Download PDF
Vet Comp Orthop Traumatol
DOI: 10.1055/s-0044-1788919
Original Research

The Impact of Double Pelvic Osteotomy on Dorsolateral Subluxation in 24 Dogs

Daniel C. Lomas
1   Surgery Department, Small Animal Specialist Hospital, Sydney, New South Wales, Australia
,
Paul L. Jenkins
1   Surgery Department, Small Animal Specialist Hospital, Sydney, New South Wales, Australia
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Objective The aim of this study was to determine the effect of double pelvic osteotomy (DPO) on dorsolateral subluxation (DLS) of the femoral head in a weight-bearing position.

Study Design Retrospective observational study with treatment effect analysis. Twenty-four client-owned dogs that underwent DPO due to hip dysplasia.

Methods Computed tomography (CT) studies were performed on 24 dogs that underwent a DPO between 2015 and 2021. The patients were positioned with the femora in a weight-bearing position. The DLS score was measured pre-DPO, immediately post-DPO, and at follow-up to determine if DPO resulted in an increase in the DLS score.

Results A total of 21 dogs underwent single-stage bilateral DPO and 3 dogs underwent unilateral DPO resulting in 45 hip joints available for analysis. Follow-up CT was available for 29 of these at a median of 51 days (range: 35–482 days). The mean DLS score was 36.1% ± 14.6 preoperatively, 71.4% ± 12.5 post-DPO, and 70.0% ± 15.3 at follow-up. The increase between the pre- and postoperative measurement was significant (p < 0.001).

Conclusion DPO results in reduced subluxation of the femoral head in a weight-bearing position.

Clinical Significance The in vivo results suggest that DPO will result in reduced femoral subluxation during weight-bearing.

Keywords

osteotomy - joint - pelvic osteotomy - hip dysplasia - dorsolateral subluxation

Authors' Contribution

D.L. and P.J. contributed to conception of study, study design, acquisition of data and analysis and interpretation of data. Both the authors are responsible for drafting, revision and approval of the manuscript and are accountable for relevant content.




