A report on femoral fracture management using intramedullary pinning at SAQTVH, CVASU

Abstract

Femur bone fractures are common to all feline fractures and the femur is one of the most commonly fractured bones in dogs and cats following substantial trauma. The present case study describe the outcome of the femur fracture management in cat.The Case is an eight month old intact male indigenous cat weighing 2.8kg,history of limping in right hind limbs since 2 days were brought to Teaching Veterinary Hospital, Chittagong Veterinary and Animal Sciences University (CVASU) . Clinical examination revealed the cats was active and alert but mild weight bearing, limping, pain and crepitation also noticed in affected limb. Radiographic examination confirmed that right distal diaphyseal transverse femur fracture .On the basis of fracture patient assessment score (FPAS), the cases were decided for internal fixation by an intramedullary pinning. Retrograde intramedullary pinning with standard surgical approach and xylazine and ketamine anesthesia were done . Postoperatively catwas managed by systemicantibiotic and pain killer with protective bandages were applied. Mild weight bearing was observed at the 7th postoperative (PO) day and sutures were removed on the day without any wound complications. Postoperative the 18th days, improved weight ware observed clinically and secondary bone healing was noticed on radiographic examination. Pin migration and mild seroma was noticed on PO 3rd weeks. PO 4 months bone remodeling was noticed and patients maintained a comfortable life and owners were also very happy. The present case study suggest theintramedullary pinning is an easy, economic and field based effective method for internal femur fracture fixation in cat.