Answers Latest Update
Tibial fractures
-How common to fracture in cats?
-Prone to complications:
--_ _ % non-union rate
What are 4 factors that are thought to contribute to delayed
healing of tibial fractures in cats? -
correct answer ✅-Most commonly fractured bone
-15% non-union rate
--inadequate blood supply
-insufficient stable fixation
-excessive fracture gap
-interposition of soft tissues
Where to tibial fractures occur most frequently in cats?
What is the overall appendicular non-union rate in cats? -
correct answer ✅-mid-distal diaphysis
,Feline Traumatology Exam Questions And
Answers Latest Update
-4%
What paper described intramedullary supply of feline tibia
compared to dogs and what did it show? -
correct answer ✅Dugat et al VCOT 2011
-Intramedullary arterial supply of feline tibia compared to canine,
feline nutrient artery diameter was greater than dogs but dogs had
a greater number of arching vessels (arborization), lack of
branching vessels when compared to dogs could explain at least in
part why non-union or delayed tibial healing is so common
Opinion on pancarpal arthrodesis in cats -
correct answer ✅-Controversial
-prognosis can be good as long as you follow the principles
-completely remove cartilage, anatomic standing angle, cancellous
bone graft, appropriate fixation (usually a plate)
What gait do cats demonstrate following arthrodesis? -
correct answer ✅Cats circumduct the leg a little more as they
cannot flex the carpus but they will typically function well
,Feline Traumatology Exam Questions And
Answers Latest Update
-A mild mechanical lameness occurs but they are comfortable once
the arthrodesis is complete
- Interlocking nail
- Medial plate
- Plate rod
- External skeletal fixator -
correct answer ✅Clinical case: Model
-18 month MN DSH
-Leg stuck in drawer
-NWB left hind limb
-crepitus
-soft tissue swelling
-instability distal tibia
How would you treat this?
-Several studies show that tibial nonunion occurs more frequently
following placement of type II ESF than type I ESF
, Feline Traumatology Exam Questions And
Answers Latest Update
- This is in contrast to previous thoughts that more rigid fixation
would decrease incidence of non-union
Circular linear hybrid fixator
-but didn't reduce rate of non-union -
correct answer ✅What types of ESF are demonstrated and what
does the literature show about each one of them?
What other type of ESF is an option?
Feline tibial fractures
-List associated complications with ESF -
correct answer ✅-Pin loosening
-Pin tract discharge
-Infection
-Delayed union
-Non-union