Treatment and prevention
While there are many medication options for management of osteoarthritis, few have a proven benefit for hip dysplasia. The best method for hip dysplasia management is prevention through early surgical intervention. There are two surgical methods available to prevent this disease progressing and both are age-dependant.
Dogs younger than 20 weeks of age:
Juvenile Pubic Symphysiodesis (JPS) - this is a procedure that only benefits young, growing dogs and must be performed before 20 weeks of age. JPS is a relatively low risk and minimally invasive procedure performed on the pubic bone. The aim of the surgery is to fuse the growth of the pubic bone at an early age. This results in a slight change in the shape of the pelvis when it becomes skeletally mature, with improved hip conformation due to better coverage of the ball by the socket. The end result is a reduction in development of degenerative joint disease and osteoarthritis
Dogs older than 20 weeks and younger than 12 months:
If hip dysplasia is not detected before 20 weeks of age but is detected before the dog has reached skeletal maturity (approximately 12 months of age), alternative surgical treatments termed Double Pelvic Osteotomy (DPO) and Triple Pelvic Osteotomy (TPO) are possibilities. These procedures involve making cuts in the bones of the pelvis, rotating the segments and securing these with bone plates. This results in better coverage of the ball by the socket, minimising joint looseness and reducing the development of osteoarthritis and degenerative joint disease. If arthritic changes are detected on the diagnostic X-rays, these procedures cannot be performed.