Wednesday, January 8, 2020

4051. Femoral Head Osteotomy (FHO) in a Border Collie with follow up. FHO in a 4-year-old poodle

In August 2015, a Border Collie fell into a drain and dislocated her right hip.







I gave the owner 2 treatment options:
1. The Ehmer Sling which is not guaranteed to resolve the lameness. The cost is around $500.  If lameness is present after 2 weeks of the Ehmer Sling wrapped around the affected limb close to the body, there will be a need to perform the surgery called FHO.

2.  Femoral Head Osteotomy (FHO) surgery.  Costs from $1,500 to $2,500.


Aug 5, 2015
The Border Collie was limping on her right hind limb this morning. X-rays show the right femoral head has dislocated entirely out of the right hip joint. A Femoral Head Osteotomy surgery is advised.

"The chances of being back to normal without surgery are slim.," I said. "Without surgery, I can apply the Ehmer Sling. In this treatment, I use adhesive bandage to wrap around the affected leg and then sling it across the body. The dog may still be lame. The surgical option is likely to be lasting as most dogs do not limp after the surgery."


The owner wanted a treatment that is effective, without having to return to the vet again if the treatment is ineffective. 

"I prefer surgery."  The femoral head was cut off under general gaseous anaesthesia. The femoral head was excised.  No news from the owner till March 2017 (see below). 

 Video 




Aug 2015.  Before surgery


https://www.youtube.com/watch?v=l9lwLW_TmBo


Aug 2015.  Day after surgery. Goes home.
https://www.youtube.com/watch?v=6SWQfngSl2g

March 5, 2017

The owner came as the dog had swallowed a rubber toy.
I asked about the time it takes the border collie to recover normal gait after femoral head excision. "She took 3 months to recover and walk normally!"


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CASE 2. 

FHO SURGERY IN A POODLE AFTER FAILURE OF EHMER SLING TREATMENT FOR A DOG
 



 








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