There are a number of popular surgical methods for maintaining reduction of coxofemoral luxations - use of the toggle pin method, ilio-femoral sutures to limit external rotation of the hip, and caudo-distal transposition of the greater trochanter. Each of these methods depends on the joint capsule and associated muscles for acute stability, and especially for long-term stability. If the joint capsule is severely traumatized and not conducive to primary repair, some surgeons elect to perform a capsulorrhaphy or dorsal suture augmentation of the joint capsule. With any of the just mentioned surgical methods for stabilization of hip luxations, it is important to remember that the use of sutures and anchors must be considered temporary solutions until the joint capsule and periarticular soft tissue can heal. As such, patients with poor hip conformation are not good candidates for these methods of repair and should be considered for salvage procedures, such as FHNE or THR.

The toggle pin method of maintenance of coxofemoral luxations has been around many years. Commercially available toggle pins, suture buttons, and the IMEX® universal aiming device have simplified the method and increased its popularity. This method places a strand (or multiple strands) of suture material in a location that mimics the normal origin and insertion of the round ligament of the femoral head, which is torn when the hip is traumatically luxated. This anatomic positioning of suture material is relatively straightforward and visually demarcated in the hip, and is perhaps partially responsible for the logic and popularity of the method. 

Different suture material and sizes are used based on the surgeon’s preference. IMEX® customers use both monofilament and braided suture material. Braided material is popular with customers who desire strength and knot security and tends to bend acutely around anchors or toggles better than monofilament suture material. Typical sizes include #2 and #5. Monofilaments are popular with customers who desire a relatively inert material; common examples include monofilament fishing leader and Prolene®.

Commonly used for coxofemoral luxation repair with the toggle pin method. Used for many other applications including: lag screw repair of condylar fractures, placement of calcaneo-tibial screws for repair of Achilles tendons, and lag screw fixation of femoral neck fractures. 

Three diameters are available for repair of coxofemoral luxations. The cross-hole sizes are compatible with most commonly used sizes of suture material.

Simplifies suture tie-off at the lateral femur during the toggle pin method of hip luxation repair. Also used for shoulder instability, stifle instability and other surgical applications.

Applied at the lateral femur to simplify suture tie-off when performing the toggle pin method of coxofemoral reduction. Approximately 6.5mm x 14mm.

Similar to a large sewing needle with an eye, this suture passer is designed to be a very economical method of pulling suture down the femoral neck.

The hip luxation starter kit is designed to provide the surgeon a complete set of components needed for the toggle pin method of hip luxation repair