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Advanced Case Study: Complex Bilateral Total Hip Replacement and Patellar Luxation Repair in a 6kg Maine Coon Cat

ABSTRACT

Analyzing a challenging feline case presenting with bilateral hip dysplasia, severe muscle atrophy, and femoral neck fractures. Successfully resolved through staged bilateral THR and Grade IV patellar luxation correction.

1. Clinical Challenge of Feline Bilateral THR

This case features a 1-year-old female Maine Coon cat, weighing 6kg, presenting with highly complex bilateral hip dysplasia, severe muscle atrophy, and secondary bilateral femoral neck fractures. Staged surgical intervention was planned: the left-side THR was completed in early April, followed by a Grade IV patellar luxation repair in early May. In late May, the right-side THR was performed under extremely demanding conditions where the proximal femur had already developed bone infarction (necrosis).

2. Surgical Executions & Locomotion Recovery

Using identical surgical metrics as the contralateral side, the team implanted a 12mm Cup, a 10-6 Dual Mobility Head, a 6mm Neck, and a Size #2 Stem.

This staged, highly complex reconstruction successfully resolved the severe bone infarction and balanced the hip-knee joint forces. The patient was able to stand and consume food autonomously within 24 hours post-operation, showcasing the extreme reliability and biological integration of Vetmaster’s small animal implants under severe clinical conditions