Vet Comp Orthop Traumatol 2010; 23(02): 114-118
DOI: 10.3415/VCOT-09-03-0027
Clinical Communication
Schattauer GmbH

Modified Knowles toggle pin technique with nylon monofilament suture material for treatment of two caudoventral hip luxation cases

M. A. Çetinkaya
1   Hacettepe University, Faculty of Medicine, Medical and Surgical Research Laboratory, Sihhiye, Ankara, Turkey
,
B. Olcay
2   Ankara University, Faculty of Veterinary Medicine, Department of Surgery, Dis kapi, Ankara, Turkey
› Author Affiliations
Further Information

Publication History

Received: 10 March 2009

Accepted: 14 February 2009

Publication Date:
19 December 2017 (online)

Summary

The coxofemoral joint is the most commonly luxated joint in dogs and cats. Coxofemoral luxations are generally craniodorsal; caudoventral coxofemoral luxations are relatively rare occurrences and may be accompanied by fracture of the greater trochanter.

The aim of our study was to report the results of a modified Knowles toggle pin application in two caudoventral hip luxations for which closed reduction had not been achieved. Medical records of dogs and cats, which had been presented at our institution between September 1999 and October 2007, were reviewed for cases of coxofemoral luxation. In total, the case records of 67 cats and 147 dogs were found. Of these cases, there was one cat and one dog with caudoventral coxofemoral luxation. For both cases, the toggle pin technique was the method of treatment. The cat had a good clinical recovery within three days after surgery. The dog, which also had a cruciate ligament rupture in the same limb and medial patellar luxation in the contralateral limb, was presented with severe lameness and pain approximately two and a half months after surgery, at which time fracture of the femoral head was diagnosed. Functional recovery was achieved after a femoral head and neck ostectomy had been performed.

 
  • References

  • 1 Fox SM.. Coxofemoral luxations in dogs. Comp Contin Ed Vet 1991; 13: 381-389.
  • 2 Holsworth IG, DeCamp CE.. Coxofemoral Luxation. In Slatter D. editor Textbook of Small Animal Surgery. 3rd ed. Philadelphia: W.B. Saunders Co; 2002: 2002-2008.
  • 3 Mc Laughlin Jr. RM . Traumatic joint luxations in small animals. Vet Clin North Am Small Anim Pract 1995; 25: 1175-1196.
  • 4 Piermattei DL, Flo GL, DeCamp CE.. The Hip Joint. In Piermattei DL, Flo GL, DeCamp CE. editors Handbook of Small Animal Orthopedics and Fracture Repair. 4th ed. Philadelphia: W. B. Saunders Co; 2006: 461-511.
  • 5 Thacker C, Schrader SC.. Caudoventral hip luxation in the dog: A review of 14 cases. J Am Anim Hosp Assoc 1985; 21: 167-172.
  • 6 Venzin C, Montavon PM.. Augmentation of the transverse acetabular ligament in canine caudoventral hip luxation. Vet Comp Orthop Traumatol 2007; 20: 320-323.
  • 7 Harari J, Smith CW, Rauch LS.. Caudoventral hip luxation in two dogs. J Am Vet Med Assoc 1984; 185: 312-313.
  • 8 Herron MR.. Atraumatic ventral coxofemoral luxation in dogs (abstr). J Vet Surg 1986; 15: 123.
  • 9 Piermattei DL.. In: An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 3rd ed. Philadelphia: W. B. Saunders Co; 1993
  • 10 Wadsworth PL, Lesser AS. Use of muscle transfer to prevent reluxation of the hip: Two case reports. Proc Vet Orthop Soc 14th Annual Meeting, March 1–8, 1986, Steamboat Springs, Colorado, USA.
  • 11 Keller MA, Voss K, Montavon PM.. The ComPact UniLock 2.0/2.4 system and its clinical application in small animal orthopedics. Vet Comp Orthop Traumatol 2005; 18: 83-93.
  • 12 Selmi AL, Lins BT, Penteado BM.. Comparison of Toggle Pin Stabilization and Iliotrochanteric Suture for the Treatment of Hip Luxation in Dogs. WSAVA 32nd Annual Meeting, August 18–23. 2007 Sydney, Australia
  • 13 Piermattei DL.. A technique for surgical management of coxofemoral luxations. Small Anim Clin 1963; 3: 373-386.
  • 14 Piermattei DL. Fabrication of an improved toggle pin. Vet Med Small Anim Clin 1964; 60: 384-389.
  • 15 Beckham Jr HP , Smith MM, Kern DA.. Use of a modified toggle pin for repair of coxofemoral luxation in dogs with multiple orthopaedic injuries: 14 cases (1986–1994). J Am Vet Med Assoc 1996; 208: 81-84.
  • 16 Flynn MF, Edmiston DN, Roe SC. et al. Biomechanical evaluation of a toggle pin technique for management of coxofemoral luxation. Vet Surg 1994; 23: 311-321.
  • 17 Basher AWP, Walter MC, Newton CD.. Coxofemoral luxation in the dog and cat. J Vet Surg 1986; 15: 356-362.
  • 18 Duff I SR, Bennett D.. Hip luxation in small animals. An evaluation of some methods of treatment. Vet Rec 1982; 111: 140-143.