 14 cases (1986-1994). JAVMA 1996; 208: 81-4.
    PubMedGoogle Scholar
  • 4 Bone DL, Walker M, Cantwell HD. Traumatic coxofemoral luxation in dogs, results of repair. Vet Surg 1984; 13: 263-70.
    CrossrefPubMedGoogle Scholar
  • 5 Braden TB, Johnson ME. Technique and indications of a prosthetic capsule for repair of recurrent and chronic coxofemoral luxations. Vet Comp Orthop Traumatol 1988; 01: 26-9.
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 6 DeAngelis M, Prata R. Surgical repair of coxofemoral luxation in the dog. JAAHA 1973; 09: 175-82.
    PubMedGoogle Scholar
  • 7 Dejardin LM, Perry RL, Arnoczky SP. The effect of triple pelvic osteotomy on the articular contact area of the hip joint in dysplastic dogs: An in vitro experimental study. Vet Surg 1998; 27: 194-202.
    CrossrefPubMedGoogle Scholar
  • 8 Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. SPINE 1983; 08: 817-31.
    CrossrefPubMedGoogle Scholar
  • 9 Duff SRI, Bennett D. Hip luxation in small animals: An evaluation of some methods of treatment. Vet Rec 1982; 111: 140-3.
    CrossrefPubMedGoogle Scholar
  • 10 Durr JL. The use of Kirschner wires in maintaining reduction of dislocations of the hip joint. JAVMA 1957; 130: 78-81.
    PubMedGoogle Scholar
  • 11 Evers P, Johnston GR, Wallace LJ, Lipowitz AJ, King VL. Long-term results of treatment of traumatic coxofemoral joint dislocation in dogs: 64 cases (1973-1992). JAVMA 1997; 210: 59-64.
    PubMedGoogle Scholar
  • 12 Flynn MF, Edmiston DN, Roe SC, Richardson DC, DeYoung DJ, Abrams CF. Biomechanical evaluation of a toggle pin technique for management of coxofemoral luxation. Vet Surg 1994; 23: 311-21.
    CrossrefPubMedGoogle Scholar
  • 13 Fry PD. Observations on the surgical treatment of hip dislocation in the dog and cat. J Small Anim Pract 1974; 15: 661-70.
    CrossrefPubMedGoogle Scholar
  • 14 Gendreau C, Cawley AJ. Excision of the femoral head and neck: The long-term results of 35 operations. JAHAA 1977; 13: 605-8.
    PubMedGoogle Scholar
  • 15 Hammer DL. Recurrent coxofemoral luxation in fifteen dogs and one cat. JAVMA 1980; 177: 1018-20.
    PubMedGoogle Scholar
  • 16 Helper LC, Schiller AG. Repair of coxofemoral luxations in the dog and cat by extension of the acetabular rim. JAVMA 1963; 143: 709-11.
    PubMedGoogle Scholar
  • 17 Herron MR. Coxofemoral luxations in small animal. J Vet Orthop 1979; 01: 30-7.
    PubMedGoogle Scholar
  • 18 Hohn RB, Rosen H, Bianco AJ, Jenny J. Proc AAHA. 1969; 36: 361-3.
    PubMedGoogle Scholar
  • 19 Horne RD. Trochanteric pining procedure for reduction of coxofemoral luxations. Small Anim Clin 1971; 66: 331-4.
    PubMedGoogle Scholar
  • 20 Hunt CA, Henry WB. Transarticular pinning for repair of hip dislocation in the dog: A retrospective study of 40 cases. JAVMA 1985; 187: 828-33.
    PubMedGoogle Scholar
  • 21 Johnson AL, Smith CW, Pijanowski GJ, Hungerford LL. Triple pelvic osteotomy: Effect on limb function and progression of degenerative joint disease. JAHAA 1998; 34: 260-4.
    PubMedGoogle Scholar
  • 22 Johnson JA, Austin C, Breur GJ. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Traumatol 1994; 07: 56-69.
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 23 Johnson ME, Braden TD. A retrospective study of prosthetic capsule technique for the treatment of problem cases of dislocated hips. Vet Surg 1987; 16: 346-51.
    CrossrefPubMedGoogle Scholar
  • 24 Katcherian G. Pelvic osteotomy and distal transfer of the greater trochanter for luxation of the hip. Canine Pract 1990; 15: 7-12.
    PubMedGoogle Scholar
  • 25 Levin P. Hip Dislocations. In: Browner BD, Jupiter JB, Levine AM, Trafton PG. eds. Skeletal Trauma, Vol. II. Philadelphia: WB Saunders Company; 1992: 1329-67.
    Google Scholar
  • 26 Lewis DD, Beale BS, Dean PW, Kearney MT. Ischio-ilial pinning for stabilization of coxofemoral luxations: An anatomical study. Vet Comp Orthop Traumatol 1990; 01: 31-5.
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 27 Lubbe AM, Verstraete FJM. Fascia lata loop stabilization of the coxofemoral joint in the dog and cat. J Small Anim Pract 1990; 31: 234-8.