Publication History

Received: 28 September 2023

Accepted: 18 July 2024

Article published online:
05 August 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Henricson B, Norberg I, Olsson SE. On the etiology and pathogenesis of hip dysplasia: a comparative review. J Small Anim Pract 1966; 7 (11) 673-688
    CrossrefPubMedGoogle Scholar
  • 2 Malm S, Fikse F, Egenvall A. et al. Association between radiographic assessment of hip status and subsequent incidence of veterinary care and mortality related to hip dysplasia in insured Swedish dogs. Prev Vet Med 2010; 93 (2–3): 222-232
    CrossrefPubMedGoogle Scholar
  • 3 Smith G, Leighton E, Karbe G, McDonald-Lync M. Pathogenesis, diagnosis, and control of canine hip dysplasia. In: Johnston S, Tobias K. eds. Veterinary Surgery: Small Animal. 2nd ed.. St Louis, MO: Elseivier; 2018
    Google Scholar
  • 4 Slocum B. Pelvic osteotomy technique for axial rotation of the acetabular segment in dogs. J Am Anim Hosp Assoc 1986; 22: 331-338
    PubMedGoogle Scholar
  • 5 Dejardin LM, Perry RL, Arnoczky SP, Torzilli PA. The effect of triple pelvic osteotomy on hip force in dysplastic dogs: a theoretical analysis. Vet Surg 1996; 25 (02) 114-120
    CrossrefPubMedGoogle Scholar
  • 6 Haudiquet P, Guillon J. eds. Radiographic evaluation of double pelvic osteotomy versus triple pelvic osteotomy in the dog: an in vitro experimental study. Paper presented at: Proceedings of 13th ESVOT Congress, Munich, Germany; September 7–10, 2006
    PubMedGoogle Scholar
  • 7 Punke JP, Fox DB, Tomlinson JL, Davis JW, Mann FA. Acetabular ventroversion with double pelvic osteotomy versus triple pelvic osteotomy: a cadaveric study in dogs. Vet Surg 2011; 40 (05) 555-562
    CrossrefPubMedGoogle Scholar
  • 8 Vezzoni A, Boiocchi S, Vezzoni L, Vanelli AB, Bronzo V. Double pelvic osteotomy for the treatment of hip dysplasia in young dogs. Vet Comp Orthop Traumatol 2010; 23 (06) 444-452
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 Zanetti EM, Terzini M, Mossa L. et al. A structural numerical model for the optimization of double pelvic osteotomy in the early treatment of canine hip dysplasia. Vet Comp Orthop Traumatol 2017; 30 (04) 256-264
    Article in Thieme ConnectPubMedGoogle Scholar
  • 10 Jenkins PL, James DR, White JD. et al. Assessment of the medium- to long-term radiographically confirmed outcome for juvenile dogs with hip dysplasia treated with double pelvic osteotomy. Vet Surg 2020; 49 (04) 685-693
    CrossrefPubMedGoogle Scholar
  • 11 Tavola F, Drudi D, Vezzoni L, Vezzoni A. Postoperative complications of double pelvic osteotomy using specific plates in 305 dogs. Vet Comp Orthop Traumatol 2022; 35 (01) 47-56
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Petazzoni M, Tamburro R. Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10-28 months. Vet Surg 2022; 51 (02) 320-329
    CrossrefPubMedGoogle Scholar
  • 13 Dejardin LM, Perry RL, Arnoczky SP. The effect of triple pelvic osteotomy on the articular contact area of the hip joint in dysplastic dogs: an in vitro experimental study. Vet Surg 1998; 27 (03) 194-202
    CrossrefPubMedGoogle Scholar
  • 14 Smith GK, Biery DN, Gregor TP. New concepts of coxofemoral joint stability and the development of a clinical stress-radiographic method for quantitating hip joint laxity in the dog. J Am Vet Med Assoc 1990; 196 (01) 59-70
    CrossrefPubMedGoogle Scholar
  • 15 Farese JP, Todhunter RJ, Lust G, Williams AJ, Dykes NL. Dorsolateral subluxation of hip joints in dogs measured in a weight-bearing position with radiography and computed tomography. Vet Surg 1998; 27 (05) 393-405
    CrossrefPubMedGoogle Scholar
  • 16 Todhunter RJ, Bertram JE, Smith S. et al. Effect of dorsal hip loading, sedation, and general anesthesia on the dorsolateral subluxation score in dogs. Vet Surg 2003; 32 (03) 196-205
    CrossrefPubMedGoogle Scholar
  • 17 Valastro C, Franchini D, Valentini V. et al. The CT dorsolateral subluxation index is a feasible method for quantifying laxity in the feline hip joint. Vet Radiol Ultrasound 2019; 60 (04) 372-377
    CrossrefPubMedGoogle Scholar
  • 18 Fujiki M, Kurima Y, Yamanokuchi K, Misumi K, Sakamoto H. Computed tomographic evaluation of growth-related changes in the hip joints of young dogs. Am J Vet Res 2007; 68 (07) 730-734
    CrossrefPubMedGoogle Scholar
  • 19 Kishimoto M, Yamada K, Pae S-H. et al. Quantitative evaluation of hip joint laxity in 22 Border Collies using computed tomography. J Vet Med Sci 2009; 71 (02) 247-250
    CrossrefPubMedGoogle Scholar
  • 20 Fujiki M, Misumi K, Sakamoto H. Laxity of canine hip joint in two positions with computed tomography. J Vet Med Sci 2004; 66 (08) 1003-1006
    CrossrefPubMedGoogle Scholar
  • 21 Gaspar AR, Hayes G, Ginja C, Ginja MM, Todhunter RJ. The Norberg angle is not an accurate predictor of canine hip conformation based on the distraction index and the dorsolateral subluxation score. Prev Vet Med 2016; 135: 47-52
    CrossrefPubMedGoogle Scholar
  • 22 Lust G, Todhunter RJ, Erb HN. et al. Repeatability of dorsolateral subluxation scores in dogs and correlation with macroscopic appearance of hip osteoarthritis. Am J Vet Res 2001; 62 (11) 1711-1715
    CrossrefPubMedGoogle Scholar
  • 23 Lust G, Todhunter RJ, Erb HN. et al. Comparison of three radiographic methods for diagnosis of hip dysplasia in eight-month-old dogs. J Am Vet Med Assoc 2001; 219 (09) 1242-1246
    CrossrefPubMedGoogle Scholar
  • 24 Farese JP, Lust G, Williams AJ, Dykes NL, Todhunter RJ. Comparison of measurements of dorsolateral subluxation of the femoral head and maximal passive laxity for evaluation of the coxofemoral joint in dogs. Am J Vet Res 1999; 60 (12) 1571-1576
    CrossrefPubMedGoogle Scholar
  • 25 Lust G, Williams AJ, Burton-Wurster N. et al. Joint laxity and its association with hip dysplasia in Labrador retrievers. Am J Vet Res 1993; 54 (12) 1990-1999
    CrossrefPubMedGoogle Scholar
  • 26 Runge JJ, Kelly SP, Gregor TP, Kotwal S, Smith GK. Distraction index as a risk factor for osteoarthritis associated with hip dysplasia in four large dog breeds. J Small Anim Pract 2010; 51 (05) 264-269
    CrossrefPubMedGoogle Scholar
  • 27 Schawalder P, Spreng D, Dietschi E, Dolf G, Gaillard C. Beitrag zur Biomechanik des Hüftgelenks mit neuen diagnostischen Aspekten im Umfeld der Hüftgelenkdysplasie. Teil I. Schweiz Arch Tierheilkd 1996; 138 (11) 511-522
    PubMedGoogle Scholar
  • 28 Flückiger M, Friedrich G. Hüftgelenksdysplasie (HD) beim Hund–Eine neue Röntgentechnik zur Erkennung lockerer Hüftgelenke. Schweiz Arch Tierheilkd 1997; 139: 183-185
    PubMedGoogle Scholar
  • 29 Smet M-H, Marchal GJ, Baert AL. et al. Three-dimensional imaging of acetabular dysplasia: diagnostic value and impact on surgical type classification. Eur J Radiol 2000; 34 (01) 26-31
    CrossrefPubMedGoogle Scholar
  • 30 Taylor N, Renfrew H. Does dose matter? Ionising radiation exposure of the veterinary patient from computed tomography: a discussion. Top Companion Anim Med 2022; 51: 100697
    CrossrefPubMedGoogle Scholar