Comparison of Osteotomy Level with Three Different Canine Total Hip Replacement Systems

Abstract

Background: Numerous cementless total hip replacement systems are available for application in dogs and one of the potential differences among these systems is the technique for performing a femoral osteotomy and the amount of bone preserved in the calcar region. However, no quantitative comparison of osteotomy level has been performed for canine THRs to date. Objectives: 1) To develop and validate a method for quantifying the level of the osteotomy at its most distomedial aspect in conjunction with canine total hip replacement (THR) and 2) to compare osteotomy level between multiple different THRs. Methods: Immediate post-operative cranial-caudal or caudal-cranial radiographs of 33 dogs treated with 17 Helica and 17 BFX THR were assessed and osteotomy level was quantified using a novel radiographic assessment by 3 independent observers. Correlation among observers was quantified using a Spearman rank order correlation. Osteotomy location was subsequently quantified for an additional 10 Zurich THRs. The osteotomy level for each THR was subsequently compared between Helica, BFX, and Zurich THRs using one-way non-parametric Mann-Whitney rank sum tests and significance set at p [Open Vet J 2022; 12(6.000): 975-979]

Keywords

• canine
• total hip replacement