Composite Fixation of Comminuted Ilial Wing Fractures in Cats: Three Cases

Abstract

This technique provided a quick and highly adaptable means of stabilising this fracture configuration, as well as restoring pelvic symmetry, when limited buttressing support and bone stock were available cranial and ventral to the acetabulum. This method of fixation may have biomechanical advantages over lateral or dorsal plating techniques for this particular type of fracture configuration.

Biomechanical properties of plate constructs for feline ilial fracture gap stabilization

“…Ilial fractures in cats result from trauma and represent 50% of feline pelvic fractures . Indications for surgical repair of pelvic fractures include involvement of the weight‐bearing axis, acetabular fractures, presence of neurologic deficits, and excessive pain . Lateral plating is the most common method of repair for ilial fractures in cats .…”

Subcolectomy and symphyseal distraction-osteotomy using a spacer of spirally fashioned orthopedic wire: a treatment option for cats with pelvic canal stenosis, megacolon and obstipation

“…It is usual to find out combinations of these fractures with the presence of multiple fragments. Conservative treatment increases the probability of poor bone union and pelvic canal stenosis (BURTON, 2011). This pelvic anatomical deformity leads to complications, such as dystocia, constipation and obstipation, which can lead to the formation of megacolon (MEESON & COO, 2011).…”

“…The prolonged retention of feces in the colon leads to increased water absorption from the fecal mass, which promotes a greater hardening or stool impaction, generating other associated symptoms, as dyschezia, megacolon and tenesmus. In cats, a perianal hernia may develop due to the dyschezia ,megacolon and weakening of the pelvic muscles (BURTON, 2011).…”

Biomechanical Evaluation of the Influence of an Intramedullary Pin on the Stability of a Feline Ilial Fracture Model Stabilized With a Bone Plate

“…These screws are at increased risk for loosening because they have few threads engaged in these thin bones . Most reports of feline pelvic fracture management and complications are based on small case series, on a few feline patients included in canine studies, or on case series of cats that experienced detrimental pelvic canal collapse after pelvic fracture healing and required some form of pelvic canal widening procedure to address constipation and/or obstipation . A recent case series reported that, of 21 cats with laterally plated iliac fractures, 62% (13/21) had radiographically measurable screw loosening with a mean 13% (range, 0–46%) loss of screw purchase.…”

“…Additional techniques for pelvic fracture stabilization include screws inserted in lag fashion and a combination of screws, wire, and polymethylmethacrylate . In a recent case report describing revision of a pelvic fracture malunion and pelvic canal collapse with constipation, a 2‐mm‐diameter Steinman pin was placed in an intramedullary (IM) position in the ilium.…”