- Weight reduction – “thin is good”
- Limit feeding has a profound positive effect on expression of CHD*
- 83% of dogs with CHD that are permitted to get overweight develop osteoarthritis (OA).*
- ONLY 50% of dogs with CHD that are kept LEAN develop
- Lean dogs live 1.8 years *
- Keeping dogs lean does not change the genes of dogs predisposed to CHD; however, leanness has been shown to delay or prevent the expression of radiographic signs of *
*Gail Smith, VMD, PhD, University of Pennsylvania, “Influence of diet and age on subjective hip score & OA” Veterinary Orthopedic Society abstract 2002
- NSAIDs – Nonsteroidal Anti-inflammatory Drugs (Rimadyl, Deramaxx, Metacam, Zuprin, Etogesic, Aspirin)
- NEUTRACEUTICALS – Glucosamine, Chondroitin Sulfate, MSM supplements
- MODERATE activity; PHYSICAL THERAPY; MASSAGE; ACUPUNCTURE
- UNDERSTANDING limitations
Juvenile Pubic Symphysiodesis (JPS):
- A productive procedure involving surgical fusion of the pubic symphysis that results in dynamic outward rotation of the acetabulii during continued normal growth of the
- If successful, dorsal acetabular femoral head coverage and femoral head seating is improved similar to a TPO.
- Requires early recognition and surgical intervention by the age of 3 to 5 months for maximal benefit.
Triple Pelvic Osteotomy (TPO):
- A proactive and preventative
- Surgical osteotomy of the affected hemipelvis with outward rotation by 20-30 degrees to achieve improved dorsal acetabular coverage and femoral head seating (the ball fits better into the socket).
- Maintains “normal” Limits or prevents progression of hip osteoarthritis.
- “Window” of opportunity is typically after 6 and before 12 months of
Excision Arthroplasty (Femoral Head Ostectomy-FHO):
- A versatile option for many different situations and types of
- Surgical excision of the femoral head and neck with soft tissue interposition to create a “false joint”.
- Good surgical technique combined with postoperative physical therapy and rehabilitation can result in excellent outcome and function.