Treatment of Ventral Hip Luxation in a Puppy

Hip luxation ventral treatment dog

A Three months of age, 4.5 kg, female mixed (cross) breed presented to our clinic with complaint of the left hind leg lameness. In the clinical, radiographic and ultrasonographic examination, ventral hip luxation was diagnosed. Based on the examination findings which indicated the case was chronic, surgical treatment was decided. Hip joint was exposed firstly by craniodorsal approach. Flattened and full acetabulum, fractured greater trochanter, ruptured gluteal muscle attachment and irreparably broken joint capsule were determined. Excision arthroplasty was performed by ventral approach. Greater Trochanter was attached to its position by an L shape Steinman pin using craniodorsal approach. Then, a drill hole was created on the greater trochanter, and a screw was inserted to dorsal acetabular rim. A synthetic suture passed through the hole was tied to the screw in a figure of eight mode. Postoperative antibiotics and anti-inflammatory drugs were used. Physiotherapy such as swimming and massage treatments was proposed following skin sutures removal. In the 4th week control postoperatively, the dog began to use the operated leg effectively despite the moderate quadriceps’ contracture. The contracture was mostly resolved 12th week by continuing physiotherapy.

Article Details
  • Section
  • Case Report
Download data is not yet available.
Basher AWP, Walter MC, Newton CD (1986) Coxofemoral luxation in the dog and cat. Vet Surg15:356-362.
Belge A, Bozkan Z, Sarierler M, Yaygingul R (2014) The treatment of coxofemoral luxation by modified synthetic capsule technique in dogs: 6 cases. Kafkas Univ Vet Fak Derg 20:337-343.
Bone DL, Walker M, Cantwell HD (1984) Traumatic coxofemoral luxation in dogs. Results of repair. Vet Surg 13: 263-270.
Cetinkaya MA, Olcay B (2010) Modified Knowles toggle pin technique with nylon monofilament suture material for treatment of two caudoventral hip luxation cases. Vet Comp Orthop Traumatol 23:114-8.
Denny HR, Butterworth SJ (2000) A Guide to Canine and Feline Orthopedic Surgery. Oxford; Blackwell Science, USA, 459–467.
Duff SRI, Bennett D (1982) Hip luxation in small animals: an evaluation of some methods of treatment. Vet Rec 111:140-143.
Fox SM. Coxofemoral luxations in dogs (1991) Comp Cont Ed Pract Vet 13:381-389.
Harasen G: Coxofemoral luxations part 1: diagnosis and closed reduction (2005) Can Vet J 46:368-369.
Holsworth IG, De Camp CE (2003) Canine hip dysplasia: diagnosis and non-surgical treatment. In: Textbook of Small Animal Surgery. Elsevier Science, Philadelphia, pp 2002-2008.
Hunt CA, Henry WB (1985) Trans articular pinning for repair of hip dislocation in the dog: a retrospective study of 40 cases. J Am Vet Med Assoc 187: 828-833.
Johnson AL, Dunning D (2005) Atlas of Orthopedic Surgical Procedures of the Dog and Cat. Elsevier Inc, USA, pp 38-51.
Kılıç E, Ozaydın I, Atalan G, Baran V (2002) Transposition of the sacrotuberous ligament for the treatment of coxofemoral luxation in dogs. J Small Anim Pract 43: 341–344.
Off W, Matis U (2010) Excision arthroplasty of the hip joint in dogs and cats. Vet Comp Orthop Traumatol 23: 297-305.
Ozaydın I, Kılıc E, Baran V, Demirkan I, Kamiloglu A, Vural S (2003) Reduction and stabilization of hip luxation by the transposition of the ligamentum sacrotuberale in dogs: An in-vivo study. Vet Surg 32:46-51.
Piermattei DL, Flo GL, DeChamp C (2006) Handbook of Small Animal Orthopedics and Fracture Repair. 4th ed., Saunders, USA, pp 461-475.
Piermattei DL (1993) An atlas of surgical approaches to the bones of the dog and cat. 3rd ed., Saunders, USA, 230-251