Oertzenweg 19 b
14163 Berlin
+49 30 838 62299 / 62300
pferdeklinik@vetmed.fu-berlin.de
Objective:
To describe open reduction and surgical stabilization of a coxofemoralluxation in a pony using a modified toggle pin technique and prosthetic jointcapsule reconstruction without osteotomy of the greater trochanter.
Animal:
A 2-year-old Shetland pony with a bodyweight of 167 kg.
Study design:
Case report.
Methods:
Radiographic examination confirmed craniodorsal luxation of theleft coxofemoral joint. An open reduction with the aid of a pulley system wasperformed. A toggle pin was inserted through a bone tunnel extending fromthe level of the femoral shaft through the femoral head and the center of theacetabulum for the pin to be positioned on the medial wall of the acetabu-lum. FiberWire was subsequently passed through the cranial and caudalaspects of the acetabulum as well as a transverse tunnel in the femoral neckin a figure of 8 to facilitate capsular reconstruction. The pony was placed in asling for 8 weeks and gradually returned to normal activity over 2 months.
Results:
Postoperative radiographic examination confirmed the position of thefemoral head in the acetabulum with the implants in place. On 2-year follow-upthe pony was sound at walk and trot.
Conclusion:
A combined intra- and extra-articular stabilization technique forcoxofemoral luxation in a pony resulted in successful long-term reduction andexcellent outcome.