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- Title
Risk Factors for Ventral Luxation in Canine Total Hip Replacement.
- Authors
NELSON, LAURA L.; DYCE, JONATHAN; SHOTT, SUSAN
- Abstract
Objective To identify risk factors associated with ventral luxation (VL) of canine total hip replacement (THR), and outcome. Study Design Retrospective study. Animals Dogs (n=602) that had THR (563 cemented, 35 cementless, 4 hybrid). Methods Dogs (1999–2004) with VL after THR were compared with dogs with uncomplicated THR. Data included signalment, body weight, diagnosis, implant size, acetabular cup orientation, and femoral displacement ratio (FDR). Results VL was diagnosed in 11 (1.8%) dogs after primary THR. Including 2 other dogs that had VL after the study period, 10 (77%) of 13 dogs had VL within 7 days of surgery. Risk factors for VL included Saint Bernard-type dogs ( P=.0001), short neck extension ( P=.0005), and high angle of lateral opening in other breeds ( P=.018). There were trends toward higher risk of VL with lower FDR in Saint Bernardtypes ( P=.060), and with cementless implants ( P=.061). Twelve dogs had revision arthroplasty that was successful in all cementless and 2 cemented VL cases. Five dogs had recurrent VL and a poor outcome. Conclusion VL is generally an early complication of THR, with no single common risk factor identified. Clinical Relevance Saint Bernard types and short neck extensions are associated with increased risk of VL. Poor cup orientation is a determining factor for VL in some dogs, but a protective orientation of the acetabular cup was not found. Revision is successful in most dogs, but recurrent VL merits a guarded prognosis.
- Publication
Veterinary Surgery, 2007, Vol 36, Issue 7, p644
- ISSN
0161-3499
- Publication type
Article
- DOI
10.1111/j.1532-950X.2007.00316.x