Sunday, January 12, 2020

4052. Final Video: A 4-year-old poodle dislocates her hip



Jan 9, 2018 case

 Craniodorsal hip luxation is usually due to trauma. In this poodle, a helper stepped on the back, dislocating the left hip. Vet 1 tried closed reduction (without surgery) but the hip dislocated again. FHO (Femoral hip osteotomy) was performed by Toa Payoh Vets.
AFTER CLOSED REDUCTION by Vet 1, the hip dislocated again.






 
In this case, FEMORAL HEAD OSTEOTOMY (FHO) is being done.

X-rays confirmed hip dislocation has occurred.



 

The surgery is summarised as follows:
Blunt dissection of muscles
Expose femoral head more by using an assistant to abduct the joint
Bone cutter to cut off the femoral head
Create a false joint
Stitch up skin





FINAL VIDEO:
https://www.youtube.com/watch?v=YqMEiHIB0tQ
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4052. An 8-month-old poodle has a hip dislocation. What to do?



X-ray shows hip subluxation. No need for surgery. 


A poodle has a painful hip and was treated with a Ehmer's Sling after pushing the femoral head into the hip joint. https://www.youtube.com/watch?v=kgtC7C_5hgY

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

Aug 2015.  Before surgery
https://2010vets.blogspot.com/2015/08/a-1-year-old-border-collie-dislocates.html
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!"

 -------------------------------------------------------------------



CASE 2. 

FHO SURGERY IN A POODLE AFTER FAILURE OF EHMER SLING TREATMENT FOR A DOG
 
https://2010vets.blogspot.com/2020/01/4052-final-video-4-year-old-poodle.html
 

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Tuesday, January 7, 2020

4050. Hip dislocation in dogs, cats and rabbits

Hip dislocation videos from Toa Payoh Vets

1. Cavalier King Charles. Ehmer's Sling

https://www.youtube.com/watch?v=v-xklUmyu1Q

2.  One year after FHO. Maltese owner is happy with the outcome



https://www.youtube.com/watch?v=zzI-fB2hDm8

3.  A Border Collie has hip dislocation
https://www.youtube.com/watch?v=l9lwLW_TmBo

X-ray of hip of the Border Collie
https://www.youtube.com/watch?v=5ObIBanjOtg



*****Border Collie  - ILLUSTRATIONS OF CLOSED REDUCTION AND OPEN REDUCTION
Final Video: Closed reduction and surgery
https://www.youtube.com/watch?v=AgtdpokwKuI
(Reyna - to add footage of Border collie seen one year later. Not lame)

A Yorkshire Terrier has a mild hip dislocation
https://www.youtube.com/watch?v=LfappTeFyYY
Not serious. No need to treat. Confined 2-4 weeks.  Apr 20, 2014
A cat is limping on the hind leg
https://www.youtube.com/watch?v=130Ujsvqvbk


A Miniature Schnauzer dislocates his hip

https://www.youtube.com/watch?v=FLHTz-28YHs


2 rabbits have hip dislocation.  Ehmer's Sling
https://studio.youtube.com/video/lhy1tQrr0p0/edit


 Hip dislocation in a rabbit
https://www.youtube.com/watch?v=Z6QT1zpk-9s





-----------------------------------
Videos:

 Surgery: FHO
1.  A Border Collie has hip dislocation comes to Toa Payoh Vets.
Had successfully recovered after FHO but video is not shown here

A Border Collie after FHO one year later. The owner was happy with the outcome as the dog was not lame. 
3.  Video from a Maltese owner some weeks after FHO surgery. The dog is almost normal in movement of hind leg.




 Closed Reduction: Sling

 1.  A case of closed reduction in a Cavalier King Charles.
seen at Toa Payoh Vets





2. A Yorkshire Terrier has hip dislocation

3. A DETAILED EDUCATIONAL HIP DISLOCATION VIDEO

 A Shih Tzu has hip dislocation - rare case of caudoventral dislocation




A poodle has hip dislocation. Had sling bandage

A poodle X-ray subluxation


Cavalier King Charles lame
Cavalier King Charles owner want the Sling

A cat dislocates left hip. Sling

Discussion with an intern about hip dislocation - the owner wants closed reduction method
https://youtu.be/hkk9A-Jp_yQ               






https://www.youtube.com/watch?v=ENvOYmih08g

The Golden Retriever limped on his right hind limb.  Owner did not want X-rays. 
Subluxation of the right high joint. He recovered after pain killers 4 days later.  

https://www.youtube.com/watch?v=ENvOYmih08g


Physical examination in shoulder lameness of the dog. Pain on manipulation of the joint.
The Golden Retriever had moderate pain on the left shoulder joint.  X-rays do not show dislocation.

https://www.youtube.com/watch?v=480Dv7rxc5g


 Trot and walk the dog in lameness examination.
 https://www.youtube.com/watch?v=loCnyeYtNUA



12 Oct 2015.
Right hip is dislocated. X ray footage
 https://www.youtube.com/watch?v=5ObIBanjOtg



Subluxation of the right hip. Not serious.
  https://www.youtube.com/watch?v=sSyUgLV8kYU







https://www.youtube.com/watch?v=5ObIBanjOtg





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