Hybrid Cemented/Cementless Total Hip Replacement in Dogs: Seventy‐Eight Consecutive Joint Replacements

Gemmill, Toby; Pink, Jonathan; Renwick, Alasdair; Oxley, Bill; Downes, C. J.; Roch, Simon; McKee, W. M.

doi:10.1111/j.1532-950x.2011.00827.x

Cited by 43 publications

(55 citation statements)

References 41 publications

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“…In the present study, the increased regional bone GV around the acetabular component, most likely at the central and caudal periprosthetic acetabular regions, after 4 months of uncemented design of hip arthroplasty may be related to cancellous bone densification in these regions. This is consistent with a previous study that recorded 50 canine hips with increased bone densification around uncemented acetabular component [27]. The periprosthetic acetabular bone densification could be a manifestation of an early return to limb function after uncemented THA.…”

Section: Discussionsupporting

confidence: 92%

Radiographic evaluation of early periprosthetic acetabular bone contrast and prosthetic head acetabular coverage after uncemented and cemented total hip prosthesis in dogs

et al. 2016

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BackgroundCoxofemoral osteoarthritis is a chronic, disabling condition affecting people and dogs, with THA providing an excellent return to function in severely affected joints. The principal role of THA is to restore an adequate range of motion to the hip joint while transferring load from the acetabulum in order to improve the survival of the implant and enhance the limb function in the short and long terms. The objectives of the study reported here were, therefore, to radiographically evaluate periprosthetic acetabular bone GV and to assess prosthetic head acetabular coverage after 4 months of uncemented and cemented THA in dogs. Means periprosthetic acetabular GV for each and combined 3 regions of interest (zones 1, 2 and 3) were calculated immediately and 4 months after THA. Prosthetic head Norberg (PHN) angle was also measured to assess the degree of prosthetic head acetabular coverage after 4 months of surgery.ResultsZones 2 and 3 showed a significant increase in the mean bone GV after 4 months of uncemented THA. No differences in zones 1–3 after 4 months of cemented THA. Combined zones showed a significant increase in overall mean bone GV 4 months after uncemented THA; whereas, no changes were identified after 4 months of cemented THA. The PHN angles did not change after 4 months of uncemented and cemented THA and did not differ significantly between the 2 designs of hip arthroplasty.ConclusionsRegional periprosthetic acetabular bone GV varies with the design of THA. None of the designs showed periprosthetic acetabular bone lucency. No differences identified in the degree of prosthetic head acetabular coverage in both designs, indicating proper implant stability after 4 months of surgery. Further longer–term investigation on larger population is however still warranted.

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Section: Discussionsupporting

confidence: 92%

Radiographic evaluation of early periprosthetic acetabular bone contrast and prosthetic head acetabular coverage after uncemented and cemented total hip prosthesis in dogs

et al. 2016

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“…Cementless THR have reported similar complication rates to that of cemented prostheses (DeYoung and others 1992, 1993, Guerrero and Montavon 2009). Using a combination of cemented femoral and cementless acetabular components has been described as an alternative to either entirely cemented or cementless implantation (Gemmill and others 2011, Minto and others 2011). …”

Section: Introductionmentioning

confidence: 99%

Evaluation of variables influencing success and complication rates in canine total hip replacement: results from the British Veterinary Orthopaedic Association Canine Hip Registry (collation of data: 2010–2012)

et al. 2017

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms and report owner-assessed outcomes.Methods: Entries into the British Veterinary Orthopaedic Association-Canine Hip Registry (BVOA-CHR) between September 2011 and December 2012 were reviewed separately and in conjunction with previous data. An online, owner-administered outcomes assessment questionnaire (modified from the Liverpool Osteoarthritis in Dogs (LOAD) questionnaire) was used to collect outcomes data from owners. Results:The incidence of surgeon and owner reported complications were 8.2% and 4.3% respectively. No significant association was identified between bodyweight, age, sex, breed or indication for THR and the incidence of complications. THR using the BFX cup/stem prosthesis had a significantly greater likelihood of complication compared to when using the CFX cup/stem prosthesis (p=0.002); a complication was 4.48 times more likely to occur when using the BFX cup/stem prosthesis versus the CFX cup/stem prosthesis. THR using the BFX cup/stem prosthesis had a significantly higher likelihood of complication compared to when using a hybrid prosthesis (BFX cup/CFX stem, CFX cup/BFX stem) (p=0.046); a complication was 2.85 times more likely to occur when using the BFX cup/stem prosthesis versus a hybrid prosthesis. In 95% of cases, owners described their satisfaction with the outcome of THR as 'very good' or 'good'. Conclusions:Complication rates from the BVOA-CHR are similar to previous studies. 'Surgeon' and 'clinic' are not variables in our analysis (contractual) but the data suggest that prosthesis type has a relationship with complication rate, with Biomedtrix BFX (circa 2012) having a high short-term complication rate.

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“…For each case, clinical, surgical and radiographic records were reviewed. Longer‐term follow‐up (>6 months) was performed using an owner telephone questionnaire, as has been previously described (Gemmill and others ).…”

Section: Methodsmentioning

confidence: 99%

“…Total hip replacement (THR) has become well established as a successful technique for treatment of debilitating conditions of the coxofemoral joint in dogs (Massat and Vasseur , Olmstead , Guerrero and Montavon , Gemmill and others ). Whilst osteoarthritis secondary to hip dysplasia remains the most common indication, THR has also been used to successfully manage traumatic hip luxation, capital physeal fractures and avascular necrosis of the femoral head (Pozzi and others , Liska , Jankovits and others , Kalis and others ).…”

Section: Introductionmentioning

confidence: 99%

Total hip replacement for the treatment of atraumatic slipped femoral capital epiphysis in dogs

Gemmill

Pink

Clarke

et al. 2012

J of Small Animal Practice

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Hybrid Cemented/Cementless Total Hip Replacement in Dogs: Seventy‐Eight Consecutive Joint Replacements

Abstract: Hybrid THR can be performed successfully with a low complication rate and represents an alternative to either entirely cemented or cementless implantation.

Cited by 43 publications

References 41 publications

Radiographic evaluation of early periprosthetic acetabular bone contrast and prosthetic head acetabular coverage after uncemented and cemented total hip prosthesis in dogs

Radiographic evaluation of early periprosthetic acetabular bone contrast and prosthetic head acetabular coverage after uncemented and cemented total hip prosthesis in dogs

Evaluation of variables influencing success and complication rates in canine total hip replacement: results from the British Veterinary Orthopaedic Association Canine Hip Registry (collation of data: 2010–2012)

Total hip replacement for the treatment of atraumatic slipped femoral capital epiphysis in dogs

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