Gait abnormalities may occur following FHO, so post-operative physical therapy is critical. Small dogs and cats are better candidates for FHO than large or giant breed dogs, which typically have prolonged recovery times and variable outcomes. Symphysiodesis is a minimally invasive technique that can be performed relatively quickly and involves no surgical implants.įemoral Head and Neck Ostectomy (FHO)-FHO is a procedure that eliminates the source of hip dysplasia pain by removing the bone of the femoral head. Symphysiodesis-Very young dogs from 15 to 20 weeks of age with no radiographic signs of arthritis are candidates for symphysiodesis, a surgical technique that closes the growth plate on the floor of the pelvis to increase femoral head coverage. Long-term evaluation of dogs after DPO surgery shows excellent results. This improves femoral head coverage to decrease pain and slow the progression of arthritis. During a DPO procedure, we make two cuts in the bones of the pelvis, then rotate and plate a section of the pelvis. Medical management can’t reverse arthritis, but it may slow the progression and provide pain relief.ĭouble Pelvic Osteotomy (DPO)-Young dogs from 6- to 18-months old without significant arthritis are candidates for double pelvic osteotomy (DPO). Your family veterinarian can suggest which is best suited for your pet’s needs. Medical Management-The most conservative approach involves medical management, such as weight loss, controlled activity, and non-steroidal anti-inflammatory drugs or nutraceuticals (glucosamine, chondroitin sulfate). We recommend screenings at 4 months of age on any large breed dogs by their primary care veterinarians. We combine standard hip-extended radiograph views with distraction views to give us the most information. We base our diagnosis on both a physical examination to check for laxity or pain in the hips, and x-rays. Once a dog with hip dysplasia is 3 years old, arthritis becomes more severe. Clinical signs, such as excessive laxity, may become apparent when a dog is between 6 and 12 months old. Affected dogs are born with normal hips, but a lack of conformity between the femur and acetabular cup develops, which invariably leads to arthritis.Įarly warning signs of hip dysplasia in puppies include inactivity or a reluctance to play. The exact cause of hip dysplasia is not known, but genetics, rapid growth, excessive nutrition, and diminished muscle mass have all been linked to increased severity of hip dysplasia. It is one of the most common orthopedic abnormalities in young giant and large breeds, although all breeds can be affected. Hip dysplasia is an inherited, developmental condition that causes increased laxity of the hip joint.
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