261:
153:. As a salvage procedure, this is usually performed in those animals which have the specific injury of a fracture of the capital physis. These animals would not return to function as riding horses and the procedure may be performed for those animals involved in breeding, milking, and being kept as companion animals. This procedure can also be successfully performed in pigs.
29:
134:. It is sometimes the procedure of last resort when other methods have failed or sepsis of the joint has occurred, but it can be indicated when the hip joint is severely affected or if arthritis In the joint is serious enough. It can also be indicated in small animals with pelvic fractures, particularly fractures of the
165:
Unlike in most other hip joint operations, the head of the femur is not replaced, but is allowed to heal and develop its own fibrous scar tissue so that the joint is no longer bone-to-bone, a pseudoarthrosis (also called a "false joint"). The neck of the femur is usually removed at the same time as
161:
The procedure exposes the head section of the femur bone (the ball of the ball and socket joint), and then the head is removed using a small saw or a bone hammer and chisel. Rarely both sides are done in one operation, most times one side is done and allowed to heal before the other side is done.
169:
Animals who have had the operation are required to maintain a lower weight to compensate for the loss of skeletal integrity, and typically have excellent functional outcomes with appropriate physical therapy.
129:
condition found in many dog breeds and some cats. It is also performed in cases of trauma where the head of the femur is badly broken or severed, or in response to other diseases of the hip bone, such as
465:
77:. It is performed to alleviate pain, and is a salvage procedure, reserved for condition where pain can not be alleviated in any other way. It is common in veterinary surgery. Other names are
166:
the head. This prevents the post operative complication of bone rubbing on bone and continued pain. This has led to the procedure often also called "Femoral head and neck ostectomy".
458:
385:
Smith JS, Chigerwe M, Kanipe C, Gray S (February 2017). "Femoral head ostectomy for the treatment of acetabular fracture and coxofemoral joint luxation in a
Potbelly pig".
451:
858:
810:
975:
131:
296:
Rawson EA, Aronsohn MG, Burk RL (2005). "Simultaneous bilateral femoral head and neck ostectomy for the treatment of canine hip dysplasia".
980:
716:
420:
Berzon JL, Howard PE, Covell SJ (1980). "A retrospective study of the efficacy of femoral head and neck excisions in 94 dogs and cats".
867:
711:
121:. Dogs, cats and small horses, donkeys and ponies have all had the procedure performed successfully. It may be used in some cases of
109:
and other disorders of the hips. It may thus be known as a "Girdlestone operation". Other surgeons have added various modifications.
770:
765:
985:
662:
199:
Girdlestone GR (1943). "Acute pyogenic arthritis of the hip: an operation giving free access and effective drainage".
102:
699:
350:
Squire KR, Fessler JF, Toombs JP, Van Sickle DC, Blevins WE (1991). "Femoral head ostectomy in horses and cattle".
803:
179:
825:
616:
332:
260:
735:
574:
122:
704:
274:
Spreull, J. S. A. (1961). "Excision arthroplasty as a method of treatment for hip diseases in the dog".
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150:
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402:
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863:
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118:
848:
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938:
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657:
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363:
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964:
748:
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815:
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106:
80:
66:
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933:
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539:
135:
126:
70:
691:
652:
642:
146:
142:
406:
317:
371:
253:
117:
Use of the operation in veterinary science was first described in 1961 by
51:
28:
398:
309:
726:
74:
493:
475:
105:(1881–1950) in 1945. He originally designed it for treatment of
447:
896:
836:
781:
734:
725:
690:
635:
599:
583:
527:
501:
492:
38:
21:
16:Surgical removal of the head and neck of the femur
87:Girdlestone's operation, Girdlestone procedure
459:
291:
289:
8:
731:
498:
466:
452:
444:
27:
859:Anterior cruciate ligament reconstruction
243:
811:Ulnar collateral ligament reconstruction
191:
333:"Femoral Head Ostectomy (FHO) in Dogs"
65:is a surgical operation to remove the
18:
101:The operation was first described by
7:
331:Weir, Malcolm; Barnette, Catherine.
