한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제39권6호
  • /
  • Pages.390-394
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  • 2022
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
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Dual Mobility Cup for Revision of Dislocation of a Hip Prosthesis in a Dog with Chronic Hip Dislocation

  • Jaemin, Jeong (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University) ;
  • Haebeom, Lee (Department of Veterinary Surgery, College of Veterinary Medicine, Chungnam National University)
  • 투고 : 2022.10.27
  • 심사 : 2022.12.12
  • 발행 : 2022.12.31
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초록

A 6-year-old, 36.5 kg castrated male Golden Retriever presented for revision surgery for left total hip replacement. The patient underwent removal of the cup and head implants due to unmanageable prosthetic hip dislocation, despite revision surgery. On physical examination, the dog showed persistent weight-bearing lameness after exercise of the left hindlimb with mild muscle atrophy. Radiographic examination revealed dorsolateral displacement of the femur with a remnant stem and bony proliferation around the cranial and caudal acetabulum rims. The surgical plan was to apply the dual mobility cup to increase the range of motion and jump distance to correct soft tissue elongation and laxity caused by a prolonged period of craniodorsal dislocation of the femur. The preparation of the acetabulum for cup fixation was performed with a 29-mm reamer, and the 29.5-mm outer shell was fixed with five 2.4-mm cortical screws. The head and medium neck of the dual-mobility system were placed on the cup, and the hip joint was reduced between the neck and stem. The dog exhibited slight weight bearing on a controlled leash walk the day after surgery. The patient was discharged 2 weeks postoperatively without any complications. Six months postoperatively, osseointegration and a well-positioned cup implant were observed, and the dog showed excellent limb function without hip dislocation until 18 months of phone call follow-up.

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과제정보

This work was supported by Korea Institute of Planning and Evaluation for Technology in Food, Agriculture and Forestry (IPET) through Companion Animal Whole Cycle Industialization Technology Development Program, funded by Ministry of Agriculture, Food and Rural Affairs (MAFRA) (322090).

참고문헌

  1. Allen MJ. Advances in total joint replacement in small animals. J Small Anim Pract 2012; 53: 495-506. https://doi.org/10.1111/j.1748-5827.2012.01264.x
  2. Berry DJ, von Knoch M, Schleck CD, Harmsen WS. Effect of femoral head diameter and operative approach on risk of dislocation after primary total hip arthroplasty. J Bone Joint Surg Am 2005; 87: 2456-2463.
  3. Bozic KJ, Kurtz SM, Lau E, Ong K, Vail TP, Berry DJ. The epidemiology of revision total hip arthroplasty in the United States. J Bone Joint Surg Am 2009; 91: 128-133. https://doi.org/10.2106/JBJS.H.00155
  4. Conzemius MG, Vandervoort J. Total joint replacement in the dog. Vet Clin North Am Small Anim Pract 2005; 35: 1213-1231, vii. https://doi.org/10.1016/j.cvsm.2005.05.006
  5. Cook JL, Evans R, Conzemius MG, Lascelles BD, McIlwraith CW, Pozzi A, et al. Proposed definitions and criteria for reporting time frame, outcome, and complications for clinical orthopedic studies in veterinary medicine. Vet Surg 2010; 39: 905-908. https://doi.org/10.1111/j.1532-950X.2010.00763.x
  6. Dyce J, Wisner ER, Wang Q, Olmstead ML. Evaluation of risk factors for luxation after total hip replacement in dogs. Vet Surg 2000; 29: 524-532.
  7. Guerrero TG, Montavon PM. Zurich cementless total hip replacement: retrospective evaluation of 2nd generation implants in 60 dogs. Vet Surg 2009; 38: 70-80. https://doi.org/10.1111/j.1532-950X.2008.00466.x
  8. Guillaumot P, Autefage A, Dembour T, Chancrin JL. Outcome and complications after dual mobility total hip replacement: fifty cases with a minimum of six months clinical and radiographic follow-up. Vet Comp Orthop Traumatol 2012; 25: 511-517. https://doi.org/10.3415/VCOT-11-08-0116
  9. Guillaumot P, Autefage A, Palierne S, Dembour T, Chancrin JL. Dual mobility canine total hip prosthesis: implant characteristics and surgical procedure. Vet Comp Orthop Traumatol 2012; 25: 506-510. https://doi.org/10.3415/VCOT-11-11-0157
  10. Hayes GM, Ramirez J, Langley Hobbs SJ. Does the degree of preoperative subluxation or soft tissue tension affect the incidence of postoperative luxation in dogs after total hip replacement? Vet Surg 2011; 40: 6-13.
  11. Lachiewicz PF, Watters TS. The use of dual-mobility components in total hip arthroplasty. J Am Acad Orthop Surg 2012; 20: 481-486. https://doi.org/10.5435/JAAOS-20-08-481
  12. Lanz OI, Forzisi I, Vezzoni A. Zurich cementless dual mobility cup for canine total hip prosthesis: implant characteristics and surgical outcome in 105 cases. Vet Comp Orthop Traumatol 2021; 34: 294-302. https://doi.org/10.1055/s-0041-1725015
  13. Peck JN, Marcellin-Little DJ. Advances in small animal total joint replacement. West Sussex: John Wiley & Sons. 2013.
  14. Phillips CB, Barrett JA, Losina E, Mahomed NN, Lingard EA, Guadagnoli E, et al. Incidence rates of dislocation, pulmonary embolism, and deep infection during the first six months after elective total hip replacement. J Bone Joint Surg Am 2003; 85: 20-26.
  15. Plummer DR, Haughom BD, Della Valle CJ. Dual mobility in total hip arthroplasty. Orthop Clin North Am 2014; 45: 1-8. https://doi.org/10.1016/j.ocl.2013.08.004
  16. Roe SC, Sidebotham C, Marcellin-Little DJ. Acetabular cup liner and prosthetic head exchange to increase the head diameter for management of recurrent luxation of a prosthetic hip in two dogs. Vet Comp Orthop Traumatol 2015; 28: 60-66. https://doi.org/10.3415/VCOT-13-10-0128
  17. Vasukutty NL, Middleton RG, Matthews EC, Young PS, Uzoigwe CE, Minhas TH. The double-mobility acetabular component in revision total hip replacement: the United Kingdom experience. J Bone Joint Surg Br 2012; 94: 603-608.
  18. Vedrine B, Guillaumot P, Chancrin JL. Dislocation of a dual mobility total hip replacement following fracture of the polyethylene liner. Vet Comp Orthop Traumatol 2016; 29: 259-264. https://doi.org/10.3415/vcot-15-01-0016
  19. Vezzoni L, Vezzoni A, Boudrieau RJ. Long-term outcome of Zurich cementless total hip arthroplasty in 439 cases. Vet Surg 2015; 44: 921-929. https://doi.org/10.1111/vsu.12371