Peer-reviewed veterinary case report
Single vs double plate surgery for cat hip bone fractures
By Wiersema, Tijn et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2021·Department of Clinical Sciences, Netherlands·View original on PubMed →
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Original publication title: Comparison of Single versus Double Lateral Plating in Treatment of Feline Ilial Fractures Using Veterinary Cuttable Plates.
- Species:
- cat
Plain-English summary
A group of cats with broken pelvic bones (ilial fractures) were treated using either one or two plates to hold the bones together. The cats that had one plate were more likely to experience problems with the implant compared to those that had two plates. After six weeks, the cats with two plates showed less narrowing of the pelvic canal, which is important for their recovery. Overall, using two plates resulted in fewer complications and better outcomes for the cats.
People also search for: cat pelvic fracture treatment · cat surgery implant failure · feline ilial fracture recovery
Abstract
OBJECTIVE:  The aim of this study was to compare the frequency of implant failure and the extent of pelvic canal narrowing associated with the fixation of ilial fractures in cats with a single veterinary cuttable plate (SLP) or double veterinary cuttable plates (DLP) applied to the lateral surface of the ilium. STUDY DESIGN:  Radiographic evaluation of feline ilial fractures plated laterally using SLP or DLP. Pelvic canal narrowing directly postoperatively and at 6 weeks follow-up was objectively measured using the sacral index (SI). Radiographs were evaluated for implant failure and fracture healing. RESULTS:  Seventy-seven cats satisfied the inclusion criteria. Twenty-nine fractures were treated with a SLP and 48 with DLP. Implant failure occurred significantly more ( = 0.001) in the SLP group (14/29) compared with the DLP group (6/48). Follow-up SI was significantly different between the two groups ( = 0.048, SLP median: 1.0 range: 0.83-2.4, DLP median: 0.98; range: 0.76-1.45). Median change in SI was -0.04 (range: -1.4 to 0.05) in the SLP group and 0.0 (range: -0.23 to 0.23) in the DLP group. This difference was significantly different ( = 0.031). CONCLUSION:  DLP leads to significantly less implant failure and significantly less pelvic canal narrowing compared with SLP. This difference in pelvic canal narrowing was small and the clinical relevance remains unclear.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/34082458/