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Treatment of bilateral hip luxation in dogs

Treatment of bilateral hip luxation in dogs

Treatment of bilateral hip luxation in

Treatment of bilateral hip luxation in dogs with the Shani-Johnston-Shahar technique: case report Z. ADAMIAK* Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of Warmia and Mazury, ul. Oczapowskiego14, 1-957 Olsztyn, POLAND. *Corresponding author: zbigniew.adamiak@wp.pl SUMMARY The Shani-Johnston-Shahar technique, described in the present study, was performed in 8 dogs exhibiting bilateral coxofemoral luxation. Twenty weeks after surgery, a complete recovery based on physical and radiographic examinations was achieved in 7/8 dogs whereas the recurrence of hip luxation was noted 3 days after in the last one. These results clearly demonstrate that this easy and quick technique can be successfully indicated in the treatment of bilateral hip luxation in the dog compared to other classical techniques. Keywords: Bilateral coxofemoral luxation, dog, Shani- Johnston-Shahar technique, recovery. Introduction Coxofemoral luxation is the most common luxated joint in dogs [8]. It is generally the results of blunt external trauma with resultant tearing of the joint capsule and rupture of the round ligament of the femoral head. The most common femoral head luxation is in cranio-dorsal direction, while ventral, medial and caudo-dorsal are not common [1-4]. Treatment of traumatic hip dislocation can be conservative one with closed reduction, made within 48 hours of the accident, or surgical one. Surgical therapy includes many techniques, which are divided on intra and extra-articular ones. Among surgical procedures practice in hip luxation in dogs are: prosthetic capsule repair, joint capsule imbrication, transposition of greater trochanter, prosthetic of ligamentum teres with toggle fixation, anchor prearticular suture, transarticular pin, transarticular external skeletal fixator, De-Vita pinning, femoral head osteotomy and triple pelvic osteotomy [2, 4-6, 8]. In most of these techniques complications like pin breakage or migrations, sciatic nerve or rectum injury, necrosis of the femoral head and neck, fistula formation and damage of the joint cartilage have been described. Besides, most of the mentioned above techniques are more or less time-consuming, and required some surgical experiences [6, 8]. The aim of the presented study was to evaluate surgical treatment for bilateral coxofemoral luxation with the technique of Shani-Johnston-Shahar in dogs which appears to be technically easy and quick. RÉSUMÉ Traitement des luxations bilatérales de la hanche chez le chien par la technique de Shani-Johnston-Shahar : cas cliniques La technique de Shani-Johnston-Shahar technique, décrite dans ce travail, a été utilisée sur 8 chiens présentant une luxation bilatérale de l’articulation coxofémorale. Vingt semaines après la chirurgie, une récupération complète clinique et radiographique a été obtenue sur 7 chiens sur 8 tandis que les lésions de luxation sont réapparues 3 jours après dans le dernier cas. Ces résultats montrent clairement que cette technique facile et rapide peut être indiquée avec succès comparé aux autres techniques classiques dans le traitement de la luxation bilatérale de la hanche chez le chien. Mots clés : Luxation coxofémorale bilatérale, chien, technique de Shani-Johnston-Shahar, récupération. Material and Methods ANIMALS Between 2005-2011, surgical treatment using the Shani- Johnston-Shahar technique was performed among 8 dogs (3 mix-breed, 2 rattlers, 1 whippet, 1 Shetland Sheppard dog and 1 middle schnauzer), 2-5 years old, weighing 3 to 19 kg, exhibiting bilateral hip luxation. For all dogs, physical and orthopaedic examinations were performed. After premedication with xylazine (VetaXyl, Vetagro, Poland,1 mg/kg, intramuscularly) radiographic examination of both hips on ventro-dorsal and lateral positions were performed. Based on these examinations, unilateral cranio-dorsal coxofemoral luxation per hip was diagnosed in all cases (figure 1). Besides, no arthritic changes were observed on the luxated joints. Duration between injury and surgery lasted from 5 to 21 days. SURGICAL PROCEDURE Antibiotic (Ceporex; Schering-Plough, Great Britain, 18 mg/kg, intramuscularly) and analgesic agent (Tolfedine 4%, Vetoquinol, France, 4 mg/kg, subcutaneously) were given to dogs one hour before surgery. Thereafter, dogs received 0.1 mg/kg acetylpromazine maleinate (Calmivet; Vetoquinol, France) and buprenorphinum 0.02 mg/kg (Bunondol; Polfa, Poland) intramuscularly. Anaesthesia was initiated with a combination of 2 mg/kg xylazine (Rometar; SPOFA, Czech) intramuscularly Revue Méd. Vét., 2012, 163, 2, 76-78

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