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.


Common indications for an FHO include:

  • Femoral head and neck fractures
  • Catastrophic acetabular fractures
  • Coxofemoral hip luxations
  • Failed total hip replacements
  • Chronic pain associated with hip degenerative joint disease (including traumatically induced disease, Legg-Perthes disease, and canine hip dysplasia)

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