Journal article
Impact of fixation method on postoperative complication rates following surgical stabilization of diaphyseal tibial fractures in cats
Veterinary and Comparative Orthopaedics and Traumatology, Vol.28(02), pp.109-115
2015
Abstract
Objectives: To compare the complication rate between open reduction and internal fixation (ORIF) and external skeletal fixation (ESF) for feline diaphyseal tibial fractures.
Methods: In a retrospective study spanning a 10 year period, 57 feline tibial fractures stabilized via ESF or ORIF were included for analysis and complication rates were compared between the two methods.
Results: In the overall study population, 23 (40.4%) cases suffered complications (9 major, 20 minor, 6 with both major and minor). All of the major complications occurred in the ESF group. Complications were more common in cats with ESF (50.0%) while only one (7.7%) of the ORIF cases suffered complications (OR 12.0 [CI: 2.09; 228.10], p = 0.02). Use of postoperative antibiotic medications was identified as a confounder. After adjusting for confounding, stabilization using ESF remained associated with a higher risk of complications (OR = 13.71 [CI: 2.18; 274.25], p = 0.02). Cats with ESF had a longer duration of follow-up (15.6 weeks; 95% CI: 13.0; 18.3) compared to ORIF (9.5 weeks; 95% CI: 6.4; 12.7) (p = 0.003), and a higher number of revisits (mean 3.0; 95% CI: 2.4; 3.6) than the ORIF group (mean 1.6; 95% CI: 0.9; 2.3) (p = 0.002).
Clinical significance: This study demonstrates a significant difference in complication rates between the methods of stabilization, with ESF resulting in a significantly higher complication rate compared to ORIF. Based on these results, it may be prudent to select ORIF for stabilization of feline tibial fractures wherever practical.
Details
- Title
- Impact of fixation method on postoperative complication rates following surgical stabilization of diaphyseal tibial fractures in cats
- Authors/Creators
- M. Bruce (Author/Creator)K.L. Perry (Author/Creator)
- Publication Details
- Veterinary and Comparative Orthopaedics and Traumatology, Vol.28(02), pp.109-115
- Publisher
- Schattauer
- Identifiers
- 991005543667607891
- Copyright
- © Schattauer 2015
- Murdoch Affiliation
- Murdoch University
- Language
- English
- Resource Type
- Journal article
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- Collaboration types
- Domestic collaboration
- International collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.34 Orthopedics
- 1.34.800 Fracture Management
- Web Of Science research areas
- Veterinary Sciences
- Zoology
- ESI research areas
- Plant & Animal Science