Salvage procedures, such as femoral head and neck ostectomy or total hip replacement, are indicated in cases of irreparable comminution, revision surgery of failed primary fixation, chronic fractures, and in presence of severe degenerative joint disease.
Further information about these procedures and their outcomes can be found in the literature.
Activity restriction is indicated until evidence of bone union is detected on radiographic examinations.
Implants may cause discomfort of the adjacent soft tissue. If this occurs, implants are removed after radiographic evidence of bone healing is complete. In case of infection, implants must be removed after complete bone healing.
Phase 1: 1-3 day after surgery
Aim is to reduce the edema, inflammation, and pain.
Integrative medical therapies, anti-inflammatory and analgesic medications.
Phase 2: 4-10 days after surgery
Aim is to resolve the hematoma, edema and control pain, and prevent muscle contracture.
Anti-inflammatory and analgesic medications may still be needed. Rehabilitation and integrative medical therapies can be used.
Special attention should be given to patients less than 1 year of age with a femoral fracture. Rehabilitation is strongly recommended to help prevent quadriceps muscle contracture.
If the dog is not starting to use the limb within a few days after surgery, a careful evaluation is recommended.
10-14 days after surgery the sutures are removed.
Radiographic assessment is performed every 4-8 weeks until complete bone healing is confirmed.
If there is no implant failure or infection, there is no need for implant removal.