Rustemeyer Linus, Schmierer Philipp A
Tierklinik Posthausen eGbR, Germany.
J Feline Med Surg. 2025 Sep;27(9):1098612X251367614. doi: 10.1177/1098612X251367614. Epub 2025 Sep 12.
Case series summaryFour domestic cats treated surgically for complex fractures of the proximal femur were included in this retrospective case series. Medical records from October 2021 to January 2023 were reviewed for cats presenting with high-energy trauma resulting in comminuted proximal femoral fractures. All cats underwent surgical stabilisation using a lateral approach extended by complete release of the vastus lateralis muscle to improve visualisation and access. Follow-up included physical and radiographic evaluation and completion of the Feline Musculoskeletal Pain Index (FMPI). The modified approach facilitated better visualisation and implant placement. The mean surgical time was 76 mins. Bone healing was observed in three cases with available follow-up, with FMPI scores indicating complete recovery. One case required revision surgery. Minor complications were resolved. Two cats died later from unrelated trauma.Relevance and novel informationComplete release of the vastus lateralis muscle enhanced exposure and facilitated successful treatment of complex proximal femoral fractures in cats without direct approach-related complications. This technique may be beneficial when standard exposure is insufficient in feline proximal femoral fractures.
病例系列总结
本回顾性病例系列纳入了4只因股骨近端复杂骨折接受手术治疗的家猫。对2021年10月至2023年1月期间因高能创伤导致股骨近端粉碎性骨折的猫的病历进行了回顾。所有猫均采用外侧入路，并完全松解股外侧肌以扩大视野并便于操作，进行手术固定。随访包括体格检查、影像学评估以及完成猫肌肉骨骼疼痛指数（FMPI）评估。改良入路有助于更好地观察和植入物放置。平均手术时间为76分钟。在3例有随访的病例中观察到骨愈合，FMPI评分表明完全恢复。1例需要翻修手术。轻微并发症得到解决。2只猫后来死于无关的外伤。
相关性和新信息
股外侧肌的完全松解增加了暴露，并有助于成功治疗猫的股骨近端复杂骨折，且无直接与入路相关的并发症。当标准暴露不足以处理猫的股骨近端骨折时，该技术可能有益。
