Fischer Howard R, Norton Jeffrey, Kobluk Calvin N, Reed Ann L, Rooks Robert L, Borostyankoi Frank
All-Care Animal Referral Center, 18440 Amistad St, Fountain Valley, CA 92708, USA.
J Am Vet Med Assoc. 2004 May 1;224(9):1478-82. doi: 10.2460/javma.2004.224.1478.
To evaluate anatomic reduction and surgical stabilization of femoral capital physeal fractures in cats.
Retrospective study.
13 cats.
Medical records of cats with unilateral or bilateral femoral capital physeal fractures evaluated from 1998 to 2002 were reviewed. Age and weight of cats at the time of surgery; breed; sex; concurrent injuries; severity of lameness before and 1, 2, 4, 6, and 8 weeks after surgery; the amount of fracture reduction achieved and number of Kirschner wires (K-wires) used; degree of degenerative joint disease of the hip joint and lysis of the femoral neck and head observed after surgery; whether K-wires were removed after surgery; and complications after surgery were evaluated.
Thirteen cats with 16 capital physeal fractures were identified. There was significant improvement in the severity of clinical lameness in all cats from weeks 1 through 4 after surgery. There was no correlation between the scores of the individuals who evaluated radiographs for fracture reduction and placement of K-wires.
Results suggested that surgical stabilization and repair of femoral capital physeal fractures facilitate a short recovery period and a good prognosis for return to normal function in cats.
评估猫股骨近端骨骺骨折的解剖复位及手术固定效果。
回顾性研究。
13只猫。
回顾1998年至2002年期间接受评估的单侧或双侧股骨近端骨骺骨折猫的病历。记录手术时猫的年龄和体重、品种、性别、并发损伤、术前及术后1、2、4、6和8周时跛行的严重程度、骨折复位程度及所用克氏针数量、术后观察到的髋关节退行性关节病程度及股骨颈和股骨头溶解情况、术后克氏针是否取出以及术后并发症。
共确定13只猫发生16例近端骨骺骨折。术后1至4周,所有猫的临床跛行严重程度均有显著改善。评估X线片骨折复位及克氏针放置情况的人员评分之间无相关性。
结果表明,股骨近端骨骺骨折的手术固定和修复有助于猫短期内恢复,并对恢复正常功能有良好预后。