Gemmill T J, Pink J, Clarke S P, McKee W M
Willows Referral Service, Highlands Road, Solihull, B90 4NH, UK.
J Small Anim Pract. 2012 Aug;53(8):453-8. doi: 10.1111/j.1748-5827.2012.01236.x. Epub 2012 Jul 11.
To evaluate dogs diagnosed with slipped femoral capital epiphysis which were treated by total hip replacement.
Clinical and radiographic records of consecutive cases of slipped femoral capital epiphysis treated by total hip replacement were reviewed. Longer-term follow-up was by owner questionnaire.
Fifteen cases were identified; 14 were affected unilaterally, 1 bilaterally. Median age at presentation was 13 months (range 6 to 30); median weight was 35 kg (range 10 to 66). Radiographically, proximal femoral sclerosis was evident in 13 of 16 hips. Thirteen hybrid and three cemented total hip replacements were performed. One dog had a stem complication five months postoperatively necessitating explantation. All other total hip replacements remained functional. At four weeks postoperatively lameness and pain scores were improved in all cases. Fourteen total hip replacements were examined after three months. Lameness was mild in 2 limbs and absent in 12; pain on manipulation was not apparent in any case. Significant radiographic complications were not encountered. Telephone questionnaires were performed for 14 cases (15 total hip replacements) at a median of 22 months postoperatively (range 8 to 45). Lameness was reportedly absent for 12 limbs and intermittent in 3. All owners felt that their dogs' quality of life was good.
Total hip replacement can be a successful technique to treat slipped femoral capital epiphysis.
评估接受全髋关节置换术治疗的诊断为股骨头骨骺滑脱的犬只。
回顾连续接受全髋关节置换术治疗的股骨头骨骺滑脱病例的临床和影像学记录。通过主人问卷调查进行长期随访。
共确定15例病例；14例为单侧受累，1例为双侧受累。就诊时的中位年龄为13个月（范围6至30个月）；中位体重为35千克（范围10至66千克）。影像学检查显示，16个髋关节中有13个出现股骨近端硬化。共进行了13例混合型和3例骨水泥型全髋关节置换术。1只犬在术后5个月出现假体柄并发症，需要取出假体。所有其他全髋关节置换术均保持功能良好。术后4周时，所有病例的跛行和疼痛评分均有所改善。3个月后对14例全髋关节置换术进行了检查。2个肢体有轻度跛行，12个肢体无跛行；所有病例在手法检查时均未发现疼痛。未遇到明显的影像学并发症。在术后中位时间22个月（范围8至45个月）时，对14例病例（15个全髋关节置换术）进行了电话问卷调查。据报告，12个肢体无跛行，3个肢体有间歇性跛行。所有主人都认为他们的犬只生活质量良好。
全髋关节置换术可以是治疗股骨头骨骺滑脱的一种成功技术。
