Introduction To re-inforce repair of torn hip joint capsule, thereby increasing stability of reduction of luxation. Uses Disadvantages Sutures may break resulting in acute lameness or reluxation. Alternative techniques Decision taking Criteria for choosing test Joint capsule too torn for simple repair - will not provide sufficient support for open reduction. Requirements Materials required Minimum equipment Standard surgical kit. Drill. Minimum consumables 2 bone screws (2.0-2.4 mm) and washers or preferably suture screws. Large gauge PDS, prolene or nylon. Preparation Dietary preparation Fast patient for 12 hours prior to general anesthesia to prevent reflux esophagitis. Site preparation Approach Preparation Standard aseptic (clip, wash, swab and drape). Restraint Technique Approach Step 2 - Dissection Step 3 - Hip reduction Core procedure Step 1 - Preparation for prosthesis Place 2 screws at dorsal rim of acetabulum to act as pegs. Drill tunnel in dorsal aspect of femoral neck or through greater trochanter. Step 2 - Placing prosthesis Pass suture material through tunnel and take under screw head and washer or through the hole in each suture screw in turn. Exit Step 1 - Closure Aftercare Outcomes Complications Suture breakage may occur, causing acute lameness between 4 and 10 weeks post-operatively. Prognosis Peri-articular structures heal sufficiently to stabilize joint after about 10 weeks - cases of suture breakage regain function about this time without further treatment. If multiple limb injuries a transarticular pin may provide better stability to the reduced hip. Further Reading Publications Refereed papers Recent references from PubMed and VetMedResource. Rochereau P, Bernardé A (2012) Stabilization of coxo-femoral luxation using tenodesis of the deep gluteal muscle. Technique description and reluxation rate in 65 dogs and cats (1995-2008). Vet Comp Orthop Traumatol 25 (1), 49-53 PubMed. Other sources of information Montavon P M, Voss K, Langley-Hobbs S J (2009) Feline Orthopaedic Surgery and Musculoskeletal Disease. Elsevier/Saunders.