Femoral head and neck ostectomy

Sa？etak Femoral head and neck ostectomy (FHO) is a procedure for surgical treatment of traumatic and chronic conditions affecting the hips, when other methods of treatment have no effect. The most common cause for surgery are hip dysplasia, complicated fractures of the femoral head and neck, Perthes disease in dogs, and slipped capital femoral epiphysis (SCFE) in cats. It is performed under general anesthesia and the femoral head and neck are removed. FHO releaves pain and returns mobility to the hip joint, and it is indicated in small breed dogs and all cats, but because of its lower cost compared to hip replacement it is also used in dog breeds weighing more than 20 kilograms. The craniolateral approach is the preferred method because it does not involve transference of the gluteal muscles. The cut begins at the level of the large trochanter. The surface and deep gluteal muscles are retracted dorsally, without excision of the musculature. It is then possible to see the joint capsule which is to be excised. The complete excision of the thigh bone ligament head allows disarticulation of the hip joint. The empty space created by the surgery is filled over time with scar tissue that serves as a false joint. Physical therapy helps restore hip mobility