Name
Orthopedic Treatment of Coxofemoral Luxation Using the Hip Toggle Stabilization in a Rabbit
Description
A seven-month-old male Holland Lop rabbit (1.6 kg) presented with non-weight bearing on the right hindlimb following physical trauma. Radiographic imaging confirmed a craniodorsal coxofemoral luxation of the right hip. General anesthesia was induced using intramuscular medetomidine, buprenorphine, intravenous ketamine, and isoflurane via a endotracheal tube. Orthopedic surgery was performed via an open reduction and internal fixation (ORIF) procedure utilizing a 75 lb hip toggle stabilization technique. A hole was drilled at the center of the acetabular socket, and a toggle pin, along with suture material, was passed through medially to anchor the suture. A second hole was made from the third trochanter area to the femoral head, using an aiming guide. The suture material was passed from the femoral head to the third trochanter and tightened with a knotted button for stabilization. Postoperatively, the rabbit received oral enrofloxacin and meloxicam for infection control and pain management. The rabbit demonstrated significant improvement in locomotion within one day following surgery. Weekly physical examinations and radiographic imaging were conducted to monitor the position of the hip. The rabbit regained weight-bearing ability and returned to normal activity without complications. The use of the hip toggle stabilization technique proved to be an effective treatment for coxofemoral luxation in this case. In comparison to other surgical options, such as femoral head osteotomy (FHO), which can lead to complications such as limb length discrepancies and future joint instability, the hip toggle stabilization technique offers a promising alternative with minimal risk of adverse outcomes.
Session Type
Lecture (25 Min)