Femoral head and neck excision in cats: medium- to long-term functional outcome in 18 cats

Yap, F. W.; Dunn, Andrew; García-Fernández, Paloma; Brown, Gordon; Allan, Ross; Calvo, Ignacio

doi:10.1177/1098612x14556848

Cited by 19 publications

(29 citation statements)

References 28 publications

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“…, Tomlinson , Yap et al . ). In the three rabbits treated with the IFS technique, after CRES failure in two cases, results were satisfactory over the long term, but over the short and medium term, mild urine scalding was observed, suggesting an altered leg position and/or lameness of the affected limb.…”

Section: Discussionmentioning

confidence: 97%

Coxofemoral luxation in pet rabbits: nine cases

Gallego

Villaluenga

2018

J of Small Animal Practice

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Of the pet rabbits presented at one private practice between August 2011 and August 2016 (n=1369), 5·6% presented with a traumatic orthopaedic injury. Of these, 7·8% (n=6) presented with traumatic coxofemoral luxation, the most frequently observed type of luxation. Three cases of non-traumatic coxofemoral luxation in pet rabbits are also discussed. Eight rabbits presented with craniodorsal luxation and one with caudoventral luxation. Five rabbits were initially treated using closed reduction and an Ehmer sling under sedation. Two rabbits responded satisfactorily to closed reduction; their bandages remained in place for 10 and 14 days, and movement was cage-limited for 1 month after bandage placement. The bandage did not prevent re-luxation in three cases. Therefore, two rabbits received iliofemoral nylon sutures, and three rabbits received a femoral neck and head ostectomy. One rabbit was treated directly using open reduction and an iliofemoral nylon suture due to fractures in the same limb. One rabbit was presented in shock, coxofemoral luxation was noticed as an incidental finding and euthanasia was elected by the owner. In conclusion, of the three rabbits treated via femoral neck and head ostectomy one rabbit had an unsatisfactory outcome and two rabbits have non-assessable outcomes. The three rabbits treated with iliofemoral sutures showed satisfactory long-term outcomes and the two rabbits treated with closed reduction and an Ehmer sling showed satisfactory medium and long-term outcomes.

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Section: Discussionmentioning

confidence: 97%

Coxofemoral luxation in pet rabbits: nine cases

Gallego

Villaluenga

2018

J of Small Animal Practice

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“…A previously reported feline owner-based questionnaire was used and clients were contacted by telephone or post to assess the outcome for the cats treated conservatively for SILF. 18 The questionnaire was adapted from Yap et al 18 to include specific questions regarding long-term urination and defecation abnormalities, but is unvalidated (see the supplementary material).…”

Section: Methodsmentioning

confidence: 99%

“…15 More recently, an owner-based questionnaire has been used to assess outcome in feline surgically stabilised unilateral and bilateral SILFs, 16,17 and feline femoral head and neck excisions. 18 Objective gait analysis using force plates has been reported, but access to this resource is limited and often the data yield can be poor in cats owing to their unwillingness to walk on the lead or be guided. 19 The purpose of this study was to determine the medium-to long-term functional outcome for feline patients treated conservatively for SILF.…”

Section: Introductionmentioning

confidence: 99%

Conservative management of sacroiliac luxation fracture in cats: medium- to long-term functional outcome

Bird

Vicente

2019

Journal of Feline Medicine and Surgery

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Objectives The aim of this study was to determine the functional medium- to long-term outcome for cats with a conservatively managed sacroiliac luxation fracture (SILF). Methods Inclusion criteria were conservative management of SILF in cats with no other concurrent fractures of the pelvic weightbearing axis and availability of radiographs for review. Radiographic measurements of percentage displacement of the sacroiliac joint and the sacral index were obtained and fracture configuration was assessed. A specific owner questionnaire was completed a minimum of 6 months after the injury. The questionnaire assessed the ability of the cat to perform normal activities, the time to recovery, any behavioural changes and any requirement for long-term analgesia. Results Seventeen cats met the inclusion criteria, and 13 owners completed the questionnaire. Twelve cats had an excellent outcome, with no difficulty performing normal activities. One cat had a good outcome, with slight or occasional difficulty performing normal activities. Conclusions and relevance Our study provides evidence to support the current guidelines of conservative management of SILF. The inherent bias of case selection in our population implies that this treatment cannot be recommended for all cases of SILF.

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“…Femoral head and neck excision (FHNE) is a commonly performed salvage procedure for the diseased or injured coxofemoral joint in dogs and cats. [1][2][3][4][5][6] In cats, FHNE has been reported for the treatment of capital physeal fractures, coxofemoral luxations, acetabular fractures, osteoarthritis and femoral head and neck fractures. [7][8][9][10][11] The procedure was first developed in humans, called the Girdlestone excision arthroplasty for septic tuberculosis lesions, and was adopted into veterinary medicine decades later in dogs for the treatment of coxofemoral diseases.…”

Section: Introductionmentioning

confidence: 99%

“…4,13 A recent owner-completed questionnaire study based on 18 cats with a minimum of 4 months following FHNE showed that owners perceived the cats to have good to excellent function. 1 However, none of these cats received clinical, radiographic or objective gait evaluation. In a study evaluating 66 dogs and 15 cats with clinical examination and re-radiography average of 4 years postoperatively revealed that functional results were rated as good in 38%, satisfactory in 20% and poor in 42% despite a reported owner satisfaction of 96% with the procedure.…”

Section: Introductionmentioning

confidence: 99%

Effects of Femur Position on Radiographic Assessment of Femoral Head and Neck Excision Completeness in Cats

Howser

Vinayak²,

Ward

et al. 2020

Vet Comp Orthop Traumatol

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Objective The aim of this study was to determine the effect of femoral position on radiographic assessment of completeness of femoral head and neck excision (FHNE) in cats. Study Design The study included 20 femurs from adult cats. Complete FHNE was performed on 10 femurs and incomplete excision consisting of inadequate excision of the distal medial femoral neck was performed on 10 femurs. The lesser trochanter was maintained in all femurs. Each femur was positioned through a predetermined set of eight radiographic views about the long axis. Sensitivity (SE), specificity (SP) and accuracy were calculated for each femoral position. Results Craniocaudal views of the femur in external rotation (30° and 45°) had the highest SE, SP and accuracy (SE: 97.5% and 97.5%; SP: 92.5% and 95%; and accuracy: 95% and 96%, respectively) followed by external rotation of 15 (SE: 92.5%, SP: 87.5% and accuracy: 90%) relative to standard craniocaudal (SE: 57.5%, SP: 72.5%, accuracy: 65%) and lateromedial (SE: 2.5%, SP: 0%, accuracy: 1%) radiographic views. Conclusions Evaluation of craniocaudal radiographic views with the femurs in external rotation can increase the ability to assess the adequacy of the FHNE in cats.

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Femoral head and neck excision in cats: medium- to long-term functional outcome in 18 cats

Abstract: Based on the owner-completed questionnaire, cats have good-to-excellent medium- to long-term functional outcome after adequately performed FHNE.

Cited by 19 publications

References 28 publications

Coxofemoral luxation in pet rabbits: nine cases

Coxofemoral luxation in pet rabbits: nine cases

Conservative management of sacroiliac luxation fracture in cats: medium- to long-term functional outcome

Effects of Femur Position on Radiographic Assessment of Femoral Head and Neck Excision Completeness in Cats

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