141:Small horses and ponies can have an
717:Autologous chondrocyte implantation
47:
868:Unicompartmental knee arthroplasty
712:Knee cartilage replacement therapy
434:10.1111/j.1532-950x.1980.tb01661.x
364:10.1111/j.1532-950X.1991.tb00354.x
228:"Excision arthroplasty of the hip"
14:
226:Haw CS, Gray DH (February 1976).
259:
91:femoral head and neck ostectomy
976:Orthopedic surgical procedures
245:10.1302/0301-620X.58B1.1270495
1:
213:10.1016/s0140-6736(00)41922-7
83:of the femoral head and neck
981:Surgical removal procedures
132:Legg-Calve-Perthes' disease
103:Gathorne Robert Girdlestone
1002:
700:Articular cartilage repair
483:
180:List of surgeries by type
48:
33:The femoral head and neck
26:
826:Finger joint replacement
617:Distraction osteogenesis
138:(socket of the pelvis).
125:, an extremely painful
607:Femoral head ostectomy
575:Vertebral augmentation
63:femoral head ostectomy
22:Femoral head ostectomy
986:Veterinary procedures
804:Weaver–Dunn procedure
705:Microfracture surgery
474:Procedures involving
113:In veterinary science
794:Shoulder replacement
756:Intervertebral discs
514:Orthognathic surgery
337:VCA Animal Hospitals
298:J Am Anim Hosp Assoc
232:J Bone Joint Surg Br
946:Arthroscopic lavage
678:Tension band wiring
888:Triple arthrodesis
883:Broström procedure
821:Brunelli procedure
622:Ilizarov apparatus
570:Vertebral fixation
486:Orthopedic surgery
387:Veterinary Surgery
151:greater trochanter
958:
957:
954:
953:
924:Joint replacement
878:Ankle replacement
686:
685:
673:External fixation
668:Internal fixation
519:Chin augmentation
399:10.1111/vsu.12604
276:Veterinary Record
59:
58:
993:
864:Knee replacement
789:Shoulder surgery
732:
499:
468:
461:
454:
445:
438:
437:
417:
411:
410:
382:
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375:
347:
341:
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328:
322:
321:
293:
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265:
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257:
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216:
196:
119:J. S. A. Spreull
52:edit on Wikidata
31:
19:
1001:
1000:
996:
995:
994:
992:
991:
990:
961:
960:
959:
950:
892:
849:Hip replacement
844:Hip resurfacing
832:
777:
721:
682:
631:
627:Phemister graft
595:
579:
523:
488:
479:
472:
442:
441:
419:
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414:
384:
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379:
349:
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310:10.5326/0410166
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258:
225:
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193:
188:
176:
159:
115:
99:
55:
34:
17:
12:
11:
5:
999:
997:
989:
988:
983:
978:
973:
963:
962:
956:
955:
952:
951:
949:
948:
943:
942:
941:
939:Arthrocentesis
936:
926:
921:
916:
911:
906:
900:
898:
894:
893:
891:
890:
885:
880:
875:
870:
861:
856:
854:Rotationplasty
851:
846:
840:
838:
834:
833:
831:
830:
829:
828:
823:
813:
808:
807:
806:
801:
799:Bankart repair
796:
785:
783:
779:
778:
776:
775:
774:
773:
768:
763:
753:
752:
751:
740:
738:
729:
723:
722:
720:
719:
714:
709:
708:
707:
696:
694:
688:
687:
684:
683:
681:
680:
675:
670:
665:
660:
658:Epiphysiodesis
655:
650:
645:
639:
637:
633:
632:
630:
629:
624:
619:
614:
612:Astragalectomy
609:
603:
601:
597:
596:
594:
593:
587:
585:
581:
580:
578:
577:
572:
567:
562:
557:
552:
547:
542:
537:
531:
529:
525:
524:
522:
521:
516:
511:
505:
503:
496:
490:
489:
484:
481:
480:
473:
471:
470:
463:
456:
448:
440:
439:
412:
393:(2): 316–321.
