Lateral sutures placed with bone anchors at quasi-isometric points performed better than SFT and FTS-2 in stabilizing the feline stifle after CrCL rupture in the proximo-distal plane. Biomechanical stability in the cranio-caudal plane after placement of a lateral suture across the feline stifle was similar to the intact CrCL.
This is the first case series reporting tibial diaphyseal fractures following tibial tuberosity advancement without plate stabilisation. The authors report here a wide spectrum of potential fixation strategies should one of these fractures occur.
This study describes the surgical management of a traumatic scapular avulsion including complications and clinical outcome in a 3-year-old Maine Coon cat. Traumatic scapular avulsion was diagnosed clinically and confirmed on a computed tomography scan, alongside severe scapula displacement. The scapula was stabilized surgically by the placement of two circumcostal sutures, through paired bone tunnels drilled both cranial and caudal to the base of the scapular spine, and two sutures passing through bone tunnels in the dorsal border of the scapula bone secured to the serratus ventralis muscle. The cat was able to bear weight on the affected limb within 48 hours of surgery; however, limb function subsequently deteriorated at home. Revision surgery was required 14 days postoperatively to replace failed polydioxanone suture with ultra-high molecular weight polyethylene suture (Fiberwire). Following revision surgery, the cat had a very acceptable functional outcome, with scapular stability and only intermittent lameness/stiffness noted in the medium-term follow-up. The present case report demonstrates that the described modified surgical technique may be used successfully in the treatment of scapular avulsion in cats and restores acceptable function to the affected limb.
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