Lafuente Pilar
Royal Veterinary College, Hawkshead Lane, Hatfield, Hertfordshire AL9 7TA, UK.
J Feline Med Surg. 2011 Jul;13(7):498-507. doi: 10.1016/j.jfms.2011.05.007.
Young, male neutered, obese cats are predisposed to sustaining spontaneous capital physeal fractures, as well as fractures of the femoral neck secondary to metaphyseal osteopathy.
Although femoral head and neck excision generally leads to adequate limb function, and is appropriate for chronic fractures, it is a salvage procedure and irreversible. Ideally, for acute capital physeal fractures an attempt should be made to stabilise the fracture and save the coxofemoral joint. This requires early detection of the femoral fracture.
Orthopaedic examination in cats can be challenging. Yet thorough assessment is needed to allow localisation of the pathology to the hip joint, and to rule out other orthopaedic conditions such as cranial cruciate ligament rupture. Stabilisation of these types of fracture may also prove challenging.
This review is aimed at general practitioners who have some experience in orthopaedic surgical procedures, as well as those simply wishing to expand their knowledge of feline orthopaedic conditions.
年轻、已绝育的肥胖雄性猫易发生自发性股骨头骨骺骨折，以及继发于干骺端骨病的股骨颈骨折。
尽管股骨头和颈切除术通常能使肢体功能良好，且适用于慢性骨折，但这是一种挽救性手术且不可逆转。理想情况下，对于急性股骨头骨骺骨折，应尝试稳定骨折并保留髋关节。这需要早期发现股骨骨折。
猫的骨科检查具有挑战性。然而，需要进行全面评估以确定病变位于髋关节，并排除其他骨科疾病，如颅交叉韧带断裂。稳定这类骨折也可能具有挑战性。
本综述针对有一些骨科手术经验的全科医生，以及那些只想扩展其对猫科动物骨科疾病知识的人。
