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Vet Comp Orthop Traumatol 2010; 23(02): 119-123
DOI: 10.3415/VCOT-09-07-0075
DOI: 10.3415/VCOT-09-07-0075
Case Report
Successful revision of a femoral head ostectomy (complicated by postoperative sciatic neurapraxia) to a total hip replacement in a cat
Weitere Informationen
Publikationsverlauf
Received:
09. Juli 2009
Accepted:
26. Februar 2009
Publikationsdatum:
19. Dezember 2017 (online)
Summary
A three-year-old neutered male Domestic Medium Hair cat was referred for evaluation of a right hindlimb monoparesis of one month duration following a femoral head ostectomy (FHO) performed elsewhere. Examination of the limb revealed muscle atrophy and decreased sensory perception over the sciatic nerve distribution with conscious proprioception and postural reaction deficits. The tentative diagnosis was sciatic neurapraxia.
Radiographs taken prior to the FHO revealed a chronic nonunion right femoral neck fracture. The FHO was performed to remove the remnant of the femoral head and neck remaining in the acetabulum.
Surgery was performed to explore the sciatic nerve and to revise the FHO into a total hip replacement. Sciatic nerve entrapment was present. Tethering sutures and extensive peri-neural adhesions were released to restore nerve gliding. Postoperatively, activity was limited for six weeks; normal activity resumed at eight weeks. Rehabilitation treatments were provided to maximise the patient’s excellent recovery.
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References
- 1 Piermattei DL.. Femoral head ostectomy in the dog: indications, technique, and results in ten cases. J Am Anim Hosp Assoc 1965; 1: 180-188.
- 2 Duff R, Campbell JR.. Radiographic appearance and clinical progress after excision arthroplasty of the canine hip. J Small Anim Pract 1978; 19: 439-449.
- 3 Duff R, Campbell JR.. Effects of experimental excision arthroplasty of the hip joint. Res Vet Sci 1978; 24: 174-181.
- 4 Vasseur PB.. Femoral head and neck ostectomy. In Bojrab MJ. editor Current Techniques in Small Animal Surgery. 4th ed. Baltimore: Williams & Wilkins; 1998: 1170-1173.
- 5 Schulz KS, Dejardin LM.. Surgical treatment of canine hip dysplasia. In Slatter D. editor Textbook of Small Animal Surgery. 3rd ed. Philadelphia: Saunders; 2003: 2044-2046.
- 6 Schultz KA.. Diseases of the joints. In Fossum TW. editor Small Animal Surgery. 3rd ed. St Louis: Mosby Elsevier; 2007: 1242.
- 7 Piermattei DL, Johnson KA.. Approach to the craniodorsal aspect of the hip joint through a craniolateral incision. In Piermattei DL, Johnson KL. editors An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 4th ed. Philadelphia: Saunders; 2004: 290-295.
- 8 Piermattei DL, Flo GL, DeCamp CE.. Femoral head and neck excision. In Piermattei DL, Flo GL, De-Camp CE. editors Brinker, Piermattei, and Flos’ Handbook of Small Animal Orthopedics and Fracture Repair. 4th ed. St Louis; Saunders: 2006: 501-504.
- 9 Bagley RS.. Clinical features of important and common diseases involving the peripheral nervous system, neuromuscular junction, and muscle in dogs and cats. In Bagley RS. editor Fundamentals of Veterinary Clinical Neurology. 1st ed. Ames (IA); Blackwell Publishing: 2005: 177-191.
- 10 Stanton ME, Weigel JP, Henry RE.. Ischiatic nerve paralysis associated with biceps femoris muscle sling: case report and anatomical study. J Am Anim Hosp Assoc 1988; 24: 429-432.
- 11 Andrews CM, Liska WD, Roberts DJ.. Sciatic neurapraxia as a complication in 1000 consecutive canine total hip replacements. Vet Surg 2008; 37: 254-262.
- 12 Withrow SJ, Amis TC.. Sciatic nerve injury associated with intramedullary fixation of femoral fractures. J Am Anim Hosp Assoc 1977; 13: 562-568.
- 13 Fanton JW, Blass CE, Withrow SJ.. Sciatic nerve injury as a complication of intramedullary pin fixation of femoral fractures. J Am Anim Hosp Assoc 1983; 19: 687-694.
