Faculty of Agricultural Sciences, University of Applied and Environmental Sciences (UDCA), Bogotá, Colombia.
Michigan State University College of Veterinary Medicine, Feline Medicine, East Lansing, MI, USA.
J Feline Med Surg. 2021 Apr;23(4):375-388. doi: 10.1177/1098612X20959616. Epub 2020 Nov 18.
The aim of this study was to describe the treatment and outcome of acetabular and other pelvic fractures in cats with patellar fracture and dental anomaly syndrome (PADS) and to provide advice on how to manage these cases in practice.
Data were collated on cats with PADS that were reported to have sustained pelvic fractures or had fractures or fissures of the pelvis identified on submitted radiographs. The details of the fractures were recorded, in addition to any treatment and outcome information.
Of the 215 cases reported with PADS, 58 cats (27%) were found to have pelvic fractures, none of which were known to have resulted from significant trauma. There were 101 fractures in total and of these 15 were treated with surgery, including 10 acetabular fractures, two ilial, two pubic and one ischial fracture. Screw loosening and loss of fracture reduction was seen in four of the surgically treated fractures (two pubic fractures, one ilial and one acetabular fracture). Fourteen cats were euthanased as a direct result of a fracture occurring. While most pelvic fractures healed uneventfully, some cats remained intermittently lame, but it was not always possible to determine the cause of the lameness from the information available and because all cats had concurrent patellar fractures.
Many of the pelvic fractures healed with conservative management. Fractures involving articular surfaces such as acetabular fractures may benefit from surgical stabilisation as surgery may offer the benefits of articular fracture repair with improved joint congruency and a faster return to normal activity.
本研究旨在描述患有髌骨骨折和牙异常综合征（PADS）的猫的髋臼和其他骨盆骨折的治疗和结果，并就如何在实践中处理这些病例提供建议。
收集了报告有骨盆骨折或提交的 X 光片上有骨盆骨折或裂缝的 PADS 猫的数据。记录了骨折的详细信息，以及任何治疗和结果信息。
在报告的 215 例 PADS 病例中，发现 58 例（27%）有骨盆骨折，这些骨折均非明显外伤所致。总共发生了 101 处骨折，其中 15 处接受了手术治疗，包括 10 处髋臼骨折、2 处髂骨骨折、2 处耻骨骨折和 1 处坐骨骨折。在接受手术治疗的骨折中，有 4 处（2 处耻骨骨折、1 处髂骨骨折和 1 处髋臼骨折）出现了螺钉松动和骨折复位丢失。有 14 只猫因骨折而直接被安乐死。虽然大多数骨盆骨折未经治疗而愈合，但一些猫仍间歇性跛行，但由于所有猫都同时患有髌骨骨折，因此从现有信息中并不能确定跛行的原因，而且也不能确定跛行的原因。
许多骨盆骨折通过保守治疗愈合。涉及关节面的骨折，如髋臼骨折，可能受益于手术稳定，因为手术可能提供关节骨折修复的益处，改善关节吻合度，并更快地恢复正常活动。
