Paper 19 SUCCESSFUL SURGICAL MANAGEMENT OF FEMUR FRACTURE INCAT BY RETROGRADE INTRAMEDULLARY PINNING (IMP)-2 CASES

PAPER ID:IJIM/V.2(V)/ 112-118 /19

AUTHOR : Mir Md.Afzal Hossain, Saroj Kumar Yadav, Jannatul Noor and Bhajan Chandra Das

TITLE: SUCCESSFUL SURGICAL MANAGEMENT OF FEMUR FRACTURE INCAT BY RETROGRADEINTRAMEDULLARY PINNING (IMP)-2 CASES

ABSTRACT:

Long 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- 2 cases. Case 1- an eight month old intact male indigenous cat weighing 2.8kg, limping in right hind limbs since 2 days and case 2- one and half years old intact male indigenous cat weighing 3kg, limping left hind limbs since 2 days were brought to Teaching Veterinary Hospital, Chittagong Veterinary and Animal Sciences University (CVASU) with the history of limping in right and left  hind limb respectively since 2 days. Clinical examination revealed both the cats were active and alert but mild weight bearing, limping, pain and crepitation also noticed in affected limb. Radiographic examination confirmed the case 1-right distal diaphyseal transverse femur fracture and case 2- left proximal multiple diaphyseal femur fracture. On the basis of fracture patient assessment score (FPAS), the cases were decided for internal fixation by an intramedullary pinning with wiring. Case-1-retrograde intramedullary pinning and case 2-similar technique with 4 cerclage wires were performed with standard surgical approach and xylazine and ketamine anaesthesia. Postoperatively cats were managed by systemic antibiotic and pain killer with protective bandages. Mild weight bearing was observed in both cases of the 7th postoperative (PO) day and sutures were removed from same 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 in both cases. PO 4 months bone remodeling was noticed and both patients maintained a comfortable life and owners were also very happy. The present case study suggest the intramedullary pinning with cerclage wires are an easy, economic and field based effective method for internal femur fracture fixation in cat.

KEYWORDS: Surgical Management, Femur Fracture and retrograde Intramedullary Pinning (IMP)    cat                                       

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