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(This is prompted by a real situation but I am not asking for advice)

A while back, my ex's Bengal dislocated her hip, and we were advised to have a Femoral Head Ostectomy, and that the scar tissue would develop in a way as to replace the joint. It seems to have failed, as she is getting some kind of laser treatment to break up scar tissue.

What are y'all's experiences with FOH as a treatment (in general, I assume its not used only for dislocated hips)? Like, is this an invasive but normal treatment or a Hail Mary kind of thing?

gettingvetted here.

FHO’s are quite simple to perform compared to many orthopedic surgeries, and many general practitioners are comfortable offering the procedure without needing to refer to a specialist. They are often quite successful and can be offered as a low cost alternative to a total hip replacement or fracture repair while also allowing the animal to keep the leg, vs an amputation where they do not. An FHO or amputation were both possibilities for my personal cat who has a severely fractured left-sided pelvis. In her case the leg itself was not the problem but rather the head of the femur pushing on the fracture with each step. Obviously gold standard medicine would have been to take her to an orthopedic surgeon for repair of her hip fracture, but an FHO could have increased her comfort if she did not get sound enough with cage rest while saving me thousands of dollars. (She didn’t end up needing any procedure and does well on pain medications and joint supplements at this time). All in all they are a straightforward and typically rewarding procedure.

#space-librarian #femoral head ostectomy #FHO #cats

Baby hippos surgery is coming up soon.

I’d be lying if I said I wasn’t nervous, but I’m ready for her to be back to living a pain free life!

I’m pretty excited that we’ll be back to twice a day walks as a part of her physical therapy. Her last surgery kept me accountable for getting out and walking twice a day even on the days I didn’t want to.

#FHO #orthopedic surgery #bolo

Hip Dysplasia in a 1yo SF Border Collie mix. You can see that the left hip socket is very irregular and the head of the femur is not sitting in the socket like it should. A FHO is being recommended to the owner, femoral head osteotomy) where the femoral head is surgically removed and the body creates a pseudo-joint instead. If that procedure doesn't take, a total hip replacement may be indicated. .

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Howdy Doctor Fierce! A couple of times watching veterinarian shows on TV, I've seen them treat certain femur fractures or dislocations in dogs/cats by removing the femoral head to create a scar tissue joint. They never really take more than a second to explain the procedure, mostly just to say that the result is pain-free. I've always thought that scar tissue in joints is bad (in humans, anyhow), and I can't wrap my head around how a joint can still work without bone articulation. (1/2)

(2/2) Would you mind shedding light on how the bone removal procedure works? Is there an increased risk of arthritis or other complications down the line? Tax: came for the fantasy anatomy, stayed because I think your content has helped me become a better pet owner when it comes to vet visits!

This procedure has a few different names: Femoral Head Osteotomy/Ostectomy (FHO) or Femoral Head and Neck Excision (FHNE) being the most common.

It’s a salvage procedure performed to alleviate pain. It’s commonly performed where the femoral head is broken, malformed or otherwised damaged. Fractures are common in cats and small dogs, but necrosis of the femoral head or severe hip dysplasia are other common reasons. A total hip replacement have have been an option in some cases, but is about three times more expensive.

(Image source)

Basically the hip is a ball and socket joint. With this procedure we remove the ball from the socket. This will create a false or floating joint, but because there are no fracture fragments to rub against each other, and no friction on the articular surface of the joint, the animal has less pain. All the muscle attachments are kept in place and it’s those muscles which are important in movement.

There will be some boney changes over time, but no arthritic pain because there’s no joint any more. One leg may be a little longer than the other, but dogs and cats typically walk with a slight bend in their knee anyway so they cope well with this procedure.

This works well with smaller, lighter animals with good muscle tone. Larger, obese or already weakened animals don’t do as well.

Briefly, the surgery involves a small incision over the hip joint. Sometimes the femoral head is already fractures, so it’s simply matter or removing the unconnected ‘ball’ of the joint and smoothing out the edges left behind. Sometimes you have to cut the femoral neck first, and then retrieve the ‘ball’ and smooth your edges.

Some animals live with a slight persistent limp because one leg is a different length, but generally they cope quite well.