Department of Surgery, VetRef Veterinary Clinic, Beaucouze, France.
Department of Surgery, Benjamin Franklin Veterinary Clinic, Brech, France.
J Feline Med Surg. 2024 Sep;26(9):1098612X241265054. doi: 10.1177/1098612X241265054.
The aim of this study was to report the clinical outcomes in a series of traumatic elbow luxations in cats treated with closed reduction and a temporary transarticular type II external skeletal fixator (ESF).
A retrospective review was conducted of traumatic elbow luxation cases in cats at two referral centres. Data collected included signalment, history, clinical assessment, radiographic findings, surgical procedures and complications. Short-term follow-up was based on clinical evaluations at 2 and 6 weeks postoperatively. Long-term follow-up was based either on a telephone interview with the owner or a clinical evaluation.
Eight cats were included. Five cats experienced lateral elbow luxation, while three cats had medial elbow luxation. All cats with medial elbow luxation exhibited radiographic signs of medial humeral epicondylitis. The median age was 9 years (range 3-15). The elbow luxation was treated by closed reduction and percutaneous placement of a temporary transarticular type II ESF, which was removed 2 weeks postoperatively. Two minor complications were recorded. Elbow reluxation and major complications were not encountered. The 6-week postoperative evaluation and long-term follow-up revealed a lameness of grade 1 in 1/8 cats and 0 in the remainder. Elbow range of motion was normal in all cats.
None of the cases treated with this protocol experienced recurrence of elbow luxation. All cats demonstrated an excellent outcome based on the lameness score, the low complication rate and the follow-up telephone interview. The technique is minimally invasive and carries a low incidence of complications. Concurrent orthopaedic disease, such as medial humeral epicondylitis, may predispose to medial elbow luxation.
本研究旨在报告一系列接受闭合复位和临时经关节 II 型外固定架（ESF）治疗的猫创伤性肘脱位的临床结果。
对两家转诊中心的猫创伤性肘脱位病例进行回顾性研究。收集的数据包括特征、病史、临床评估、影像学发现、手术程序和并发症。短期随访基于术后 2 周和 6 周的临床评估。长期随访基于与主人的电话访谈或临床评估。
纳入 8 只猫。5 只猫发生外侧肘脱位，3 只猫发生内侧肘脱位。所有内侧肘脱位的猫均出现内侧肱骨髁突炎的放射影像学征象。中位数年龄为 9 岁（范围 3-15 岁）。肘脱位通过闭合复位和经皮临时经关节 II 型 ESF 治疗，术后 2 周取出。记录到 2 例轻微并发症。未发生肘再脱位和重大并发症。6 周术后评估和长期随访显示，1/8 的猫有 1 级跛行，其余的猫无跛行。所有猫的肘部活动范围均正常。
接受该方案治疗的病例均未复发肘脱位。所有猫根据跛行评分、低并发症发生率和随访电话访谈均表现出极好的结果。该技术微创，并发症发生率低。并发的骨科疾病，如内侧肱骨髁突炎，可能导致内侧肘脱位。
