Approach to the canine coxofemoral joint using an osteotomy of the deep gluteal muscle insertion for total hip replacements.

Canine total hip replacements (THR) are commonly performed using a craniolateral approach to the craniodorsal aspect of the hip which traditionally involves a partial deep gluteal tendon tenotomy (DGT). Performing an osteotomy of the insertion of the deep gluteal tendon has been utilized by some surgeons. Utilizing bone healing over tendon healing aims to improve post operative hip stability. To the authors' knowledge, this is the first published description of the novel deep gluteal osteotomy (DGO) approach. It differs from a greater trochanteric osteotomy as the latter involves an osteotomy of both the deep and middle gluteal insertions. DGT and the novel DGO approach were performed in ten medium to large breed cadavers on contralateral limbs. The surface area of acetabular exposure was measured in contralateral limbs following the approaches and the iatrogenic damage to the deep gluteal, middle gluteal and vastus lateralis muscles following femoral reaming was visually graded (none, mild, moderate or severe) based on muscle proportion damaged. There was no statistically significant difference (