A Canine Hip Dysplasia Treatment with Total Hip Replacement in Golden Retriever Dog, Successful Outcome in Malaysia. Case Report

Abstract

Canine hip dysplasia is a common orthopedic disease in medium and large breed dogs. Conservative treatment was initiated and failed due to high medication intolerance and low response with poor hind limb lameness, Total Hip Replacement (THR) offers the best surgical solution. However, THR surgical technique and implant is still novel in Malaysia. This case report is the cementless biological THR at J B Animal Medical Clinic, marking the significant progress in Malaysia local veterinary orthopedic surgeon. A male Golden Retriever, weight 46 kg, age 3 year and 11 month was presented to the clinic for the right hind limb lameness and showed sign of pain and no respond on NSAID & condro protective medication. Radiograph was taken and the findings of bilateral canine hip displasia with the sub-luxation of the left side. Total Hip Replacement Surgery was decided and done on the left side, by using bionic hip implant and a cementless implant (Bluesao).  Preoperative assessment was done include serum biochemistry, haematology and anaesthetic risk evaluation.  Post operative care   include   controlled   exercise, gait   assessment, interval   radio graph   for   constant monitoring. The dog tolerated well during surgery and post operative care commencement without any post operative complication. Weight bearing was seen as early as day 2 post operation without any hesitation to move and slow walk.   After 3rd   month, the dog demonstrated good weight bearing and gait symmetry. This case signify success treatment of canine degenerative joint disease. Appropriate case selection, surgical expertise and successful post operative care yield excellent result supports broader option in end stage hip dysplasia. However, cost and compliance remain important consideration for expanding availability.