Abstract
Abstract
Objective
To report indications, complications, and long-term outcomes following feline total hip replacement (THR) using a client-based clinical metrology questionnaire, the Feline Musculoskeletal Pain Index (FMPI), and owner satisfaction.
Study design
Multi-institutional retrospective cohort study.
Animals
Cats (n = 44) that underwent THR (n = 56).
Methods
Feline THRs submitted to a registry over a 10-year period were reviewed. The FMPI and owner satisfaction surveys were used to assess outcome.
Results
Forty-four cats met the inclusion criteria. Median age was 2 years (range: 0.9-11), and median bodyweight 5 kg (range: 3.3-7.6). British Shorthair and Domestic Shorthair were the most frequent breeds. Most cats were neutered males (33/44) and slipped capital femoral epiphysis (SCFE) was the most common surgical indication (34/56). All implants were cemented micro and nano hip implants. Overall complications (11/56) included 9 major complications. The median duration of follow up was 752 days (range: 102-3089). No association was found between clinical variables and complications. The FMPI score improved from 0.111 (range: 0-1.222) to 2.111 (range: 0.888-3.666) postoperatively (P
Conclusion
A validated client metrology questionnaire showed clinical improvement in cats following THR. The most common indication for THR in cats was SCFE occurring in young male neutered cats. Complication rates were comparable to previous reports.
Clinical significance
Total hip replacement appears to be a successful surgical treatment for feline hip disease with very good owner satisfaction and acceptable complication rates.
Objective
To report indications, complications, and long-term outcomes following feline total hip replacement (THR) using a client-based clinical metrology questionnaire, the Feline Musculoskeletal Pain Index (FMPI), and owner satisfaction.
Study design
Multi-institutional retrospective cohort study.
Animals
Cats (n = 44) that underwent THR (n = 56).
Methods
Feline THRs submitted to a registry over a 10-year period were reviewed. The FMPI and owner satisfaction surveys were used to assess outcome.
Results
Forty-four cats met the inclusion criteria. Median age was 2 years (range: 0.9-11), and median bodyweight 5 kg (range: 3.3-7.6). British Shorthair and Domestic Shorthair were the most frequent breeds. Most cats were neutered males (33/44) and slipped capital femoral epiphysis (SCFE) was the most common surgical indication (34/56). All implants were cemented micro and nano hip implants. Overall complications (11/56) included 9 major complications. The median duration of follow up was 752 days (range: 102-3089). No association was found between clinical variables and complications. The FMPI score improved from 0.111 (range: 0-1.222) to 2.111 (range: 0.888-3.666) postoperatively (P
Conclusion
A validated client metrology questionnaire showed clinical improvement in cats following THR. The most common indication for THR in cats was SCFE occurring in young male neutered cats. Complication rates were comparable to previous reports.
Clinical significance
Total hip replacement appears to be a successful surgical treatment for feline hip disease with very good owner satisfaction and acceptable complication rates.
| Original language | English |
|---|---|
| Pages (from-to) | 763-771 |
| Number of pages | 9 |
| Journal | Veterinary Surgery |
| Volume | 51 |
| Issue number | 5 |
| Early online date | 1 Jun 2022 |
| DOIs | |
| Publication status | Published - 1 Jul 2022 |
Bibliographical note
Funding Information:Author Contributions: Rodiño Tilve V, BVSc, GPCert PgC(SAS): Acquisition, analysis and interpretation of data, manuscript composition and final revision of the manuscript. Allaith S, BVSc, PhD: Collection of data, critical revision and approval of final manuscript. Girling S, BSc, BVSc, CertSAS, DipECVS: Provision of substantial amount of data (10 hips), critical revision and approval of final manuscript. Moores A, BVSc, DSAS(Orth), DipECVS: Provision of substantial amount of data (9 hips), critical revision and approval of final manuscript. Mulholland L, BSc: Assistance with interpretation of the data and drafting the manuscript, critical revision and approval of final manuscript. Morrison S, BVSc, CertSAS: Provision of substantial amount of data (7 hips), critical revision and approval of final manuscript. Onyett J, BVSc, CertSAS: Provision of substantial amount of data (8 hips), critical revision and approval of final manuscript. Maddox T, BVSc, PhD, CertVDI, DipECVDI: Analysis and interpretation of data, assistance with drafting of the manuscript, critical revision and approval of final manuscript. Lascelles BDX, BSc, BVSc, PhD, CertVA, DSAS(ST), DECVS, DACVS: Assistance with analysis and interpretation of data, drafting of the manuscript, critical revision and approval of final manuscript. Langley-Hobbs S, MA, BVetMed, DSAS(Ortho), DipECVS: Provision of substantial amount of data (12 hips), critical revision and approval of final manuscript. Comerford E, MVB, PhD, CertVR, CertSAS, PGCertHE, DipECVS: Conception and design of the work, acquisition, analysis and interpretation of data, as well as critical assistance in drafting of the manuscript. Critical and final revision and approval of the manuscript. We thank all the veterinary surgeons, veterinary nurses, and related professionals who have assisted with case submission to the BVOA-UoL Feline Hip Registry and who continue to support this platform with the goal of generating future research in managing feline and canine hip disorders. With special attention to Rob Pettitt, Martin Owen, Kinley Smith and Ian Macqueen for having provided some of the cases included in this study.
Funding Information:
Supported in part by the British Veterinary Orthopaedic Association (BVOA). Funding information
Publisher Copyright:
© 2022 American College of Veterinary Surgeons.