What is hip dysplasia?
Hip dysplasia is one of the most common orthopedic conditions seen in dogs. While this condition typically affects large and giant breeds, any size dog, and even cats, may be affected. Hip dysplasia is the abnormal growth and development of the hip joint. The hip joint is a “ball and socket” joint. The ball is the head of the femur. The socket is part of the pelvic bone, the acetabulum. Normally, the head of the femur fits very tightly within the acetabulum. In hip dysplasia, the joint does not fit together snugly, causing instability. As a result, the joint will partially subluxate or move in and out of the socket. This may cause cartilage damage and severe arthritis in dogs as early as one year of age.
What are the signs and symptoms of hip dysplasia?
- Reluctance to exercise
- “Bunny hop” on stairs
- Swaying gait or wiggling of hips as they walk
- Short steps in either hind leg
- Slowness getting their rear end off the floor
- Slowness lying down
- Difficulty climbing stairs or jumping
- Lameness (limping) prevalent first thing in the morning
- Tendency to worsen after heavy exercise, usually noticed the next day
- More severe symptoms seen on cold and wet days
Dr. Dominic J. Marino pioneered the development of both micro and nano hip replacements and has performed over 2,000 hip replacements in dogs, cats and pot-bellied pigs.
He has published many scientific articles, and authored chapters in both veterinary and human medical textbooks He lectures extensively both nationally and internationally on many surgical topics including soft tissue, orthopedic, and neurosurgery, as well as tactical veterinary medicine at both human and veterinary conferences.
Dr. Marino is the director of The Canine Chiari Institute at Long Island Veterinary Specialists and on the board of directors of The New York Veterinary Foundation, Veterinary Recommended Nutraceuticals, and the Police Surgeons Benevolent Association. Dr. Marino is a board of trustee member and served as chairman of the scientific advisory board of the Chiari Syringomyelia Foundation.
Treatment options for hip dysplasia
Hip Dysplasia Treatment Options at LIVS
Our team can perform a wide range of procedures to address your pet's hip dysplasia, including:
Weight management is extremely important for all pets. In hip dysplasia cases, obesity adds additional stress on already abnormal hips. Added soreness and accelerated arthritis is also likely.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDS):
Anti-inflammatory medications and injections may be used to manage discomfort and soreness for pets with hip dysplasia.
Exercise must be controlled for conservative therapy to be effective. Unrestricted running, jumping and roughhousing must be prohibited. When soreness flares up, exercise should be extremely limited for a few days.
Cemented, Cementless, and Hybrid Total Hip Replacements
Cemented, cementless, and hybrid hip replacement procedures are available at LIVS. Cemented components have the benefit of instant strength immediately after surgery and can fit many different bone shapes.
Cementless components have the advantage of less foreign material being needed and more bone-in-growth over the years. Hybrid components offer some advantages from both systems.
Dr. Marino will decide which implants will best serve your pet’s needs at the time of surgery. It may then be determined that a hip replacement is not in your pet’s best interest. In those rare circumstances, a femoral head and neck ostectomy will be performed.
Photo: This radiograph (x-ray) shows a hybrid total hip replacement.
Micro & Nano Total Hip Replacements
Until recently, traditional hip replacement patients had to weigh at least 35 pounds to benefit from this advanced procedure. Approximately 10% or more of the dogs that are presented for hip arthropathies and all cats were historically too small for hip replacement prosthesis insertion. Now, micro implants have been developed to accommodate patients as small as 5 pounds!
Working with BioMedtrix, Dr. Marino helped develop micro and nano implants to accommodate patients of various sizes, ranging from 1 pound to 275 pounds! Only a handful of surgeons in the world perform micro and nano hip replacements and Dr. Marino was the first on the East Coast to perform this surgical procedure.