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Vet Comp Orthop Traumatol 1996; 09(04): 182-185
DOI: 10.1055/s-0038-1632528
Clinical Report
Schattauer GmbH

Repair of Femoral Capital Physeal Injuries in Cats -14 Cases

J. A. Culvenor
1   From the Cortil Shore Veterinary Hospital, Crows Nest, NSW, Australia
,
A. P. Black
2   Northern Sydney Specialist Surgical Referral Service, North Turramurra, NSW, Australia
,
K. F. Lorkin
1   From the Cortil Shore Veterinary Hospital, Crows Nest, NSW, Australia
,
W. A. Bradley
3   Kuringai Veterinary Hospital, North Turramurra, NSW, Australia
› Institutsangaben
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Publikationsverlauf

Received 25. Februar 1996

Publikationsdatum:
23. Februar 2018 (online)

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Summary

Femoral capital physeal fractures (CPF) are common injuries in the immature cat. Fractures of the femoral head and neck have been classified by Daly (1) as capital, physeal, subcapital and transcervical. Physeal fractures may also be classified according to Salter (2) and those covered in this paper are Salter I and II.

Perez-Aparicio and Fjeld (2) found that many cats become functional without surgical treatment although most developed malunion or non-union. Some of the untreated cats had persistent lameness.

While femoral head and neck ostectomy (3), is often recommended and will usually lead to a functional result, particularly in the cat, open reduction and internal fixation is preferred (5, 6) as is recommended in the dog (8, 21).

Fourteen femoral capital physeal fractures in 13 cats were repaired with fine pins. The surgical technique and clinical results are described. The authors feel that the ease of the technique and the clinical results make this the treatment of choice for injuries of this type in cats.

Keywords

Hip - feline - capital physeal injury - repair - pins
 

  • REFERENCES

  • 1 Daly WR. Femoral head and neck fractures in the dog and cat. A review of 115 cases. Vet Surg 1978; 7: 29-38.
    CrossrefPubMedGoogle Scholar
  • 2 Salter RB, Harris WR. Injuries involving the epiphyseal plate. J. Bone & Joint Surg. 45-A. 587-622.
    Google Scholar
  • 3 Berzon JL, Howard PE, Covell SJ, Trotter EJ, Dueland PE. A retrospective study of the efficacy of femoral head and neck excisions in 94 dogs and cats. Vet Surg 1980; 9: 88-92.
    CrossrefPubMedGoogle Scholar
  • 4 Perez-Aparicio FJ, Fjeld TO. Femoral neck fractures and capital epihyseal separations in cats. J Small Anim Pract 1993; 34: 445-9.
    CrossrefPubMedGoogle Scholar
  • 5 Ablin LW, Gambardella PC. Orthopedics of the feline hip. Comp on Cont Educ 1991; 13: 1379-86.
    PubMedGoogle Scholar
  • 6 Jeffery ND. Internal fixation of femoral head and neck fractures in the cat. J Small Anim Pract 1989; 30: 674-7.
    CrossrefPubMedGoogle Scholar
  • 7 Milton JL. Textbook of Small Animal Surgery. Slatter, ed. Philadelphia: Saunders; 1993: 1805-8.
    Google Scholar
  • 8 Piermattei DL. An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 3rd ed. Philadelphia: Saunders; 1993: 230-5.
    Google Scholar
  • 9 Hulse DA, Wilson JW, Butler HC. Use of the lag screw principle for stabilization of femoral neck and femoral capital epiphyseal fractures. J Am Anim Hosp Ass 1974; 10: 29-36.
    PubMedGoogle Scholar
  • 10 Smith GK, Biery DN, Gregor TP. New concepts of coxofemoral joint stability and the development of a clinical stress-radiographic method for quantitating hip joint laxity in the dog. J Am Vet Assoc 1990; 196: 59-70.
    PubMedGoogle Scholar
  • 11 Heron MR. Feline medicine and surgery. 2nd ed. Catcott EJ. ed California: American Veterinary Publications Inc; 1975: 576-80.
    Google Scholar
  • 12 Brinker WO, Piermattei DL, Flo GL. Handbook Of Small Animal Orthopaedics and Fracture Management. Philadelphia: Saunders; 1983: 75-86.
    Google Scholar
  • 13 Gendreau C, Cawley AJ. Excision of the femoral head and neck: the long term results of 35 operations. J Am Anim Hosp Ass 1977; 13: 605-8.
    PubMedGoogle Scholar
  • 14 Brinker WO. Factors influencing the result in fractures of the femoral neck. J Am Anim Hosp Assoc 1966; 2: 160-6.
    PubMedGoogle Scholar
  • 15 Rivera LA, Abdelbaki YZ, Titkemeyer CW, Hulse DA. Arterial supply to the canine hip joint. J Vet Orthop 1979; 1: 20-33.
    PubMedGoogle Scholar
  • 16 Rivera LA. Arterial supply to the femoral head of the cat. 1993. unpublished
    Google Scholar
  • 17 Gibson KL, vanEe RT, Pechman RD. Femoral capital physeal fractures in dogs: 34 cases (1979–1989). J Am Vet Med Assoc 1991; 198: 886-90.
    PubMedGoogle Scholar
  • 18 Culvenor JA, Hulse DA, Patton CS. Closure after injury of the distal femoral growth plate of the dog. J Small Anim Pract 1978; 19: 549
    CrossrefPubMedGoogle Scholar
  • 19 Johnson JM, Johnson AL, Eurell JC. Histological appearance of naturally occurring canine physeal fractures. Vet Surg 1994; 23: 81-6.
    CrossrefPubMedGoogle Scholar
  • 20 O’Brien TR. Development deformities due to arrested epiphyseal growth. Vet Clin North Am 1971; 1: 441-54.
    PubMedGoogle Scholar
  • 21 Hulse D. Proceedings of the Orthopeadic Course, Postgraduate Committee in Veterinary Science, Sydney. 1990
    Google Scholar
  • 22 Walters R, Simon SR. Joint destruction: a sequel of unrecognized pin penetration in patients with slipped capital femoral epiphysis. In: The Hip Proceedings of the Eighth Open Magazine Meeting of the Hip Society. Riley LH. ed St Louis; Mosby: 1980: 145-63.
    Google Scholar
  • 23 Belkoff SM, Millis DL, Probst CW. Biomechanical comparison of three internal fixations for treatment of slipped capital femoral epiphysis in immature dogs. Am J Vet Res 1991; 53: 2136-40.
    PubMedGoogle Scholar
  • 24 Houlton JEF, McGlennon NJ. Castration and physeal closure in the cat. Vet Rec 1991; 131: 466-7.
    PubMedGoogle Scholar
  • 25 May C, Bennet D, Downham DY. Delayed physeal closure associated with castration in cats. J Small Anim Pract 1991; 32: 326-8.
    CrossrefPubMedGoogle Scholar