| Autor: |
Kwananocha I; Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University; Research and Academic Service, Faculty of Veterinary Medicine, Kasetsart University., Verseijden F; Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University., Kamali SA; Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University., Magré J; Department of Orthopedics, University Medical Center Utrecht., Willemsen K; Department of Orthopedics, University Medical Center Utrecht., Schouten JC; Department of Clinical Sciences, Anatomy and Physiology, Faculty of Veterinary Medicine, Utrecht University., Salvatori D; Department of Clinical Sciences, Anatomy and Physiology, Faculty of Veterinary Medicine, Utrecht University., Tryfonidou MA; Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University., Meij BP; Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University; b.p.meij@uu.nl. |
| Abstrakt: |
Hip dysplasia causes major disability in dogs. Treatment options are limited to palliative treatment (e.g., pain relief, physical exercise, lifestyle changes, and weight control) or invasive surgeries such as pelvic osteotomies and total hip arthroplasty. Hence, a strong unmet need exists for an effective and dog-friendly solution that enhances the quality of life of man's best friend. We fill this treatment gap by offering a minimally traumatic and extraarticular, dog-specific, 3-dimensional-printed, hip implant (3DHIP) that restores hip joint stability. The surgical treatment using a 3DHIP implant is less invasive than osteotomies and can be performed bilaterally in one surgical session. The 3DHIP implant extends the dorsal acetabular rim of the dysplastic hip joint thereby increasing coverage of the femoral head and inhibiting joint subluxation with fast recovery. Sufficient access to the dorsal acetabular rim and ventral border of the iliac body together with optimal fitting and fixation of the implant are key steps for a successful 3DHIP implantation and imply the need for a specific approach. The present article aims to showcase this innovative surgical technique with tips and tricks as a surgical manual for implantation of the 3DHIP implant in dogs affected by hip dysplasia. |