    CrossrefPubMedGoogle Scholar
  • 28 Mann FA, Tangner CH, Wagner-Mann C, Read WK, Hulse DA, Puglisi TA, Hobson HP. 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.
    CrossrefPubMedGoogle Scholar
  • 29 Mann FA, Wagner-Mann C, Tangner CH. Manual goniometric measurement of the canine pelvic limb. JAAHA 1988; 24: 189-94.
    PubMedGoogle Scholar
  • 30 Markel MD. The power of a statistical test. What does insignificance mean? Vet Surg 1991; 20: 209-14.
    PubMedGoogle Scholar
  • 31 McLaughlin R, Miller CW. Evaluation of hip joint congruence and range of motion before and after triple pelvic osteotomy. Vet Comp Orthop Traumatol 1991; 04: 65-9.
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 32 McLaughlin RM, Miller CW, Taves CL, Hearn TC, Palmer NC, Anderson GI. Force plate analysis of triple pelvic osteotomy for the treatment of canine hip dysplasia. Vet Surg 1991; 20: 291-7.
    CrossrefPubMedGoogle Scholar
  • 33 McLaughlin RM, Tillson DM. Flexible external fixation for craniodorsal coxofemoral luxations in dogs. Vet Surg 1994; 23: 21-30.
    CrossrefPubMedGoogle Scholar
  • 34 Mehl NB. A new method of surgical treatment of hip dislocation in dogs and cats. J Small Anim Pract 1988; 29: 789-95.
    CrossrefPubMedGoogle Scholar
  • 35 Meij BP, Hazewinkel AW, Nap RC. Results of extra-articular stabilization following open reduction of coxofemoral luxation in dogs and cats. J Small Anim Pract 1992; 33: 320-6.
    CrossrefPubMedGoogle Scholar
  • 36 Murphy ST, Lewis DD, Kerwin SC. Traumatic coxofemoral luxation in dysplastic dogs managed with a triple pelvic osteotomy: Results in four dogs. Vet Comp Orthop Traumatol 1997; 10: 136-40.
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 37 Olmstead ML, Hohn RB, Turner TM. A five-year study of 221 total hip replacements in the dog. JAVMA 1983; 183: 191-4.
    PubMedGoogle Scholar
  • 38 Parker RB, Bloomberg MS, Bitetto W, Rodkey WG. Canine total hip arthroplasty: A clinical review of 20 cases. JAHAA 1984; 20: 97-104.
    PubMedGoogle Scholar
  • 39 Rasmussen LM, Kramek BA, Lipowitz AJ. Preoperative variables affecting long-term outcome of triple pelvic osteotomy for treatment of naturally developing hip dysplasia in dogs. JAVMA 1998; 213: 80-5.
    PubMedGoogle Scholar
  • 40 Schrader SC. Triple osteotomy of the pelvis and trochanteric osteotomy as a treatment for hip dysplasia in the immature dog: The surgical technique and results of 77 consecutive operations. JAVMA 1986; 189: 659-65.
    PubMedGoogle Scholar
  • 41 Serdy MG, Schulz KS, Hornof W, Koehler C, Chiu D, Vasseur PB. Closed toggle pinning for canine traumatic coxofemoral luxation. Vet Comp Orthop Traumatol 1999; 12: 6-14.
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 42 Slocum B, Devine T. Pelvic osteotomy technique for axial rotation of the acetabular segment in dogs. JAHAA 1986; 22: 331-8.
    PubMedGoogle Scholar
  • 43 Slocum B, Devine T. Pelvic osteotomy technique: Extended uses. Vet Surg 1989; 18: 81.
    PubMedGoogle Scholar
  • 44 Slocum B, Slocum TD. Pelvic osteotomy for axial rotation of the acetabular segment in dogs with hip dysplasia. Vet Clin N Amer 1992; 22: 645-82.
    PubMedGoogle Scholar
  • 45 Smith GK, Biery DN, Gregor TP. New concepts of coxofemoral joint stability and the development of a clinical stress-radiographic method for quantitating hip joint laxity in the dog. JAVMA 1990; 196: 59-70.
    PubMedGoogle Scholar
  • 46 Smith WS, Coleman CR, Olix ML, Slager RF. Etiology of congenital dislocation of the hip, an experimental approach to the problem using young dogs. J Bone Joint Surg 1963; 45-A: 491-500.
    PubMedGoogle Scholar
  • 47 Thacher C, Schrader SC. Caudal ventral hip luxation in the dog: A review of 14 cases. JAHAA 1985; 21: 167-72.
    PubMedGoogle Scholar
  • 48 Wadsworth PL. Biomechanics of luxations. In: Bojrab MJ. ed. Disease Mechanisms in Small Animal Surgery. 2nd ed. Philadelphia: Lea & Febiger; 1993: 1048-59.
    Google Scholar
  • 49 Zakiewicz M. Recurrent hip luxation in the dog: Skin as a substitute ligament. Vet Rec 1967; 81: 538-9.
    CrossrefPubMedGoogle Scholar