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Vet Comp Orthop Traumatol 2025; 38(02): 057-062
DOI: 10.1055/s-0044-1789264
Original Research

Complications and Long-Term Outcome in 30 Canine Total Hip Arthroplasties Using a Second-Generation Selective Laser Melted Screw Cup

Nikolaus Huels
1   Klinik für Kleintiere, Stiftung Tierärztliche Hochschule Hannover, Hannover, Germany
,
Philipp Dautzenberg
2   Kleintierzentrum alte Druckerei, Herzogenrath, Germany
,
Dana Keim
3   Tierärztliche Klinik Gessertshausen Altano GmbH, Gessertshausen, Germany
,
Oliver Harms
4   Fachzentrum für Kleintiermedizin, Langenhagen, Germany
,
Johannes Siedenburg
1   Klinik für Kleintiere, Stiftung Tierärztliche Hochschule Hannover, Hannover, Germany
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Abstract

Objective The aim of this study was to report complications and outcomes of a cementless total hip arthroplasty (THA) system with a second-generation selective laser-melted screw cup (SCSL).

Study Design All THA using the SCSL performed at a single institution between January 2017 and November 2022 were retrospectively evaluated. Patients with a minimum follow-up period of 12 months and complete medical records were included and analyzed for radiographic and clinical outcomes.

Results Thirty THA with SCSL in 23 dogs were included in this study. Complications were observed in seven hips, comprising two minor and five major complications, with two hips experiencing two major complications. Among these seven major complications, six were associated with the femoral implant and one involved cup luxation. Of the 30 THA, 4 were explanted, while 26 remained in place for a median follow-up of 17.5 months (range, 12–38 months).

Conclusion No cases of late aseptic loosening were observed with SCSL. THA using SCSL helps reduce cup-associated complications and is appropriate for THA surgery, and the overall complication rate is comparable with that of other single-implant systems. Nevertheless, four hips were explanted.

Keywords

dog - cementless - total hip replacement - 3D printing - hip dysplasia

Authors' Contribution

J.S. and N.H. contributed to the conception of the study, study design, and acquisition of data. D.K. and P.D. contributed to the conception of the study and acquisition of data. O.H. performed all surgical procedures as a primary surgeon. N.H. was responsible for data analysis and paper writing. All the authors drafted, revised, and approved the final manuscript.


