Dr Victor Poon

Toggle pin technique involves placing an artificial ligament (Green line) to replace the round ligament and its function. However this technique is only recommended if the patient has normal hip conformation. The hip joints gets preserved unlike salvage procedures. This procedure require more precision and more involved compare to FHNE therefore it usually costs more

FHNE involves surgical removal of the femoral head and neck and it’s considered as salvage procedure because once the femoral head is removed, then it will be gone forever. This will prevent bone to bone rubbing within the hip hence eliminate pain and improve quality of life (QOL). The hip subsequently be stabilized with only

Surgical options should be considered for chronic hip luxation and hips that reluxate after closed reduction. The 2 main types of procedure include round ligament reconstruction (Toggle Pin technique) and salvage procedures (femoral head and neck excision [FHNE] or Total hip replacement [THR]). Each procedures have their pros/cons, and should be discussed prior to surgical

Hip Luxation – caudoventral luxation.Treatment for caudalventral hip luxation is similar to craniodosal luxation. Closed reduction under general anesthesia is recommended for acute, uncomplicated hip luxation. The hind limbs are then placed in hobbles to prevent abduction of the hips for 2 weeks. Cage confinement is also essential for immobilization of the hip. If conservative

.The most common cause of hip luxation is trauma and some of these patients have underlying hip dysplasia which predispose them to luxation with less severe trauma. The femoral head is usually dislocated dorsal to the acetabular rim, with a craniodorsal (front and up) position being the most common. It is essential to confirm hip

This surgery is appropriate for young dogs (8-12months old) with dysplasia but without osteoarthritis changes. This means that there is a window of opportunity for this surgery and if the dog develops arthritis or becomes too old, it will be too late to do this surgery..Procedure involves sawing free the ill-fitting acetabulum from the rest

This surgery is performed on young puppies before five months of age, so it is generally done as a preventive procedure before it is known if the puppy will indeed have dysplastic hips but after hip laxity has been detected. The pubic symphysis (purple line) is the cartilage seam connecting the right side of the

Ortolani test is the test to confirm hip dysplasia clinically. Positive Ortolani sign can be found during early stages (4-12 months of age) but may not be present in chronic stages when periarticular fibrosis is present. Sedation or anesthesia is typically required..With the animal in dorsal or lateral recumbency (most common position), pressure is applied