Department of Veterinary Clinical Sciences, The Ohio State University Veterinary Medical Center, Columbus, OH.
Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, Medford, MA.
J Am Vet Med Assoc. 2022 Jun 9;260(12):1471-1474. doi: 10.2460/javma.22.01.0009.
To describe long-term outcomes of cats managed medically for cranial cruciate ligament disease (CCLD) via a validated owner-based questionnaire.
18 client-owned cats.
Retrospective review of medical records at 2 tertiary referral hospitals was conducted for records of cats diagnosed with CCLD for which medical management was pursued. History, physical examination findings, and medical management strategies were recorded. Owner follow-up was obtained via phone call or an email correspondence interview using a 2-part questionnaire. Part 1 consisted of 5 multiple-choice questions evaluating short-term outcomes following initiation of medical management. Part 2 assessed long-term outcomes via the validated Feline Musculoskeletal Pain Index-short form metrology instrument.
Mean follow-up time was 66.5 ± 46.7 months (range, 7 to 154 months). Medical management included oral analgesics, activity restriction, and joint supplements. Of the 18 cats, 13 (72%) were always able to bear weight or became weight bearing within a week following initiation of medical management, and 15 (83%) were reportedly clinically normal within 3 months of initiating medical management, with complete resolution of lameness occurring in less than 2 months in 12 of those cats. Long term, 17 of the 18 (94%) owners reported they felt that their cat had a good to excellent outcome with medical management. The mean Feline Musculoskeletal Pain Index-short form score of all cats was 0.29 ± 0.53 (range, 0 to 2.13).
Based on owner follow-up, conservative, nonsurgical management of CCLD can be an effective and appropriate management strategy for some cats; however, some may be best treated with surgical stabilization.
通过经验证的基于所有者的问卷，描述接受医学治疗的颅十字韧带疾病（CCLD）猫的长期结果。
18 只患 CCALD 的宠物猫。
对 2 家三级转诊医院的病历进行回顾性审查，以寻找接受 CCALD 诊断并接受医学治疗的猫的记录。记录病史、体检结果和医学治疗策略。通过电话或电子邮件联系进行所有者随访，使用两部分问卷进行。第 1 部分包括 5 个多项选择题，评估开始接受医学治疗后的短期结果。第 2 部分通过经验证的猫肌肉骨骼疼痛指数-短形式计量工具评估长期结果。
平均随访时间为 66.5 ± 46.7 个月（范围，7 至 154 个月）。医学治疗包括口服镇痛药、活动限制和关节补充剂。在 18 只猫中，有 13 只（72%）在开始接受医学治疗后的一周内始终能够负重或开始负重，有 15 只（83%）在开始接受医学治疗后的 3 个月内被报道为临床正常，其中 12 只猫的跛行完全缓解发生在不到 2 个月的时间内。长期来看，18 只猫的 17 只（94%）主人表示，他们认为他们的猫在接受医学治疗后有良好到极好的结果。所有猫的平均猫肌肉骨骼疼痛指数-短形式评分为 0.29 ± 0.53（范围，0 至 2.13）。
基于所有者随访，CCLD 的保守、非手术治疗可能是一些猫的有效和适当的管理策略；但是，有些猫可能最好通过手术稳定来治疗。