Supplementary Material



Publication History

Received: 08 January 2024

Accepted: 01 August 2024

Article published online:
22 August 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Allaith S, Tucker LJ, Innes JF. et al. Outcomes and complications reported from a multiuser canine hip replacement registry over a 10-year period. Vet Surg 2023; 52 (02) 196-208
    CrossrefPubMedSearch in Google Scholar
  • 2 Alvarez-Sanchez A, Amsellem P, Vezzoni L, Vezzoni A. Zürich cementless total hip arthroplasty as a treatment option for capital physeal fractures in dogs: outcome in 53 cases. Vet Surg 2021; 50 (05) 1054-1064
    CrossrefPubMedSearch in Google Scholar
  • 3 Fitzpatrick N, Pratola L, Yeadon R, Nikolaou C, Hamilton M, Farrell M. Total hip replacement after failed femoral head and neck excision in two dogs and two cats. Vet Surg 2012; 41 (01) 136-142
    CrossrefPubMedSearch in Google Scholar
  • 4 Gemmill TJ, Pink J, Clarke SP, McKee WM. Total hip replacement for the treatment of atraumatic slipped femoral capital epiphysis in dogs. J Small Anim Pract 2012; 53 (08) 453-458
    CrossrefPubMedSearch in Google Scholar
  • 5 Meltzer LM, Dyce J, Leasure CS, Canapp Jr SO. Case factors for selection of femoral component type in canine hip arthroplasty using a modular system. Vet Surg 2022; 51 (02) 286-295
    CrossrefPubMedSearch in Google Scholar
  • 6 Guerrero TG, Montavon PM. Zurich cementless total hip replacement: retrospective evaluation of 2nd generation implants in 60 dogs. Vet Surg 2009; 38 (01) 70-80
    CrossrefPubMedSearch in Google Scholar
  • 7 Vezzoni L, Vezzoni A, Boudrieau RJ. Long-term outcome of Zürich cementless total hip arthroplasty in 439 cases. Vet Surg 2015; 44 (08) 921-929
    CrossrefPubMedSearch in Google Scholar
  • 8 Bayer K, Matiasovic M, Steger H, Böttcher P. Complications and long-term outcome in 16 canine cementless hybrid hip arthroplasties. Vet Comp Orthop Traumatol 2019; 32 (01) 73-78
    Thieme ConnectPubMedSearch in Google Scholar
  • 9 Fitzpatrick N, Law AY, Bielecki M, Girling S. Cementless total hip replacement in 20 juveniles using BFX™ arthroplasty. Vet Surg 2014; 43 (06) 715-725
    CrossrefPubMedSearch in Google Scholar
  • 10 Harper TAM. INNOPLANT total hip replacement system. Vet Clin North Am Small Anim Pract 2017; 47 (04) 935-944
    CrossrefPubMedSearch in Google Scholar
  • 11 Schiller TD. BioMedtrix total hip replacement systems: an overview. Vet Clin North Am Small Anim Pract 2017; 47 (04) 899-916
    CrossrefPubMedSearch in Google Scholar
  • 12 Marsolais GS, Peck JN, Berry C, Johnson A. Femoral medullary infarction prevalence with the Zurich cementless canine total hip arthroplasty. Vet Surg 2009; 38 (06) 677-680
    CrossrefPubMedSearch in Google Scholar
  • 13 Hummel DW, Lanz OI, Werre SR. Complications of cementless total hip replacement. A retrospective study of 163 cases. Vet Comp Orthop Traumatol 2010; 23 (06) 424-432
    Thieme ConnectPubMedSearch in Google Scholar
  • 14 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 (04) 294-302
    Thieme ConnectPubMedSearch in Google Scholar
  • 15 Kidd SW, Preston CA, Moore GE. Complications of porous-coated press-fit cementless total hip replacement in dogs. Vet Comp Orthop Traumatol 2016; 29 (05) 402-408
    Thieme ConnectPubMedSearch in Google Scholar
  • 16 Denny HR, Linnell M, Maddox TW, Comerford EJ. Canine total hip replacement using a cementless threaded cup and stem: a review of 55 cases. J Small Anim Pract 2018; 59 (06) 350-356
    CrossrefPubMedSearch in Google Scholar
  • 17 Hayashi K, Schulz KS. Advances in small animal total joint replacement. In: Peck JN, Marcellin-Littele DJ. eds. Methods of Immediate Fixation. Chichester: John Wiley & Sons Ltd; 2012: 39-51
    CrossrefSearch in Google Scholar
  • 18 Hach V, Delfs G. Initial experience with a newly developed cementless hip endoprosthesis. Vet Comp Orthop Traumatol 2009; 22 (02) 153-158
    Thieme ConnectPubMedSearch in Google Scholar
  • 19 Singh H, Kukowski NR, Lunati MP. et al. Porous 3D printed titanium cages in anterior cervical discectomy and fusion are associated with less subsidence, improved maintenance of segmental lordotic correction, and similar clinical outcomes as allograft. Glob Spine J 2024; 14 (03) 878-888
    CrossrefPubMedSearch in Google Scholar
  • 20 Arabnejad S, Johnston B, Tanzer M, Pasini D. Fully porous 3D printed titanium femoral stem to reduce stress-shielding following total hip arthroplasty. J Orthop Res 2017; 35 (08) 1774-1783
    CrossrefPubMedSearch in Google Scholar
  • 21 Allen MJ. Advances in total joint replacement in small animals. J Small Anim Pract 2012; 53 (09) 495-506
    CrossrefPubMedSearch in Google Scholar
  • 22 Dosch M, Hayashi K, Garcia TC, Weeren R, Stover SM. Biomechanical evaluation of the Helica femoral implant system using traditional and modified techniques. Vet Surg 2013; 42 (07) 867-876
    CrossrefPubMedSearch in Google Scholar
  • 23 Cook JL, Evans R, Conzemius MG. et al. Proposed definitions and criteria for reporting time frame, outcome, and complications for clinical orthopedic studies in veterinary medicine. Vet Surg 2010; 39 (08) 905-908
    CrossrefPubMedSearch in Google Scholar
  • 24 El-Warrak AO, Olmstead ML, von Rechenberg A, Auer JA. A review of aseptic loosening in total hip arthroplasty. Vet Comp Orthop Traumatol 2001; 14: 115-124
    Thieme ConnectPubMedSearch in Google Scholar
  • 25 Trisciuzzi R, Fracassi L, Martin HA. et al. 41 cases of treatment of cranial cruciate ligament rupture with porous TTA: three years of follow up. Vet Sci 2019; 6 (01) 18
    CrossrefPubMedSearch in Google Scholar
  • 26 Changoor A, Suderman RP, Alshaygy I. et al. Irregular porous titanium enhances implant stability and bone ingrowth in an intra-articular ovine model. J Orthop Res 2022; 40 (10) 2294-2307
    CrossrefPubMedSearch in Google Scholar
  • 27 Nesser VE, Kowaleski MP, Boudrieau RJ. Severe polyethylene wear requiring revision total hip arthroplasty in three dogs. Vet Surg 2016; 45 (05) 664-671
    CrossrefPubMedSearch in Google Scholar
  • 28 Agnello KA, Cimino Brown D, Aoki K, Franklin S, Hayashi K. Risk factors for loosening of cementless threaded femoral implants in canine total hip arthroplasty. Vet Comp Orthop Traumatol 2015; 28 (01) 48-53
    Thieme ConnectPubMedSearch in Google Scholar
  • 29 Franklin SP, Miller NA, Riecks T. Complications with the Zurich canine total hip replacement system in an initial series of cases performed by a single surgeon. Vet Comp Orthop Traumatol 2021; 34 (05) 346-351
    Thieme ConnectPubMedSearch in Google Scholar
  • 30 Hayes GM, Ramirez J, Langley Hobbs SJ. Use of the cumulative summation technique to quantitatively assess a surgical learning curve: canine total hip replacement. Vet Surg 2011; 40 (01) 1-5
    CrossrefPubMedSearch in Google Scholar