Case Studies: Orthopaedic Surgery – Hip surgery

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Total hip replacements

Total hip replacements are going from strength to strength at WMR. We use a cementless system (Kyon and Biometrix). Doing plenty and getting a slick system and team in place is the key to minimising complications with this procedure. We are doing one a week. THRs take a lot of preparation – prevention of infection is...

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Fixation of hip luxation with a “toggle”

Hips can dislocate (luxate) because of trauma, or sometimes because of underlying pathology (hip dysplasia). When hips luxate because of trauma they can often be reduced (put back in) without opening the joint up surgically, but the re-luxation rate can then be quite high – as many as half or two-thirds will luxate again. Open...

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Total hip replacement in dogs

We are regularly doing total hip replacement surgery at Lichfield, and at very competitive prices. Most owners are seeking this surgery for the long term management of joints of larger breed dogs affected by hip dysplasia. Andy Whittingham leads this elective procedure, and he has experience of well over 200 cases.   The case presented...

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Hip neurectomy

Hip dysplasia is common. It frequently becomes apparent from 6 months or so of age and can lead to serious pain when the hip is extended. In larger dogs at least, the gold standard surgical treatment is total hip replacement surgery (see separate article on THR). This is however is pretty expensive and does carry...

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Femoral head and neck excision

Femoral head and neck excision (FHNE) involves removing the ball of the hip ball-and socket joint, usually with an oscillating saw. As healing progresses, a fibrous tissue articulation develops to replace the joint. Diligent physiotherapy and/or hydrotherapy is needed in the following two months to keep this pseudoarthrosis (“false joint”) articulation flexible to achieve a...

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