KMID : 1094020190360040229
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Journal of Veterinary Clinics 2019 Volume.36 No. 4 p.229 ~ p.232
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Total Hip Replacement for Treatment of Chronic Coxofemoral Joint Dislocation in 7 Dogs
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Yoon Jang-Won
Heo Su-Young Jeong Seong-Mok Lee Hae-Beom
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Abstract
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Total Hip Replacement in a patient with chronic coxofemoral joint dislocation is a challenging problem because chronic coxofemoral joint dislocation causes severe morphological changes. These challenging factors make surgery more difficult and increase the possibility of postoperative complications including cup implant dislocation and prosthetic joint luxation. All patients were diagnosed having at least 2 months of coxofemoral joint dislocation. On physical examination, crepitus was noted in the coxofemoral joint. Radiographs revealed hip joint dislocation with mild to severe degenerative changes. Total hip replacement was planned for all patients. Dorsal acetabular rim deficiency in 3 cases was augmented using a locking plate and polymethylmethacrylate bone cement. All cases have shown difficulty in prosthetic joint reduction. Pectineus and rectus femoris muscle origin were released in all cases. At 12 months follow up, all patients showed satisfactory ambulation. The issues on perioperative prosthetic joint reduction and luxation due to chronic coxofemoral joint luxation with muscle contracture and dorsal acetabular rim deficiency can be resolved by muscle releasing and dorsal acetabular rim augmentation.
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KEYWORD
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total hip replacement , dislocation , dorsal acetabular rim deficiency , augmentation , muscle releasing ,
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