I've only had a hand full of patients that have gone the total hip route. Each was a young dog that was too old for the TPO and had a life time of disability ahead. In the hands of a qualified surgeon (probably specialty hospital or university) the success rate is very good and results are too.
That being said, most of my clients/patients have opted for medical management with a FHO as a last resort/salvage procedure. Most have been satisfied with that approach. While FHO surgery is indicated for dogs <50#, I've done it successfully on dogs much bigger when that was the only recourse due to money issues.
Doug, DVM
