Femoral Head and Neck Excision for Post‐Traumatic Coxofemoral Instability and Capital Physeal Fracture in a Dog: A Case Report

Abstract

Post‐traumatic coxofemoral instability and capital physeal fractures are significant orthopedic conditions in dogs that result in joint instability, pain, and functional impairment. In severe or complicated cases, femoral head and neck excision (FHNE) may be indicated as a salvage surgical procedure, particularly when other reconstructive options are not feasible. This case report describes the clinical management and surgical outcome of a young female Siberian Husky diagnosed with post‐traumatic hip joint instability associated with a capital physeal fracture following a road traffic accident. The patient had a recent history of severe anemia secondary to canine ehrlichiosis, which significantly increased anesthetic and surgical risk and influenced clinical decision‐making. Diagnosis was based on physical examination and radiographic evaluation. FHNE was performed due to bone fragility and contraindications for internal fixation or total hip replacement. Postoperative management included multimodal analgesia, antibiotic therapy, and a structured physiotherapy protocol emphasizing hydrotherapy. Clinical follow‐up demonstrated progressive improvement in limb function, reduction of lameness, and satisfactory quality of life. This case supports FHNE as a viable and effective salvage procedure for the management of post‐traumatic hip joint disorders in young dogs, particularly when advanced orthopedic reconstruction is contraindicated.