To describe surgical methods for the management of long term traumatic hip luxation. One client-owned 11 year old mongrel dog with 3 month craniodorsal hip luxation.A tripelvic osteotomy was performed through the stan...To describe surgical methods for the management of long term traumatic hip luxation. One client-owned 11 year old mongrel dog with 3 month craniodorsal hip luxation.A tripelvic osteotomy was performed through the standard normal procedures under general anesthesia. Pubic wedge osteotomy was done first then the ischial osteotomy was performed after. Approach to the craniodorsal aspect of the hip joint was through a craniolateral incision. The soft tissue in the acetabulum was debrided similar to the preparation for total hip replacement. The luxated hip joint was reduced. Iliac osteotomy was performed and thirty degree tripelvic plate was used to fix the osteotomic site. To close the vastus lateralis and deep gluteal muscles,tensor fasciae latae,subcutaneous tissue,and skin used standard methods. Exercise restrained for three months.The dog returned to use the affected limb three days after surgery. There was no any lameness observed at three months after surgery. The dog could jump and run at four months postoperatively. There was no complications and excellent activity one year later.In this case report,tripelvic osteotomy and acetabular reconstruction together can be used for the management of long term traumatic hip luxation. The surgical techniques can be an option for veterinary surgeon to manage long term hip luxation instead of other surgical methods.展开更多
文摘To describe surgical methods for the management of long term traumatic hip luxation. One client-owned 11 year old mongrel dog with 3 month craniodorsal hip luxation.A tripelvic osteotomy was performed through the standard normal procedures under general anesthesia. Pubic wedge osteotomy was done first then the ischial osteotomy was performed after. Approach to the craniodorsal aspect of the hip joint was through a craniolateral incision. The soft tissue in the acetabulum was debrided similar to the preparation for total hip replacement. The luxated hip joint was reduced. Iliac osteotomy was performed and thirty degree tripelvic plate was used to fix the osteotomic site. To close the vastus lateralis and deep gluteal muscles,tensor fasciae latae,subcutaneous tissue,and skin used standard methods. Exercise restrained for three months.The dog returned to use the affected limb three days after surgery. There was no any lameness observed at three months after surgery. The dog could jump and run at four months postoperatively. There was no complications and excellent activity one year later.In this case report,tripelvic osteotomy and acetabular reconstruction together can be used for the management of long term traumatic hip luxation. The surgical techniques can be an option for veterinary surgeon to manage long term hip luxation instead of other surgical methods.
