Stabilization of traumatic coxofemoral luxation with an extra-capsular suture from the greater trochanter to the origin of the rectus femoris

Summary

A wide variety of surgical techniques to stabilize the coxo-femoral joint have been described in the veterinary literature. In this paper twenty small animals (19 dogs and 1 cat) were treated successfully with open reduction and an extra-capsular suture taken between the greater trochanter of the femur and the origin of the rectus femoris muscle. The technique is simple, quick and safe, and avoids many of the potential complications associated with other methods.

Keywords

Traumatic coxofemoral luxation - extra-capsular suture - rectus femoris muscle

• References

• 1 Alexander JW. Coxofemoral luxations in the dog. Comp Cont Ed 1982; 04: 575-82.
• 2 Allen SW, Chambers JN. Extarcapsular suture stabilization of canine coxofemoral luxation. Comp Cont Ed 1986; 08: 457-63.
• 3 Basher AWP, Walter MC, Newton CD. Coxofemoral luxation in the dog and cat. Vet Surg 1986; 15: 356-62.
• 4 Beale BS, Lewis DD, Parker RB. Ischio-ilial pinning for stabilization of Coxofemoral luxations in twenty-one dogs:A retrospective study. Vet Comp Orthop Tramatol 1991; 04: 28-34.
• 5 Beckham HP, Smith MM, Kern DA. Use of a modified toggle pin for repair ofcoxofemoral luxation in dogs wit multiple orthopedic injuries: 14 cases (1986-1994). JAVMA 1996; 208: 81-4.
• 6 Bennett D, Duff SR. Transarticular pinning as a treatment for hip luxation in the dog and cat. J Small Anim Prac 1980; 21: 373-9.
• 7 Bone DL, Walker M, Cantwell HD. Traumatic coxofemoral luxation in dogs. Results and repair. Vet Surg 1984; 13: 263-70.
• 8 Braden TD, Johnson ME. Technique and indications of a prosthetic capsule for repair of recurrent and chronic coxofemoral luxations. Vet Comp Orthop Tramatol 1988; 01: 26-9.
• 9 Duff SRI, Bennett D. Hip luxation in small animal: An evaluation of some methods of treatment. Vet Rec 1982; 111: 140-3.
• 10 Dulisch M. Suture reaction following exrtra-articular stifle stabilization in the dog. A retrospective study in 161 stifles. 1981 JAHAA 1981; 17: 569-71.
• 11 Evans HE. Miller’s Anatomy of the dog. 3d edition. Philadelphia: WB Saunders; 1993: 359.
• 12 Fox SM. Coxofemoral luxations in dogs. Comp Cont Ed Prac Vet 1991; 13: 381-9.
• 13 Fry PD. Observations on surgical treatment of hip dislocation in the dog and cat. J Small Anim Prac 1974; 15: 661-70.
• 14 Hosgood G, Pechman RD, Casey HW. Suture sinus in the linea alba of two dogs. J Small Anim Prac 1992; 33: 285-8.
• 15 Haburjak JJ, Lenehan TM, Harari J. Treatment of traumatic coxofemoral luxation with triple pelvic osteotomy in 19 dogs (1987-1999). Vet Comp Orthop Tramatol 2001; 14: 69-77.
• 16 Hunt CA, Henry WB. Transarticular pinning for repair of hip dislocation in the dog: A retrospective study of 40 cases. JAVMA 1985; 187: 828-33.
• 17 Johnson JA, Austin C, Breur GJ. Incidence of canine appendicular musculoskeletal disorders in 16 veterinary teaching hospitals from 1980 through 1989. Vet Comp Orthop Tramatol 1994; 07: 56-9.
• 18 Johnson ME, Braden TD. A retrospective study of prosthetic capsule technique for the treatment of problem cases of dislocated hips. Vet Surg 1987; 16: 346-51.
• 19 Katcherian G. Pelvic osteotomy and distal transfer of the greater trochanter for luxation of the hip. Canine Pract 1990; 15: 7-12.
• 20 Kilic E, Ozaydin I, Atalan G, Baran V. Transposition of the sacrotuberus ligament for the treatment of coxofemoral luxation in dogs. J Small Anim Prac 2002; 43: 341-4.
• 21 Leeds EB, Renegar WB. The use of De Vita pin in the multi-traumatized canine patient with concurrent coxo-femoral luxation. J Vet Orthop 1979; 01: 35-45.
• 22 Leighton RL. A novel technique to manage coxofemoral luxations in the dog. Vet Med 1985; 01: 53-8.
• 23 Lubbe AM, Verstraete FJM. Fascia lata loop stabilization of the coxofemoral joint in the dog and cat. J Small Anim Prac 1990; 31: 234-8.
• 24 Martini FM, Simonazzi B, Del Bue M. Extra-articular absorbable suture stabilization of Coxofemoral luxation in dogs. Vet Surg 2001; 30: 468-75.
• 25 Marchevsky AM, Read RA. Bacterial septic arthritis in 19 dogs. Aust Vet J 1999; 77: 233-7.
• 26 McLaughlin RM, Tillson DM. Flexible external fixation for craniodorsal coxofemoral luxation in dogs. Vet Surg 1994; 23: 21-30.
• 27 Mehl NB. A new method of surgical treatment of hip dislocation in dogs and cats. J Small Anim Prac 1988; 29: 789-95.
• 28 Meij BP, Hazewinkel HAW, Nap RC. Results of extra-articular stabilization following open reduction of coxofemoral luxation in dogs and cats. J Small Anim Prac 1992; 33: 320-6.
• 29 Murphy ST, Lewis DD, Kerwin SC. Traumatic coxofemoral luxation in dysplastic dogs managed with triple pelvic osteotomy: results in four dogs. Vet Comp Orthop Tramatol 1997; 10: 136-40.
• 30 Nunamaker DM. Fractures and dislocations of the hip joint. In: Newton CD, Nunamaker DM. (eds). Textbook of Small Animal Orthopedics. Philadelphia: PA Lippincot; 1985: 403-14.
• 31 Olmstead ML. The use of orthopedic wire as lateral suture for stifle stabilization. Vet Clin North Am Small Anim Pract 1993; 23: 735-53.
• 32 Ozaydin I, Kilic E, Baran V. Reduction and stabilization of hip luxation by the transposition of the ligamentum sacrotuberale in dogs: An in vivo study. Vet Surg 2003; 32: 46-51.
• 33 Piermattei DL. An Atlas of Surgical Approaches to the Bones and Joints of the Dogs and Cats. 3rd ed. Philadelphia: PA Saunders; 1993: 230-5.
• 34 Piermattei DL, Flo GL. Handbook of Small Animal Orthopedics and Fracture Repair. 3rd ed. Philadelphia: PA Saunders; 1997: 430-1.
• 35 Slocum B, Slocum TD. Single suture technique for dislocated hip. In: Bojrab MJ. Current Techniques in Small Animal Surgery. 4th ed. Baltimore: Williams and Wilkins; 1998: 1183-5.
• 36 Thacher C, Schrader SC. Caudal ventral hip luxation in the dog: A review of 14 cases. JAHAA 1985; 21: 167-72.
• 37 Tangner SH. Managing cases of traumatic canine hip luxation. Vet Med 1992; 04: 314-24.
• 38 Tomlinson Jr JL. Reduction of coxofemoral luxation. In Bojrab MJ: Current Techniques in Small Animal Surgery; 4th ed. Baltimore: Williams and Wilkins; 1998: 1178-82.