Salas Nicole, Popovitch Catherine
Veterinary Specialty and Emergency Center, 1900 W. Old Lincoln Highway, Langhorne, PA 19047, USA.
Can Vet J. 2011 Dec;52(12):1319-22.
This study compared the clinical outcome in cats with patella fractures treated by surgery to those treated conservatively. Six cats with 9 patella fractures were treated. Six fractures were treated surgically and 3 were treated conservatively. Medical records of all 6 patients were reviewed for age, breed, gender, trauma, and fracture conformation. All patients had follow-up which consisted of a physical examination, radiographs, and an interview with the client between 1 and 4.5 y after surgery or diagnosis. All cats treated conservatively returned to normal activity with no gait abnormalities. In cats that had surgery, 4/6 had breakdown of the surgical repair but all cats went on to full recovery with normal activity and gait. The conclusions of this preliminary study are that surgical repair of cat patella fractures has a high rate of implant failure and that conservative management of cat patella fractures results in excellent clinical outcome.
本研究比较了手术治疗与保守治疗的髌骨骨折猫的临床结局。对6只患有9处髌骨骨折的猫进行了治疗。6处骨折接受了手术治疗，3处接受了保守治疗。回顾了所有6例患者的病历，记录其年龄、品种、性别、创伤情况和骨折形态。所有患者均进行了随访，随访内容包括体格检查、X光片检查，以及在术后或确诊后1至4.5年对主人进行访谈。所有接受保守治疗的猫均恢复正常活动，步态无异常。接受手术治疗的猫中，4/6的手术修复出现失败，但所有猫最终均完全康复，活动和步态正常。这项初步研究的结论是，猫髌骨骨折的手术修复植入失败率很高，而保守治疗可带来出色的临床结局。
