Alagić Dženita Hadžijunuzović, Baltić Kenan, Kolašinac Sabina, Hadžimusić Nejra
Department of Clinical Veterinary Sciences, Veterinary Faculty, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Open Vet J. 2025 Jan;15(1):471-477. doi: 10.5455/OVJ.2025.v15.i1.43. Epub 2025 Jan 31.
Chronic pain and delayed bone healing are significant challenges in veterinary rehabilitation following orthopedic surgeries in cats. These issues necessitate advanced modalities for effective management. Laser therapy (LT), also known as photobiomodulation, has shown promise in promoting tissue repair and alleviating pain but remains underused in feline cases. This case report aims to evaluate the efficacy of LT in managing chronic pain and enhancing bone healing in a cat following femoral surgery complicated by orthopedic implant failure.
A 7-year-old cat presented with persistent lameness and discomfort 3 years post-femoral fracture surgery. Despite initial surgical stabilization, chronic pain and restricted mobility persisted, leading to implant removal. After surgery, the cat underwent 25 sessions of LT using an 810-nm infrared semiconductor laser at a dosage of 6 J. Treatment sessions were conducted over 2 months, beginning 4 days post-surgery. Clinical and radiographic evaluations were performed to assess therapeutic outcomes. The cat demonstrated marked improvement in weight-bearing and mobility, with reduced signs of pain. Radiographic imaging revealed significant bone remodeling and consolidation. The owner reported enhanced activity levels and overall quality of life for the cat. These findings suggest that LT effectively facilitated bone healing and chronic pain relief in this case.
LT proved to be a valuable component of multimodal rehabilitation in this feline patient, addressing both chronic pain and delayed bone healing. This case underscores the importance of integrating advanced therapeutic modalities into veterinary practice, particularly for complex orthopedic cases. Further research is recommended to validate these findings in larger, controlled studies.
慢性疼痛和延迟性骨愈合是猫科动物骨科手术后兽医康复过程中的重大挑战。这些问题需要先进的治疗方法来有效管理。激光疗法（LT），也称为光生物调节，已显示出在促进组织修复和减轻疼痛方面的潜力，但在猫科动物病例中仍未得到充分利用。本病例报告旨在评估激光疗法在治疗一只股骨手术后并发骨科植入物失败的猫的慢性疼痛和促进骨愈合方面的疗效。
一只7岁的猫在股骨骨折手术后3年出现持续跛行和不适。尽管最初进行了手术固定，但慢性疼痛和活动受限仍然存在，导致植入物被取出。手术后，这只猫使用810纳米红外半导体激光，以6焦耳的剂量接受了25次激光疗法治疗。治疗疗程在2个月内进行，从手术后4天开始。进行了临床和影像学评估以评估治疗效果。这只猫在负重和活动能力方面有显著改善，疼痛迹象减轻。影像学检查显示有明显的骨重塑和骨痂形成。主人报告说这只猫的活动水平和整体生活质量有所提高。这些发现表明，在这个病例中激光疗法有效地促进了骨愈合和缓解了慢性疼痛。
在这只猫科动物患者中，激光疗法被证明是多模式康复的一个有价值的组成部分，可解决慢性疼痛和延迟性骨愈合问题。本病例强调了将先进治疗方法纳入兽医实践的重要性，特别是对于复杂的骨科病例。建议进一步开展研究，在更大规模的对照研究中验证这些发现。
