Aim: The aim of this study was to evaluate the advantages, disadvantages and postoperative outcomes associated with the use of toggle pin (TP) fixation or femoral head and neck excision arthroplasty (EA) in the treatment of coxofemoral luxation in cats.

Materials and Methods: Twenty cats of different breeds, sexes and ages presenting with coxofemoral luxation to the small animal clinic between 2022-2023 were evaluated. EA was the procedure of choice in 11 cases and TP was the procedure of choice in 9 cases.

Results: In the EA group, 5 patients (45.4%) had no lameness at the 2-month postoperative examination and walked well. The other 4 patients (36.3%) had mild and occasional performance difficulties. In 2 cases (18.1%) there was a mild but frequent difficulty in walking. When the 12-month results of the same patients were analysed, it was found that 9 patients (81.8%) had no problem walking and only 2 patients had mild and occasional difficulty walking. In the TP group, 5 cases (55.5%) showed lameness within 4 months of surgery. No lameness was observed in 4 (44.4%) cats in the same group. EA was performed in 5 cases of reluctance. Owners reported that their cats were not restricted in activity 12 months after surgery.

Conclusion: EA appears to be a rescue technique that can provide good functional results in cats that have failed other techniques. Despite the reluxation rates, the TP used in this study is a good technique that can be used to preserve the joint. The use of different materials should increase the tracking time.