Management
1.  Total Hip Replacement-pain free fixation successful in 90% of cases
	Complications:  luxation, sciatic neuropraxia, infection
Procedure:  Remove Femoral Head and neck and replaced by a cobalt chromium femoral component.  The acetabulum is reamed and a high density polyethylene acetabular component is implanted.  Methyl Methacrylate bone cement holes the implants in place.   
Reasons for total hip replacement: clinical signs of lameness, no concurrent orthopedic or neurological disease, and no concurrent infectious disease, dogs must have enough stock bone in the pelvis to accommodate the cup, and a large enough medullary canal for the femoral component
Cost: $1600-3500 per hip


2. Pharmacological Treatment: Manage with analgestics until 18 months of age when growth plates have closed.
	Analgesics and NSAIDS-will minimize joint pain
Aspirin: 10-15 mg/kg BID; use only on painful days, no more than 2-3 days in a row
Carprofen
Etodolac
	Glucosamine and Chondritin Sulfate-will improve joint health 


3. Nutritional Management: weight reduction diet 
Large Breed Adult dog food fed according to daily energy requirement (DER)

4. Rest/Exercise
Swimming and hill climbing