The inside of the femur is drilled out and reamed with a tapered reamer, then finish filed and broached. The femoral stem is test-fitted and then cemented in place. Often the glue includes and antibiotic. The acetabulum is reamed, the acetabular cup is fitted and cemented into place. The hip components are in three units allowing for mix and match to better match the dog's original skeletal conformation.
Possible complications exist.
Infection is the most common occurrence. With cement disease, a synovial like membrane containing particulate debris develops that produces large amounts of bone resorbing factors. They must be healthy. Strict confinement and close supervision is required for 8 weeks after surgery. The most painful hip is replaced first and if the second hips needs to be replaced, it is at least 2 months later.