Summary
Femoral head and neck excision (FHNE) is a salvage procedure routinely performed when
severe osteoarthritis is present and clinical signs cannot be managed by conservative
treatment, or when total hip replacement is cost prohibitive for the owners. The purpose
of the study reported herein was to evaluate the adverse effects and efficacy of long-term
administration of Tolfenamic acid in dogs undergoing FHNE. Twenty dogs admitted with
clinical signs associated with bilateral hip degenerative joint disease and weighing
more than 20 kg were included in the study. Ten dogs received Tolfenamic acid for
four months following FHNE and 10 dogs received a placebo. At four months after surgery,
the placebo group had a significant decrease, compared with pre-operative values,
in peak vertical force (PVF) (60.38% BW vs 64.77% BW, p = 0.046), and a significant
decrease in vertical impulse (VI) (8.38% BW x sec. vs 9.64% BW x sec., p = 0.023).
There was not any significant difference between pre- and post-operative results in
the Tolfenamic acid group regarding PVF (65.13% BW vs 63.31% BW, p = 0.296) and VI
(8.24% BW x sec. vs 8.71% BW x sec., p = 0.945). A significant difference was not
found between the two groups with regard to endoscopic evaluation of mucosal lesions.
Subjectively, the owners of the dogs in the Tolfenamic acid group reported an earlier
use of the limb, a more compliant dog during physical therapy and a more rapid return
to a ‘normal’ gait. Long-term administration of Tolfenamic acid may therefore be recommended,
following FHNE, to improve the results of the operation.
Keywords
Hip dysplasia - Tolfenamic acid - force plate analysis