Stabilisation of femoral capital physeal fractures using transcervical pinning in cats: 19 cases (2014-2022).

J Small Anim Pract

Clinique Vétocéane, 9 Allée Alphonse Fillion, 44 120, Nantes, France.

Published: March 2024

AI Article Synopsis

  • The study examines the outcomes of transcervical pinning for treating femoral capital physeal fractures in cats, focusing on short-term clinical and radiographic results.
  • Nineteen cats with 21 fractures were evaluated, and at one month post-surgery, 15 showed no lameness; however, significant complications arose in 33.3% of cases, especially in those with severe osteolysis.
  • Overall, transcervical pinning proved effective in cats with minimal osteolysis, but there were high risks of failure in cases with severe preoperative conditions.

Article Abstract

Objectives: To report the short-term clinical and radiographic outcomes in cats with femoral capital physeal fractures stabilised with transcervical pinning.

Materials And Methods: Medical records of cats diagnosed with femoral capital physeal fractures and treated with transcervical pinning were reviewed. The collected data included signalment, weight, time from lameness to surgery, reported trauma, affected side, concomitant orthopaedic injuries, radiographs, osteoarthritis, femoral neck osteolysis, proximal femoral epiphysis to femoral neck ratio, fracture reduction, implants, complications and clinical evaluation results. An owner questionnaire was used for long-term follow-up.

Results: Nineteen cats with a total of 21 fractures met the inclusion criteria. Fifteen of the 19 cats showed no signs of lameness at the 1-month follow-up. Major and catastrophic complications occurred in 9.5% and 23.8% of the fractures, respectively. All catastrophic complications occurred in fractures with a high preoperative osteolysis grade (2 or 3).

Clinical Significance: In our study, transcervical pinning was found to be a reliable fixation method for the treatment of femoral capital physeal fractures in cats with minimal preoperative femoral neck osteolysis. High rates of implant failure with loss of fracture reduction were observed in cats with high-grade preoperative osteolysis.

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http://dx.doi.org/10.1111/jsap.13697DOI Listing

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