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
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.
Cameron, H.U. (2008). Cemented Femoral Fixation: Thin Mantles, The French Paradox. Seminars in Arthroplasty.19(1), 144–147. DOI: http://dx.doi.org/10.1053/j.sart.2007.12.018
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: http://dx.doi.org/10.1136/vr.104036
Liska, W.D. (2004). Femur fractures associated with canine total hip replacement. Veterinary Surgery. 33(2), 164–172. DOI: http://dx.doi.org/10.1111/j.1532-950X.2004.04024.x
Liska, W.D. (2010). Micro total hip replacement for dogs and cats: surgical technique and outcomes. Veterinary Surgery. 39(7), 797–810. DOI: http://dx.doi.org/10.1111/j.1532-950X.2010.00725.x
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: http://dx.doi.org/10.3415/VCOT-08-09-0087
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: http://dx.doi.org/10.1136/vr.105115
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: http://dx.doi.org/10.1053/jvet.2003.50034
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: http://dx.doi.org/10.1177/1098612X14556848
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