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Should we offer total hip replacement to feline patients?

PICO question 
In cats with traumatic coxofemoral injury, does total hip replacement (THR) offer improved outcome when compared with femoral head and neck excision (FHNE) arthroplasty? 
  
Clinical bottom line 
Category of research question 
Treatment 
The number and type of study designs reviewed 
One paper was critically reviewed. It was a non-randomised retrospective observational study 
Strength of evidence 
Moderate evidence 
Outcomes reported 
THR results in superior clinical outcome and owner satisfaction compared to FHNE in cats 
Conclusion 
In cats with traumatic coxofemoral injury, although the evidence is not conclusive and somewhat limited, the literature reviewed here suggests that THR offers a superior outcome in feline patients. 
There is currently insufficient evidence to determine if there is a difference in long-term outcome, complications or osteoarthritis (OA) development following THR or FHNE in feline patients 
  
How to apply this evidence in practice 
The application of evidence into practice should take into account multiple factors, not limited to: individual clinical expertise, patient’s circumstances and owners’ values, country, location or clinic where you work, the individual case in front of you, the availability of therapies and resources. 
Knowledge Summaries are a resource to help reinforce or inform decision making. They do not override the responsibility or judgement of the practitioner to do what is best for the animal in their care. 
  
