Evaluation of conservative treatment or osteosynthesis in the treatment of cats with metacarpal and/or metatarsal fractures: A retrospective study
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Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Selçuk Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Sunulan çalışmada, kedilerde travma kaynaklı metacarpal (MC) ve/veya metatarsal (MT) kemik kırıklarının tedavisinde uygulanan konservatif tedavi ve osteosentez yöntemlerinin avantajlarını, dezavantajlarını ve postoperatif sonuçları değerlendirmektir.
Gereç ve Yöntem: Araştırma, 2022 ve 2023 yılları arasında farklı ırklara, cinslere ve yaşlara sahip elli iki kedinin, metacarpal ve/veya metatarsal kemik kırıklarıyla başvurduğu bir örneklemeyi kapsamaktadır. Bu vakaların kırk altısına konservatif tedavi uygulanırken, geriye kalan altı vakaya ise osteosentez uygulandı.
Bulgular: Konservatif tedavi uygulanan grupta, 29 vaka (%63,04), 6 haftalık muayenede topallık belirtisi göstermeyerek, sorunsuz bir iyileşme sergiledi. Buna karşılık, geriye kalan 17 vakada (%36,96) 6 haftalık kontrolde hafif topallık görüldü. On iki aylık kontrolde, 43 vaka (%93,47) sorunsuz bir yürüyüş sergilerken, sadece 3 vakada (%6,53) ara sıra hafif topallık yaşandı. Öte yandan, osteosentez uygulanan kediler arasında, 2 vaka (%33,3) komplikasyonsuz bir iyileşme gösterirken, 4 vakada (%66,6) postoperatif sorunlar ortaya çıktı. Komplikasyonsuz bir vakada (%50), 6 haftalık muayenede hafif topallık belirlenirken, diğer vakada (%50) ara sıra hafif topallık görüldü. On iki aylık muayenede ise tüm vakalar sorunsuz yürüyüş sergiledi.
Öneri: Konservatif tedavi, MC ve MT kırıklı kedilerde beklenen iyi sonuçları elde etmek için hem tek başına hem de osteosentez uygulamalarının başarısız olduğu durumlarda kullanılabilen bir yöntemdir. Ancak, çalışmada incelenen cerrahi vakaların sınırlı olması, bulguların geneli üzerinde kısıtlamalara neden olmaktadır.
Aim: This study aims to assess the merits, drawbacks, and postoperative outcomes associated with conservative treatment and osteosynthesis methods employed in managing metacarpal (MC) and/or metatarsal (MT) bone fractures resulting from trauma in cats. Materials and Methods: The research encompassed a sample of fifty-two cats of varying breeds, genders, and ages, all presenting with metacarpal and/or metatarsal bone fractures between 2022 and 2023. Conservative treatment was administered in 46 cases, while osteosynthesis was applied in the remaining 6 cases. Results: In the group treated conservatively, 29 cases (63.04%) exhibited no signs of lameness at the 6-week examination, indicating a successful recovery with unimpeded mobility. In contrast, mild lameness was observed in the remaining cases (36.96%) at the 6-week check-up. Upon reassessment at the 12-month examination, 43 cases (93.47%) demonstrated unimpeded walking, with only 3 cases (6.53%) experiencing occasional mild lameness. Conversely, 2 cases (33.3%) showed a complication-free recovery among the cats undergoing osteosynthesis, while postoperative issues emerged in 4 cases (66.6%). In one complication-free case (50%), mild lameness was noted at the 6-week examination, and in the other case (50%), occasional mild lameness was observed. Importantly, all cases exhibited uneventful walking during the 12-month assessment. Conclusion: Conservative treatment proves to yield favorable outcomes in cats, both independently and when osteosynthesis applications fall short. However, the limited number of surgical cases examined in the study constrains the findings' generalizability
Aim: This study aims to assess the merits, drawbacks, and postoperative outcomes associated with conservative treatment and osteosynthesis methods employed in managing metacarpal (MC) and/or metatarsal (MT) bone fractures resulting from trauma in cats. Materials and Methods: The research encompassed a sample of fifty-two cats of varying breeds, genders, and ages, all presenting with metacarpal and/or metatarsal bone fractures between 2022 and 2023. Conservative treatment was administered in 46 cases, while osteosynthesis was applied in the remaining 6 cases. Results: In the group treated conservatively, 29 cases (63.04%) exhibited no signs of lameness at the 6-week examination, indicating a successful recovery with unimpeded mobility. In contrast, mild lameness was observed in the remaining cases (36.96%) at the 6-week check-up. Upon reassessment at the 12-month examination, 43 cases (93.47%) demonstrated unimpeded walking, with only 3 cases (6.53%) experiencing occasional mild lameness. Conversely, 2 cases (33.3%) showed a complication-free recovery among the cats undergoing osteosynthesis, while postoperative issues emerged in 4 cases (66.6%). In one complication-free case (50%), mild lameness was noted at the 6-week examination, and in the other case (50%), occasional mild lameness was observed. Importantly, all cases exhibited uneventful walking during the 12-month assessment. Conclusion: Conservative treatment proves to yield favorable outcomes in cats, both independently and when osteosynthesis applications fall short. However, the limited number of surgical cases examined in the study constrains the findings' generalizability
Açıklama
Anahtar Kelimeler
Kedi, Konservatif Sağaltım, Metacarpal Kırıklar, Metatarsal Kırıklar, Osteosentez, Cat, External Coaptation, Metacarpal Fractures, Metatarsal Fractures, Osteosynthesis
Kaynak
Eurasian Journal of Veterinary Sciences
WoS Q Değeri
Scopus Q Değeri
Cilt
40
Sayı
2
Künye
Caltiner, Satici and Arican 2024. Evaluation of Conservative Treatment or Osteosynthesis in the Treatment of Cats with Metacarpal and/or Metatarsal Fractures: A Retrospective Study Eurasian J Vet Sci, 40, 2, 47-57. 10.15312/EurasianJVetSci.2024.425
