Successful total hip arthroplasty in a miniature horse.
Journal
Veterinary surgery : VS
ISSN: 1532-950X
Titre abrégé: Vet Surg
Pays: United States
ID NLM: 8113214
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
revised:
28
07
2023
received:
13
04
2023
accepted:
03
09
2023
medline:
6
11
2023
pubmed:
27
9
2023
entrez:
27
9
2023
Statut:
ppublish
Résumé
To describe the surgical treatment, postoperative management, and outcome of a miniature horse undergoing total hip arthroplasty (THA). Case report. A 4-year-old miniature horse stallion weighing 85 kg. The horse presented with left coxofemoral luxation of ~6 weeks duration. Computed tomography confirmed craniodorsal luxation with marked degenerative changes to the femoral head. The horse underwent THA using cementless press fit implants, including an interlocking lateral bolt for the femoral stem. The horse recovered well from anesthesia but suffered a coma-like episode after returning to a stable. Following treatment of presumed hypovolemia, the horse regained normal mentation and was discharged 24 days after surgery. At reassessment 12 weeks postoperatively, the horse was 2/10 left hind limb lameness at trot with good healing of the surgery site. Five months postoperatively mild (1/10) lameness remained at trot but the horse was able to canter normally on both reins. The horse has since been managed normally with no veterinary treatment required for 32 months postoperatively. Total hip arthroplasty is possible in miniature horses weighing up to 85 kg and can result in a good long-term outcome.
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
1209-1218Informations de copyright
© 2023 The Authors. Veterinary Surgery published by Wiley Periodicals LLC on behalf of American College of Veterinary Surgeons.
Références
Malark JA, Nixon AJ, Haughland MA, Brown MP. Equine coxofemoral luxations: 17 cases (1975-1990). Cornell Vet. 1992;82:79-90.
Dyce KM, Sack WO, Wensing CJG. Textbook of Veterinary Anatomy. Saunders; 2002.
Nixon AJ, Ducharme NG. Luxation and subluxation of the coxofemoral joint. Equine Fracture Repair. Wiley-Blackell; 2020:706-722.
Clegg PD, Comerford EJ. Coxofemoral luxation-how does our knowledge of treatment in other species help us in the horse? Equine Vet Educ. 2007;19:482-483, 483.
Garcia-Lopez JM. Coxofemoral luxations in the horse: surgical options and challenges. Equine Vet Educ. 2010;22:554-556.
Richardson DW, Ortved KF. Femur and pelvis. Equine Surgery. Elsevier; 2019:1777-1789.
Barr ARS, Fairburn AJ. Aspects of coxofemoral luxations in the horse. Equine Vet Educ. 2014;26:259-261.
Clegg PD, Butson RJ. Treatment of a coxofemoral luxation secondary to upward fixation of the patella in a shetland pony. Vet Rec. 1996;138:134-137.
Portier K, Walsh CM. Coxofemoral luxation in a horse during recovery from general anesthesia. Vet Rec. 2006;159:84-85.
Trotter GW, Auer JA, Arden W, Parks A. Coxofemoral luxation in two foals wearing hindlimb casts. J Am Vet Med Assoc. 1986;189:560-561.
Sprick M, Koch C. Successful treatment of a coxofemoral luxation in a Shetland pony by closed reduction and prolonged immobilization using a full-body animal rescue sling. Case Rep Vet Med. 2020;2020:2424653. doi:10.1155/2020/2424653
Platt D, Wright IM, Houlton JE. Treatment of chronic coxofemoral luxation in a Shetland pony by excision arthroplasty of the femoral head: a case report. Br Vet J. 1990;146:374-379.
Garcia-Lopez JM, Boudrieau RJ, Provost PJ. Surgical repair of coxofemoral luxation in a horse. J Am Vet Med Assoc. 2001;219:1254-1258.
Kuemmerle JM, Furst AE. Treatment of a coxofemoral luxation in a pony using a prosthetic capsule technique. Vet Surg. 2011;40:631-635.
Squire KRE, Fessler JF, Toombs JP, Van Sickle DC, Blevins WE, Clarke RB. Total hip replacement in three ponies - a feasibility study. Vet Comp Orthop Traumatol. 1996;9:4-9.
Huggons N, Andrea R, Grant B, Duncan C. Total hip arthroplasty in the horse: overview, technical considerations and case report. Equine Vet Educ. 2010;22:547-553.
Lawson AL, Opie RR, Stevens KB, Knowles EJ, Mair TS. Application of an equine composite pain scale and its association with plasma adrenocorticotropic hormone concentrations and serum cortisol concentrations in horses with colic. Equine Vet Educ. 2020;32:20-27.
Von Recum AF, Parchinski TJ, Lunceford EM, et al. Experimental coxofemoral replacement hemiarthroplasty in the pony. Vet Surg. 1980;9:116-120.
Apostolou CD, Skourtas CE, Tsifetakis SD, Papagelopoulos PJ. Fat embolism after uncemented total hip arthroplasty. Clin Orthop Relat Res. 2002;398:153-156.
Schiller TD. BioMedtrix total hip replacement systems: an overview. Vet Clin North Am Small Anim Pract. 2017;47:899-916.
Squire KRE, Fessler JF, Toombs JP, Van Sickle DC, Blevins WE. Femoral head ostectomy in horses and cattle. Vet Surg. 1991;20:453-458.
Bergh MS, Budsberg SC. A systematic review of the literature describing the efficacy of surgical treatments for canine hip dysplasia (1948-2012). Vet Surg. 2014;43:501-506.
Schulz KS, Hayashi K, Fossum TW. Diseases of the joints. Small Animal Surgery. Elsevier; 2019:1134-1279.
Gemmill TJ, Pink J, Renwick A, et al. Hybrid cemented/cementless total hip replacement in dogs: seventy-eight consecutive joint replacements. Vet Surg. 2011;40:621-630.
Forster KE, Wills A, Torrington AM, et al. Complications and owner assessment of canine total hip replacement: a multicentre internet based survey. Vet Surg. 2012;41:545-550.
Seibert R, Marcellin-Little DJ, Roe SC, DePuy V, Lascelles BD. Comparison of body weight distribution, peak vertical force, and vertical impulse as measures of hip joint pain and efficacy of total hip replacement. Vet Surg. 2012;41:443-447.
Off W, Matis U. Excision arthroplasty of the hip joint in dogs and cats. Vet Comp Orthop Traumatol. 2010;23:297-305.
Wong WT. Femoral head and neck excision. Complications in Small Animal Surgery. John Wiley & Sons; 2016:751-758.
Francois IB, Thomas AL, Lepage OM. Treatment of coxofemoral luxation in a mature Welsh pony by femoral head ostectomy: long-term outcome. Equine Vet Educ. 2017;29:528-533.
Gracia Calvo LA, Martín-Cuervo M, Peña E, Fruto J, Jiménez J, Ezquerra LJ. Femoral head excision after coxofemoral luxation in an Arab filly: four years follow-up. Equine Vet Educ. 2011;23:346-352.
Main DCJ. Offering the best to patients: ethical issues associated with the provision of veterinary services. Vet Rec. 2006;158:62-66.
Taylor PM. Just because we can-doesn't mean we should. Equine Vet Educ. 2022;34:172-174.
Grimm H, Bergadano A, Musk GC, Otto K, Taylor PM, Duncan JC. (2018) drawing the line in clinical treatment of companion animals: recommendations from an ethics working party. Vet Rec. 2018;182:664.