Evaluation of variables influencing success and complication rates in canine total hip replacement: results from the British Veterinary Orthopaedic Association Canine Hip Registry (collation of data: 2010-2012).

Vet Rec. July 2017;181(1):18.

Elisabeth R Henderson¹, Andrew Wills², Andrew M Torrington³, Andy P Moores⁴, David Thomson⁵, Gareth Arthurs⁶, Gordon Brown⁷, Hamish R Denny⁸, Harry W Scott⁹, Ian Macqueen¹⁰, James Dunne¹¹, Jeremy Onyett¹², John D Walker¹³, John Prior¹⁴, Martin R Owen¹⁵, Neil Burton¹⁶, Richard Whitelock¹⁷, Sarah Girling¹⁸, Shane Morrison¹⁹, Simon Gilbert²⁰, Sorrel J Langley-Hobbs²¹, Toby J Gemmill²², Christoph K Störk²³, Steve Bright²⁴, Eithne Comerford²⁵, Rob Pettitt²⁶, Nick Macdonald²⁷, John F Innes²⁸

¹ Hospital for Small Animals, R(D)SVS, University of Edinburgh, Edinburgh, UK.; ² Toachim House Veterinary Surgery, Faversham UK.; ³ Torrington Orthopaedics, Brighouse, West Yorkshire, UK.; ⁴ Anderson Moores Veterinary Specialists, Hursley, Winchester, Hampshire, UK.; ⁵ Davies Veterinary Specialists, Higham, Gobion, Hertfordshire, UK.; ⁶ Arthurs Orthopaedics, Towcester Vets, Burcote Road, Towcester, Northamptonshire, UK.; ⁷ Grove Veterinary Group, Fakenham, Norfolk, UK.; ⁸ Cedar House, Wrington, Bristol, UK.; ⁹ Southern Counties Veterinary Specialists, Hangersley, Ringwood, Hampshire, UK.; ¹⁰ Macqueen Veterinary Centre, Devizes, Wiltshire, UK.; ¹¹ Ark Vets Knocknacarra, Galway Republic of Ireland.; ¹² Abington Park Veterinary Referrals, Moulton, Northampton, UK.; ¹³ Rainsbrook Veterinary Group, Leamington Spa, Warwickshire, UK.; ¹⁴ Christchurch Veterinary Referrals, Ipswich, Suffolk, UK.; ¹⁵ Dick White Referrals, Newmarket, UK.; ¹⁶ Langford Veterinary Services, Langford, North Somerset, UK.; ¹⁷ Davies Veterinary Specialists, Higham, Gobion, Hertfordshire, UK.; ¹⁸ Fitzpatrick Referrals, Godalming, UK.; ¹⁹ Christchurch Veterinary Referrals, Ipswich, Suffolk, UK.; ²⁰ Grove Veterinary Group, Fakenham, Norfolk, UK.; ²¹ Langford Veterinary Services, Langford, North Somerset, UK.; ²² Willows Veterinary Centre and Referral Service, Shirley, Solihull, West Midlands, UK.; ²³ Orthovet, Kent, UK.; ²⁴ Manchester Veterinary Specialists, Manchester, UK.; ²⁵ Small Animal Teaching Hospital, University of Liverpool, Wirral, UK.; ²⁶ Small Animal Teaching Hospital, University of Liverpool, Wirral, UK.; ²⁷ Anderson Moores Veterinary Specialists, Hursley, Winchester, Hampshire, UK.; ²⁸ ChesterGates Veterinary Specialists, Cheshire, UK.

British Veterinary Association.

Abstract

The objective of this study was to assess the variables associated with complications of total hip replacement (THR) and report owner-assessed outcomes. Entries into the British Veterinary Orthopaedic Association-Canine Hip Registry (BVOA-CHR) between September 2011 and December 2012 were reviewed separately and in conjunction with previous data (January 2010-August 2011). An outcomes assessment questionnaire was used to collect data from owners. Incidences of surgeon-reported and owner-reported complications were 8.2 per cent and 4.3 per cent, respectively. THR using the BioMedtrix BFX cup/stem prosthesis had a greater incidence of complications compared with THR using the BioMedtrix CFX cup/stem prosthesis (P=0.002); complications were 4.48 times more likely when using the BioMedtrix BFX cup/stem prosthesis versus the BioMedtrix CFX cup/stem prosthesis. THR using the BioMedtrix BFX cup/stem prosthesis had a higher incidence of complications compared with THR using a hybrid prosthesis (BioMedtrix BFX cup/CFX stem, BioMedtrix CFX cup/BFX stem) (P=0.046); complications were 2.85 times more likely when using the BioMedtrix BFX cup/stem prosthesis versus a hybrid prosthesis. In 95 per cent of cases, owner satisfaction with the outcome of THR was 'very good' or 'good'. Complication rates from the BVOA-CHR are similar to previous studies. The data suggest that prosthesis type is associated with complication rate, with BioMedtrix BFX (circa 2012) having a high short-term complication rate.

Keywords

Dogs; Hip dysplasia; Joint diseases; Joint replacement; Orthopaedics; Osteoarthritis;

Article Tools:

Medline

Email to me

Archives Highlights:

Feline Stress Management During air Travel: A Multimodal Approach.
While the discussion is focused on air travel specifically, the stress management methods described can be applied to all types of longer distance travel, such as a long road trip or a ferry crossing, as well as a stay in a holiday home.

Cowpox in zoo and wild animals in the United Kingdom.
We present epidemiological data and diagnostic features of 27 recent, naturally occurring cowpox cases in zoo and wild animals across the UK, including the first reports of cowpox in two snow leopards, a Bengal tiger, three Chilean pudus, a Malayan tapir, and a Eurasian otter, and the first reports of Orthopoxvirus infection in a lar gibbon, a Southern tamandua, and an aardvark.

Bone Marrow Aspiration in Dogs: Indications and a Step-by-Step Tutorial
In dogs, bone marrow aspirates are often collected from the proximal humerus or ilium. A special 14- to 18-gauge needle with stylet is placed into the bone marrow cavity, and cells are subsequently aspirated. These needles are designed to penetrate cortical bone without becoming obstructed. Other sites in dogs include the sternum, ribs, and proximal femur. Aspiration from the pelvis and femur is challenging, if the region contains abundant adipose tissue.

The Mental Health Impact of Online Veterinary Reviews
Businesses that have 15% to 20% negative reviews actually earn more revenue than those with 5% to 10% negative reviews. Negative reviews, up to a certain extent, show a sense of authenticity with the optimal negative reviews being between 10% to 25%. Clients expect to see negative reviews and having only 5-star reviews can make clients wonder if the reviews are fake or paid.

Difficulty walking and trembling in a 10-year-old female Akita Inu.
The overall prognosis in dogs with orthostatic tremors is considered to be good, as the disease is benign and slowly progressive.