Total hip arthroplasty in the horse: Overview, technical considerations and case report

Authors: 
N. Huggons, R. Andrea, B. Grant, C. Duncan
Volume: 
22
Number: 
11
Pages: 
547-553
Journal: 
Equine Veterinary Education
Date: 
November 2010

A total hip arthroplasty was performed in a small equine patient with a history of traumatic subluxation of the coxofemoral joint during infancy resulting in severe degenerative changes to the femoral head and acetabulum. The transtrochanteric surgical approach used to expose the joint, as well as the technique and technology to replace the joint, is described. The patient was weightbearing within 24 h of surgery and walking successfully without sling support 4 days post operatively. On the fifth post operative day, the patient abruptly deteriorated and succumbed to multiple pulmonary thromboemboli and a jejunal infarction. Despite the systemic complications in this case, the initial short-term success of this treatment option indicate its potential to be considered in the management of equine coxofemoral joint disease/lesions.

Large animal: