Management

	The members of Group 10 work in a specialty practice where there are no 
limitations to treatments and care for the patient. The dog in this case is young (9months) 
and radiographs reveal mild hip dysplasia. There is no degenerative joint disease present. 
The procedure that matches these criteria is a Triple Pelvic Osteotomy (TPO). An 
osteotomy is an incision or a transection of a bone. In a TPO, there are three incisions made 
through the bones of the pelvis: ischium, ilium, and pubis. The goal of this surgery is to 
create a free-floating piece of the pelvis, which is rotated and fixed with plates. This allows 
for repositioning of the acetabulum enabling the femoral head to sit in a more conforming 
fashion within the socket. The hip dysplasia is apparent in both joints so the procedure 
should be performed for both coxofemoral joints. This will alleviate the dogÕs discomfort 
and allow for normal range of motion. A TPO is advantageous  for younger dogs because it 
allows for maximal improvements to the coxofemoral joint as growth and remodeling of the 
bone continues with growth of the dog. This procedure is safe, as it has been performed 
for 15 years with few complications.