Should we offer total hip replacement to feline patients?



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PICO question

In cats with traumatic coxofemoral injury, does total hip replacement (THR) offer improved outcome when compared with femoral head and neck excision (FHNE) arthroplasty?


Clinical bottom line

Category of research question


The number and type of study designs reviewed

One paper was critically reviewed. It was a non-randomised retrospective observational study

Strength of evidence

Moderate evidence

Outcomes reported

THR results in superior clinical outcome and owner satisfaction compared to FHNE in cats


In cats with traumatic coxofemoral injury, although the evidence is not conclusive and somewhat limited, the literature reviewed here suggests that THR offers a superior outcome in feline patients.

There is currently insufficient evidence to determine if there is a difference in long-term outcome, complications or osteoarthritis (OA) development following THR or FHNE in feline patients


How to apply this evidence in practice

The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources.

Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care.


Open Access Peer Reviewed


Cameron, H.U. (2008). Cemented Femoral Fixation: Thin Mantles, The French Paradox. Seminars in Arthroplasty.19(1), 144–147. DOI:

Henderson, E.R., Wills, A., Torrington, A.M., Moores, A.P., Thomson, D., Arthurs, G., Brown, G., Denny, H.R., Scott, H.W., MacQueen, I., Dunne, J., Onyett, J., Walker, J.D., Prior, J., Owen, M.R., Burton, N., Whitelock, R., Girling, S., Morrison, S., Gilbert, S., Langley-Hobbs, S.J., Gemmill, T.J., Störk, C.K., Bright, S., Comerford, E., Pettitt, R., Macdonald, N. and Innes, J.F. (2017). 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). Veterinary Record. 181(1), 18. DOI:

Liska, W.D. (2004). Femur fractures associated with canine total hip replacement. Veterinary Surgery. 33(2), 164–172. DOI:

Liska, W.D. (2010). Micro total hip replacement for dogs and cats: surgical technique and outcomes. Veterinary Surgery. 39(7), 797–810. DOI:

Liska, W.D., Doyle, N., Marcellin-Little, D.J. and Osborne, J.A. (2009). Total hip replacement in three cats: surgical technique, short-term outcome and comparison to femoral head ostectomy. Veterinary and Comparative Orthopaedics and Traumatology. 22(6), 505–510. DOI:

Off, W. and Matis U. (2010). Excision arthroplasty of the hip joint in dogs and cats. Clinical, radiographic, and gait analysis findings from the Department of Surgery. Veterinary Faculty of the Ludwig-Maximi- lians-University of Munich, Germany. Veterinary and Comparative Orthopaedics and Traumatology. 23, 297–305.

Stadig, S., Lascelles, B.D.X., Nyman, G. and Bergh, A. (2019). Evaluation and comparison of pain questionnaires for clinical screening of osteoarthritis in cats. The Veterinary Record. 185(24), 757. DOI:

Warnock, J.J., Dyce, J., Pooya, H. and Schulz, K.S. (2003). Retrospective analysis of canine miniature total hip prostheses. Veterinary Surgery. 32(3), 285–291. DOI:

Yap, F.W., Dunn, A.L., Garcia-Fernandez, P.M., Brown, G., Allan, R.M. and Calvo, I. (2014). Femoral head and neck excision in cats: medium-to long-term functional outcome in 18 cats. Journal of Feline Medicine and Surgery. 17(8), 704–710. DOI:

Vol. 5 No. 4 (2020): The fourth issue of 2020

Section: Knowledge Summaries

Categories :  Small Animal  /  Dogs  /  Cats  /  Rabbits  /  Production Animal  /  Cattle  /  Sheep  /  Pig  /  Equine  /  Exotics  /