Hip: toggle fixation
Introduction
- To stabilize hip luxation during open reduction.
Uses
- Coxofemoral luxation Hip luxation: open and closed reduction.
Disadvantages
- Suture breakage and failure (especially with pre-existing hip disease or multiple injuries).
Alternative techniques
- Capsulorraphy Hip: capsulorrhaphy.
- Transarticular pinning Transarticular pinning: hip.
- Transposition of greater trochanter.
- Closed reduction with sling (Ehmer sling).
- Total hip replacement.
- Femoral head and neck excision Excision arthroplasty.
Time required
Preparation
- Routine preparation time.
Procedure
- 30-90 min.
Decision taking
Criteria for choosing test
- Coxofemoral luxation.
- Coxofemoral conformation suitable for reduction.
Requirements
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Preparation
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Technique
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Aftercare
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Outcomes
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Further Reading
Publications
Refereed papers
- Recent references from PubMed and VetMedResource.
- Ash K, Rosselli D, Danielski A et al (2012) Correction of craniodorsal coxofemoral luxation in cats and small breed dogs using a modified Knowles technique with the braided polyblend TightRope systems. Vet Comp Orthop Traumatol 25 (1), 54-60 PubMed.
- Pratesi A, Grierson J, Moores A P (2012) Toggle rod stabilisation of coxofemoral luxation in 14 cats. JSAP 53 (5), 260-6 PubMed.
- Piermatti D L (1963) A technique for surgical management of coxofemoral luxations. Small Anim Clin 3, 373.
- Knowles A T, Knowles J O & Knowles R P (1953) An operation to preserve the continuity of the hip joint. JAVMA 123 (921), 508-515 PubMed.
Other sources of information
- Montavon P M, Voss K, Langley-Hobbs S J (2009) Feline Orthopedic Surgery and Musculoskeletal Disease. Elsevier/Saunders.