377:
342:
323:
285:
266:
218:
190:
189:
187:
184:
183:
182:
175:
172:
158:
155:
114:
111:
98:
95:
57:
56:
49:
46:
45:
42:
36:
35:
32:
24:
23:
15:
13:
10:
9:
6:
4:
3:
2:
998:
987:
984:
982:
979:
977:
974:
972:
969:
968:
966:
947:
944:
940:
937:
935:
932:
931:
930:
927:
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922:
920:
917:
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905:
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839:
835:
827:
824:
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819:
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812:
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805:
802:
800:
797:
795:
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790:
787:
786:
784:
780:
772:
769:
767:
764:
762:
759:
758:
757:
754:
750:
749:Spinal fusion
747:
746:
745:
742:
741:
739:
737:
733:
730:
728:
724:
718:
715:
713:
710:
706:
703:
702:
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698:
697:
695:
693:
689:
679:
676:
674:
671:
669:
666:
664:
661:
659:
656:
654:
651:
649:
648:Bone grafting
646:
644:
641:
640:
638:
634:
628:
625:
623:
620:
618:
615:
613:
610:
608:
605:
604:
602:
598:
592:
591:Acromioplasty
589:
588:
586:
582:
576:
573:
571:
568:
566:
563:
561:
558:
556:
553:
551:
548:
546:
543:
541:
538:
536:
533:
532:
530:
526:
520:
517:
515:
512:
510:
509:Jaw reduction
507:
506:
504:
500:
497:
495:
491:
487:
482:
477:
469:
464:
462:
457:
455:
450:
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446:
435:
431:
427:
423:
416:
413:
408:
404:
400:
396:
392:
388:
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369:
365:
361:
357:
353:
346:
343:
338:
334:
327:
324:
319:
315:
311:
307:
304:(3): 166–70.
303:
299:
292:
290:
286:
281:
277:
270:
267:
262:
255:
251:
246:
241:
237:
233:
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206:
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195:
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185:
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173:
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167:
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152:
148:
144:
139:
137:
133:
128:
124:
123:hip dysplasia
120:
112:
110:
108:
104:
96:
94:
92:
88:
84:
82:
76:
72:
68:
64:
53:
43:
41:
37:
30:
25:
20:
928:
909:Arthroplasty
873:Ankle fusion
816:Hand surgery
771:Arthroplasty
766:Annuloplasty
606:
565:Foraminotomy
550:Laminoplasty
535:Coccygectomy
428:(3): 88–92.
425:
421:
415:
390:
386:
380:
358:(6): 453–8.
355:
351:
345:
336:
326:
301:
297:
279:
275:
269:
235:
231:
221:
204:
200:
194:
168:
164:
160:
140:
116:
107:tuberculosis
100:
90:
86:
81:arthroplasty
78:
62:
60:
44:orthopaedics
919:Arthroscopy
914:Synovectomy
744:Arthrodesis
560:Facetectomy
545:Laminectomy
238:(1): 44–7.
207:: 419–421.
145:without an
971:Dog health
965:Categories
934:Arthrogram
904:Arthrotomy
761:Discectomy
555:Corpectomy
540:Laminotomy
478:and joints
186:References
136:acetabulum
127:congenital
692:Cartilage
663:Reduction
653:Osteotomy
643:Ostectomy
157:Procedure
147:osteotomy
143:ostectomy
79:excision
73:from the
40:Specialty
929:imaging:
422:Vet Surg
407:27990668
352:Vet Surg
318:15870250
174:See also
897:General
636:General
372:1369530
254:1270495
149:of the
97:History
727:Joints
405:
370:
316:
282:: 573.
252:
201:Lancet
89:, and
736:Spine
528:Spine
494:Bones
476:bones
75:femur
50:[
502:Face
403:PMID
368:PMID
314:PMID
250:PMID
71:neck
69:and
67:head
837:Leg
782:Arm
600:Leg
584:Arm
430:doi
395:doi
360:doi
306:doi
240:doi
209:doi
205:241
967::
424:.
401:.
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389:.
366:.
356:20
354:.
335:.
312:.
302:41
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288:^
280:73
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236:58
234:.
230:.
203:.
93:.
85:,
61:A
866:/
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460:t
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436:.
432::
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409:.
397::
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362::
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308::
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54:]
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.
