Virginia Veterinary Surgical Associates - BluePearl, Richmond, Virginia.
Skylos Sports Medicine, Frederick, Maryland.
Vet Surg. 2020 Dec;49(8):1487-1496. doi: 10.1111/vsu.13513. Epub 2020 Sep 11.
To report the clinical characteristics, surgical management, and medium-term outcomes of total hip replacement (THR) performed in dogs with previous contralateral pelvic limb amputation.
Thirteen client-owned dogs.
Multi-institutional retrospective clinical study.
Data recorded from medical records included signalment, indication for amputation and THR, and surgical complications. Implant positioning and complications were assessed on radiographs. Clinical outcomes were evaluated during follow-up examinations by one of the authors and through a mobility- and lifestyle-based questionnaire completed by owners.
All 13 dogs had satisfactory clinical results at follow-up a median of 3 months (range, 2-36) after THR. No postoperative luxation was recorded. Four dogs had minor complications that did not require additional treatment. The only major complication was one failure of osseointegration of a cementless acetabular cup, and it was successfully revised.
Total hip replacement resulted in satisfactory clinical results and acceptable morbidity in this population.
Total hip replacement should be considered in dogs with severe coxofemoral joint disease and contralateral pelvic limb amputation.
报告在对侧后肢截肢的犬中进行全髋关节置换术（THR）的临床特点、手术管理和中期结果。
13 只患犬。
多机构回顾性临床研究。
从病历中记录的资料包括一般信息、截肢和 THR 的适应证以及手术并发症。通过对 X 线片进行评估来确定植入物的定位和并发症。在 THR 后中位数为 3 个月（范围 2-36 个月）的随访检查中，由一位作者进行临床评估，并通过主人填写的基于活动能力和生活方式的调查问卷进行评估。
所有 13 只犬在 THR 后随访时均取得了满意的临床结果。未记录到术后脱位。4 只犬出现轻微并发症，无需进一步治疗。唯一的重大并发症是 1 例非骨水泥髋臼杯的骨整合失败，并成功进行了修正。
在患有严重髋关节疾病和对侧后肢截肢的犬中，全髋关节置换术可获得满意的临床效果和可接受的发病率。
对于患有严重髋关节疾病和对侧后肢截肢的犬，应考虑进行全髋关节置换术。
