Femoral Head & Neck Ostectomy

Laura E. Peycke, DVM, MS, Diplomate ACVS, Texas A&M University

Femoral head and neck ostectomy (FHO) is a commonly performed procedure for surgical treatment of traumatic and chronic conditions affecting the hip.

The option to do an FHO is typically presented along with other surgical alternatives. Some surgeons see it as a last resort or a “salvage” procedure, whereas others believe it to be a primary recommendation for many orthopedic diseases of the hip.

Indications

Common indications for an FHO include:

Excision of the femoral head and neck palliates pain by eliminating bony contact between the pelvis and femur, allowing formation of a pseudoarthosis. The pseudoarthrosis that forms comprises dense fibrous tissue lined by a synovial membrane.

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