• Almost any breed is now candidate for a total hip replacement. Over 60 breeds in our data base have already received a hip replacement.
   
• Dogs as small as 6 pounds have already received a hip replacement
   
• The acetabulum should be >11 mm. from cranial to caudal pole
   
• The isthmus of the femur should be >3.5 mm. inside diameter
   
• The implants are cemented in place
   
• Indications include Legg-Perthes Disease (avascular necrosis of the femoral head), chronic arthritis of the hip for any reason, reduction of hip luxations that can not be managed successfully, and hip dysplasia in small dogs
   
• There is published veterinary literature that documents excellent limb function after hip replacement surgery.

• Several articles on femoral head ostectomy (FHO or FHNE)have been published in the veterinary literature that describes the low percentage of Excellent results for limb function and pain relief compared to hip replacement surgery.
   
• Hip replacement provides a pain free joint with normal biomechanical function
   
• Recovery and rehabilitation after hip replacement surgery is faster than after FHO/FHNE
   
• Hip replacement surgery should be the primary recommendation over a femoral head ostectomy. However, the FHO procedure will continue to be an alternative if it is understood that function may be compromised and pain relief may not be complete. Also, patient and/or financial constraints may be factors in choosing a FHO over a hip replacement.

Micro Prosthesis	5.4# Maltese	Legg Perthes Disease	After Surgery
	Maltese after Surgery
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