Total Hip Replacement

Total Hip Replacement is a well-established treatment option for painful disorders of the hip in dogs

What is it for?

Total hip replacement in dogs is most commonly recommended for hip dysplasia, a developmental condition that leads to painful arthritis in the hip joint. It can also be an excellent option for dogs with arthritis caused by other problems such as previous trauma, severe hip fractures that cannot be repaired, or dislocated hips.

What does it involve?

In total hip replacement, the damaged ball and socket of the hip are replaced with synthetic implants. A metallic cup with a plastic (polyethylene) lining is placed in the pelvis, and a metallic ball attached to a femoral stem replaces the femoral head. Together, these components create a smooth, low-friction joint surface. At AOCF we primarily use cementless implants, which allow the bone to grow securely onto the implant for long-term stability

Cementless total hip replacement in a dog

What is the recovery like?

Most dogs begin using the operated leg almost immediately after surgery, though support with a sling is needed for the first 2–4 weeks. Strict confinement during this early period is essential to protect the new joint. Limb use should steadily improve day by day and week by week. Leash walks are gradually increased over a 3-month recovery period, with X-rays taken at 3 months to confirm healing before your dog can safely return to off-leash activity.

What is the expected outcome?

Most dogs return to near full or full activity after total hip replacement. Success rates are very high, with more than 95% of dogs experiencing long-term comfort and mobility. In about 20% of patients, arthritis in the opposite hip eventually requires surgery as well, but once replaced, the implants usually last a lifetime.

What can go wrong?

Complications after total hip replacement are uncommon but possible. The most frequent is dislocation, which occurs in about 3-5% of cases. Other complications include fracture, nerve injury, or infection. Careful surgical technique and strict adherence to postoperative instructions are the most important factors in minimizing these risks and ensuring the best outcome

How do I pick the right surgeon?

Experience and expertise are critical for the success of total hip replacement. Studies show that surgical volume is one of the strongest predictors of good outcomes—surgeons who perform more procedures tend to have fewer complications. When choosing a surgeon, it’s reasonable to ask: How many total hip replacements do you perform each year? What training and qualifications do you have? What is your complication rate? What are my options for referral? These questions will help you understand if your pet is in the right hands.

Why AOCF?

Animal Orthopaedic Clinic of Florida is led by a recognized leader in veterinary joint replacement. Dr. Stanley Kim is an ACVS Founding Fellow in Joint Replacement Surgery, which is the highest level of formal recognition in the field. This title reflects deep clinical experience with joint replacement as evidenced by a high case volume, contributions to scientific literature, and a strong track record in teaching. Dr. Kim was the mentor to the first ACVS Fellow in Joint Replacement Surgery that completed a formal fellowship training program. Using evidence-based, individualized care, we are dedicated to giving your dog the best chance at long-term, pain-free mobility.