Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

Petazzoni, Massimo; Tamburro, Roberto

doi:10.1111/vsu.13737

Cited by 8 publications

(16 citation statements)

References 40 publications

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“…A curved retractor was used to protect the obturator nerve. The pubic ostectomy (1 cm) was performed by a rongeur bite, and the sacrotuberous ligament was not released [2]. The subcutaneous tissue and skin were routinely closed.…”

Section: Methodsmentioning

confidence: 99%

“…The DPO bone-healing was radiographically classified 2 months after surgery according to the following score: grade 0-no radiographic signs of healing, grade 1-incomplete osseous bridging and grade 2-complete osseous bridging [2].…”

Section: Methodsmentioning

confidence: 99%

“…The double pelvic osteotomy (DPO) is a corrective surgical procedure performed in dogs affected by hip dysplasia [1,2]. The surgical plan includes a pubic ostectomy followed by an ipsilateral iliac osteotomy.…”

Section: Introductionmentioning

confidence: 99%

“…The consequent acetabular ventroversion allows to increase the femoral head coverage. A preangled plate is used to fix the ilial osteotomy [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

“…Ideal DPO candidates include dogs from 4.5 to 9 months of age with evidence of hip joint dorsal subluxation, minimal osteoarthritic changes, minimal acetabular filling, subluxation angle ≤ 25 degree and distraction index up to 1 • [1]. Recently double pelvic osteotomy was successfully performed in eight dogs older than 9 months of age [2].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

Properzi¹,

Collivignarelli

Paolini

et al. 2022

Veterinary Sciences

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(1) Background: The double pelvic osteotomy (DPO) is a prophylactic surgical procedure associated with 0.4% incidence of sciatic nerve injury. The piezoelectric cutting tool is a surgical device able to involve only mineralized tissue avoiding neurovascular tissue and other soft tissue. This study aimed to evaluate the sciatic nerve injury observed in dogs underwent iliac osteotomy performed using the piezoelectric cutting tool. (2) Methods: Dogs underwent DPO performed with piezoelectric cutting tool were included. Neurological assessment was performed 6 and 24 h after surgery and then repeated 12 days, 4 and 8 weeks after surgery. Temporary and or permanent sciatic nerve injury were recorded. (3) Results: 84 DPOs performed in fifty dogs were included. No temporary/permanent neurological disease associated with iatrogenic damage of the sciatic nerve were observed. (4) Conclusions: The iliac osteotomy performed with piezoelectric cutting tool was not associated to iatrogenic sciatic nerve injury.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The consequent acetabular ventroversion allows to increase the femoral head coverage. A preangled plate is used to fix the ilial osteotomy [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

Properzi¹,

Collivignarelli

Paolini

et al. 2022

Veterinary Sciences

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Kinetic and Radiographic Outcomes of Unilateral Double Pelvic Osteotomy in Six Dogs

Prabakaran¹,

Jenkins²

2023

Vet Comp Orthop Traumatol

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Objective The aim of this study was to assess the kinetic and radiographic outcome of unilateral double pelvic osteotomy (DPO) using a temporospatial pressure walkway, preoperative and postoperative radiographs. Study Design Retrospective case series of six dogs that underwent unilateral DPO for canine hip dysplasia. The untreated limb was unfit for DPO due to radiographic evidence of osteoarthritis and was therefore managed non-surgically. Preoperative and postoperative radiographs and kinetic data were compared between untreated and DPO-treated hips using a Wilcoxon signed-rank test. Results There was no significant difference in British Veterinary Association Hip Dysplasia Scheme (BVA-HD) scores between untreated and DPO-treated hips preoperatively (p-value = 0.09) and postoperatively (p-value = 0.06). The median postoperative GAIT4 Dog Lameness Score was lower in untreated hips than DPO-treated hips but was not statistically different (p-value = 0.18). Conclusions All dogs in this case series achieved a total pressure index and GAIT4 Dog Lameness Score on the DPO-treated hip comparable to normal limbs. All untreated hips in this series had increased BVA-HD scores at follow-up, whereas all DPO-treated hips had reduced BVA-HD scores. This difference was not significant and warrants further studies. We conclude total pressure index may be preserved in hips treated with unilateral DPO, while the contralateral hip is managed non-surgically.

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Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

Thibault,

Haudiquet

2023

Veterinary Surgery

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ObjectiveTo report the outcome of double pelvic osteotomy (DPO) for craniodorsal luxation of total hip replacement (THR).Study designRetrospective case series.AnimalsEleven client‐owned animals.MethodsDogs with craniodorsal luxation of THR and high angle of lateral opening (ALO) were considered candidates for DPO. The ALO and the version angle (VA) were measured on pre‐ and post‐DPO radiographs. Pre‐ and post‐DPO ALO and VA were compared using a Wilcoxon signed‐rank test. Clinical and radiographic outcomes were assessed at 2 and 6 months post‐DPO.ResultsEleven DPOs were performed on 11 dogs after THR luxation. The ALO was reduced from a median of 66.2° (range 37.3–73.1°) to 55.9° (range 13.2–60.0°) (p ≤ .001), and VA increased from a median of 25.6° (range 6.8–51.9°) to 35.3° (range 15.1–51.7°) (p ≤ .03). Craniodorsal luxation recurred in five dogs and was managed with closed reduction (one dog), capsulorrhaphy (one dog), or repositioning of the acetabular cup (three dogs). The median clinical follow‐up duration was 19.7 months (range 3.4–73.0). In the long term, seven dogs required explantation (five aseptic loosenings, two infections) (median 8.2 months, range 2.6–50.6).ConclusionReluxation was frequent after DPO, 5/11 dogs requiring additional procedures, including three cup revisions. The long‐term outcome was considered to be poor due to frequent explantation.Clinical significanceDouble pelvic osteotomy may be considered to avoid cup replacement when managing craniodorsal THR luxations in dogs but is not recommended due to high complication rates.

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Clinical outcomes of double pelvic osteotomies in eight dogs with hip dysplasia aged 10–28 months

Cited by 8 publications

References 40 publications

Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

Evaluation of the Iatrogenic Sciatic Nerve Injury following Double Pelvic Osteotomy Performed with Piezoelectric Cutting Tool in Dogs

Kinetic and Radiographic Outcomes of Unilateral Double Pelvic Osteotomy in Six Dogs

Poor success rates with double pelvic osteotomy for craniodorsal luxation of total hip prosthesis in 11 dogs

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