Excision arthroplasty is often performed to eliminate pain and restore function in dogs and cats with dysfunction of the hip joint.
This dysfunction may be due to:
- Trauma - may result in dislocation of the hip joint, severe arthritis, fractured pelvis or femoral head or neck
- Arthritis or degenerative joint disease
- Developmental diseases - such as hip dysplasia
This surgery involves removal of the femoral head and neck to eliminate any contact between the femur and pelvis and ultimately creates a pain free joint. The procedure does not reconstruct an intact hip joint but it remains extremely functional. There is often limitation in the range of movement of the hip joint, however this limitation is mechanical and not due to pain.
Post surgical management
Rehabilitation exercises are extremely important for a speedy recovery.
Rehabilitation involves:
- Massage of the muscle supporting the hip joints required two to three times daily for first 2-3 weeks
- Passive range of movement exercise (flexion and extension of the hip) two to three times a day initially
- Exercise is initially restricted to leash walking for the first few weeks and gradually increased according to tolerance
- Once sutures have been removed swimming is recommended for strengthening the muscle supporting the hip joint
Duration of recovery is variable is dependent on the size of the patient and use of the leg post surgery. Larger animals can take longer to recover. Use of the leg is very important following surgery to strengthen the muscles supporting the hip joint. Chronic or long term conditions will take longer to regain full function after surgery because of the degree of muscle loss and disuse prior to surgery. Recovery can therefore vary from a couple of weeks to months.
Remember we are always here to help if you suffer any setbacks or have any other queries or concerns.