- 14 Forterre F, Tomek A, Rytz U. et.al. Iatrogenic sciatic nerve injury in eighteen dogs and nine cats (1997–2006). Vet Surg 2007; 36: 464-471.
- 15 Jacobson A, Schrader SC.. Peripheral nerve injury associated with fracture or fracture-dislocation of the pelvis in dogs and cats: 34 cases (1978–1982). J Am Vet Med Assoc 1987; 190: 569-572.
- 16 Budsberg SC, Chambers JN, Lue SL. et.al. Prospective evaluation of ground reaction forces in dogs undergoing unilateral total hip replacement. Am J Vet Res 1996; 57: 1781-1785.
- 17 Nunamaker DM.. Total joint replacement. In Newton CD, Nunamaker DM. editors Textbook of Small Animal Orthopaedics. Philadelphia: JB Lippincott; 1985: 555-560.
- 18 Scott HW, McLaughlin R.. Femoral and patellar fractures. In: Feline Orthopedics. London: Manson Publishing; 2007: 191-195.
- 19 Liska WD, Doyle ND, Marcellin-Little D. et.al. Total hip replacement in 3 cats: surgical technique, short term outcome, and comparison to femoral head ostectomy. Vet Comp Orthop Traumatol 2009; 22: 505-510.
- 20 Gofton N, Sumner-Smith G.. Total hip prosthesis for revision of unsuccessful excision arthroplasty. Vet Surg 1982; 134-139.
- 21 Olmstead ML.. The canine cemented modular total hip prosthesis. J Am Anim Hosp Assoc 1995; 31: 109-124.
- 22 Jaeger GH, Marcellin-Little DJ, DePuy V. et al. Validity of goniometric joint measurements in cats. Am J Vet Res 2007; 68: 822-826.
- 23 de Lahunta A, Glass E.. Lower motor neuron: spinal nerve, general somatic efferent system. In de Lahunta A, Glass E. editors Veterinary Neuroanatomy and Clinical Neurology. 3rd ed. St. Louis; Saunders Elsevier: 2009: 83-84.
- 24 Evans HE, Christensen GC.. The spinal nerves. In Miller’s Anatomy of the Dog. 2nd ed. Evans HE, Christensen GC. editors Philadelphia: WB Saunders; 1979: 1012-1018.
- 25 Walker TL.. Ischiatic nerve entrapment. J Am Vet Med Assoc 1981; 178: 1284-1288.
- 26 Gilmore DR.. Sciatic nerve injury in twenty-nine dogs. J Am Anim Hosp Assoc 1984; 20: 493-407.
- 27 Babbage CS, Coppieters MW, McGowan CM.. Strain and excursion of the sciatic nerve in the dog: biomechanical considerations in the development of a clinical test for increased neural mechanosensitivity. Vet J 2007; 174: 330-336.
- 28 Onche I I, Obiano SK.. A prospective evaluation of the management and outcome of traumatic posterior dislocation of the hip – a preliminary report. Niger J Med 2008; 17: 163-167.
- 29 Hanssen AD.. Anatomy and surgical approaches. In Morrey BF. editor Joint Replacement Arthroplasty. 3rd ed. Philadelphia: Churchill Livingstone; 2003: 566-593.
- 30 DeHart MM, Riley SL.. Nerve injuries in total hip arthroplasty. J Am Acad Orthop Surg 1999; 7: 101-111.
- 31 Morrey BR.. Nerve palsy after total hip arthroplasty. In Morrey BF. editor Joint Replacement Arthroplasty. 3rd ed. Philadelphia: Churchill Livingstone; 2003: 920-927.
- 32 Manjon-Cabeza JM, Moreno Palocios JA, Mozo Muriel AP. et.al. Functional outcomes after resection of hip arthroplasty (Girdlestone technique). Rev Esp Geriatr Gerontol 2008; 43: 13-18.
- 33 Rittmeister M, Manthei L, Muller M. et.al. Reim-plantation of the artificial hip joint in Girdlestone hip is superior to Girdlestone arthroplasty by itself. Orthop Ihre Grenzgeb 2004; 142: 559-563.
- 34 Warnock JJ, Dyce J, Pooya H. et al. Retrospective analysis of canine miniature total hip prostheses. Vet Surg 2003; 32: 285-291.