Zurich cementless total hip replacement: retrospective evaluation of 2nd generation implants in 60 dogs.
OBJECTIVE
To evaluate the results of application, and identify complications, of the 2nd generation of Zurich Cementless Total Hip Replacement (ZCTHR).


METHODS
Case series.


METHODS
Client-owned dogs (n=60) that had ZCTHR (n=65).


METHODS
Dogs with ZCTHR (2001-2003) with a minimum follow-up > or =6 months were evaluated. Data included signalment, cup position, longest follow-up, complications, management of complications and outcome.


RESULTS
Mean follow-up was 22.68 months. Eleven cases (17%) had postoperative complications: femoral fracture (n=1; 1.5%), prosthesis luxation (7; 11%), cup loosening (2; 3%), and implant failure (1; 1.5%); 9 cases were successfully revised. Explantation of implants was performed in 1 case because of infection, and 1 dog was euthanatized after reluxation.


CONCLUSIONS
ZCTHR can restore function in dogs affected by disabling diseases of the coxofemoral joint. The press-fit fixation of the cup allowed for corrections in cases of incorrect positioning. Cases with aseptic loosening were revised successfully by impacting larger cups. Newer stems of this generation are shot peening treated to increase their resistance to breakage. In our cases, infection is a disastrous event, leading to implant removal. After resolution of complications, a successful final outcome was achieved in 97% of THR.


CONCLUSIONS
ZCTHR offers a reliable alternative for treating dogs with disabling diseases of the hip joints.
Guerrero
Tomás G
TG
Department of Small Animal Surgery, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, Zurich, Switzerland. tguerrero@vetclinics.uzh.ch
Montavon
Pierre M
PM
D000818:Animals; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation / Q000379:methods / Q000662:veterinary*; D001843:Bone Cements; D004283:Dog Diseases / Q000601:surgery*; D004285:Dogs; D005260:Female; D005500:Follow-Up Studies; D006619:Hip Dysplasia, Canine / Q000601:surgery*; D006622:Hip Prosthesis / Q000592:standards / Q000662:veterinary*; D007592:Joint Diseases / Q000601:surgery / Q000662:veterinary*; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology / Q000662:veterinary*; D012189:Retrospective Studies; D016896:Treatment Outcome
D001843:Bone Cements