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Hip replacement is a surgical procedure performed in dogs and cats as a salvage procedure, to alleviate severe pain in the hip due to, for example, hip dysplasia or irreparable bone fracture. [1] [2] The procedure replaces the head of the femur and the acetabulum with prosthetic implants. [1]
Total hip replacement. A good candidate for total hip replacement (THR) must be at least 9–12 months old to be sure he has finished developing and weigh at least 30 pounds (14 kg). The hip implant for dogs is similar to its human counterpart, but it is much smaller. X-rays are used to determine the dimensions of an appropriately sized implant.
Hip replacement is also the preferred clinical option for serious dysplasia in animals that weigh 40–60 lb (18–27 kg). Juvenile pubic symphysiodesis (JPS) is a procedure for very young dogs that manipulates the way the pelvis grows to create a tighter hip.
In dogs, hip dysplasia is an abnormal formation of the hip socket that, in its more severe form, can eventually cause crippling lameness and painful arthritis of the joints. It is a genetic (polygenic) trait that is affected by environmental factors.
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A femoral head ostectomy is a surgical operation to remove the head and neck from the femur. It is performed to alleviate pain, and is a salvage procedure, reserved for condition where pain can not be alleviated in any other way. It is common in veterinary surgery.
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PennHIP (an acronym for "University of Pennsylvania Hip Improvement Program") is a program which evaluates the quality of the hips in dogs. The program was established at the University of Pennsylvania School of Veterinary Medicine by Gail Smith in 1993, with the primary objective of reducing the prevalence of hip dysplasia in dogs.
According to the International Federation of Healthcare Plans, the average cost of a total hip replacement in 2012 was $40,364 in the United States, $11,889 in the United Kingdom, $10,987 in France, $9,574 in Switzerland, and $7,731 in Spain.
Hip dislocations can also occur following a hip replacement or from a developmental abnormality known as hip dysplasia. Hip dislocations are classified by fracture association and by the positioning of the dislocated femoral head. A posteriorly positioned head is the most common dislocation type.