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Vet Comp Orthop Traumatol 2021; 34(05): 346-351
DOI: 10.1055/s-0041-1730366
Clinical Communication

Complications with the Zurich Canine Total Hip Replacement System in an Initial Series of Cases Performed by a Single Surgeon

Samuel P. Franklin
1   Colorado Canine Orthopedics, Colorado Springs, Colorado, United States
,
Nathan A. Miller
1   Colorado Canine Orthopedics, Colorado Springs, Colorado, United States
,
Todd Riecks
1   Colorado Canine Orthopedics, Colorado Springs, Colorado, United States
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Abstract

Objective The aim of this study was to quantify the complications using the Zurich total hip replacement system in an initial series of cases performed by a single surgeon who had experience with other total hip replacement systems.

Materials and Methods This was a retrospective study in which complications were classified as major if any treatment was needed or if the outcome was less than near-normal function. Complications that did not warrant treatment and that did not result in function that was inferior to near-normal were considered minor. Outcomes were assessed by radiographic review, physical examination, subjective gait evaluation or, in one case, by objective gait analysis. Bilateral total hip replacements were considered separate procedures.

Results The first 21 procedures in 19 dogs performed by a single surgeon were included. The mean time to follow-up was 48 weeks (range: 8–120 weeks; standard deviation: 36 weeks). Two cases (of 21) experienced major complications including one dog with excess internal femoral rotation during weight bearing and one dog having luxation. One case (of 21) had a minor complication; femoral fracture in the presence of an intact bone plate that maintained alignment and healed without treatment.

Clinical Significance A high rate of successful outcomes with few major complications can be obtained in the initial cases treated using the Zurich total hip replacement system for surgeons with prior experience with other total hip replacement systems.

Keywords

total hip replacement - total hip arthroplasty - total joint replacement - dog - complications

Authors' Contributions

S.F. contributed to conception of study, study design and acquisition of data. S.F., N.A.M., T.R. did data analysis and interpretation. They also drafted, revised and approved the submitted manuscript. All the authors are publically accountable for relevant content.




Publication History

Received: 02 November 2020

Accepted: 25 March 2021

Article published online:
03 June 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Denny HR, Linnell M, Maddox TW, Comerford EJ. Canine total hip replacement using a cementless threaded cup and stem: a review of 55 cases. J Small Anim Pract 2018; 59 (06) 350-356
    CrossrefPubMedGoogle Scholar
  • 2 Vezzoni L, Vezzoni A, Boudrieau RJ. Long-term outcome of Zürich cementless total hip arthroplasty in 439 cases. Vet Surg 2015; 44 (08) 921-929
    CrossrefPubMedGoogle Scholar
  • 3 Schiller TD. BioMedtrix total hip replacement systems: an overview. Vet Clin North Am Small Anim Pract 2017; 47 (04) 899-916
    CrossrefPubMedGoogle Scholar
  • 4 Bergh MS, Gilley RS, Shofer FS, Kapatkin AS. Complications and radiographic findings following cemented total hip replacement: a retrospective evaluation of 97 dogs. Vet Comp Orthop Traumatol 2006; 19 (03) 172-179
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Liska WD. Femur fractures associated with canine total hip replacement. Vet Surg 2004; 33 (02) 164-172
    CrossrefPubMedGoogle Scholar
  • 6 Andrews CM, Liska WD, Roberts DJ. Sciatic neurapraxia as a complication in 1000 consecutive canine total hip replacements. Vet Surg 2008; 37 (03) 254-262
    CrossrefPubMedGoogle Scholar
  • 7 Liska WD, Poteet BA. Pulmonary embolism associated with canine total hip replacement. Vet Surg 2003; 32 (02) 178-186
    CrossrefPubMedGoogle Scholar
  • 8 Hayes GM, Ramirez J, Langley Hobbs SJ. Use of the cumulative summation technique to quantitatively assess a surgical learning curve: canine total hip replacement. Vet Surg 2011; 40 (01) 1-5
    CrossrefPubMedGoogle Scholar
  • 9 Boudrieau RJ. Tibial plateau leveling osteotomy or tibial tuberosity advancement?. Vet Surg 2009; 38 (01) 1-22
    CrossrefPubMedGoogle Scholar
  • 10 Guerrero TG, Montavon PM. Zurich cementless total hip replacement: retrospective evaluation of 2nd generation implants in 60 dogs. Vet Surg 2009; 38 (01) 70-80
    CrossrefPubMedGoogle Scholar
  • 11 Hummel DW, Lanz OI, Werre SR. Complications of cementless total hip replacement. A retrospective study of 163 cases. Vet Comp Orthop Traumatol 2010; 23 (06) 424-432
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Bausman JA, Wendelburg KL. Femoral prosthesis version angle calculation from a sagittal plane radiographic projection of the femur. Vet Surg 2013; 42 (04) 398-405
    CrossrefPubMedGoogle Scholar
  • 13 Aman AM, Wendelburg KL. Assessment of acetabular cup positioning from a lateral radiographic projection after total hip replacement. Vet Surg 2013; 42 (04) 406-417
    CrossrefPubMedGoogle Scholar
  • 14 Franklin SP. A pilot clinical study assessing treatment of canine hip dysplasia using autologous protein solution. Front Vet Sci 2019; 6: 243
    CrossrefPubMedGoogle Scholar
  • 15 Franklin SP, Stoker AM, Bozynski CC. et al. Comparison of platelet-rich plasma, stromal vascular fraction (SVF), or SVF with an injectable PLGA nanofiber scaffold for the treatment of osteochondral injury in dogs. J Knee Surg 2018; 31 (07) 686-697
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Massat BJ, Vasseur PB. Clinical and radiographic results of total hip arthroplasty in dogs: 96 cases (1986-1992). J Am Vet Med Assoc 1994; 205 (03) 448-454
    Google Scholar