Salvage procedures, such as femoral head and neck ostectomy, are indicated in: non-reparable fractures, revision surgery of failed primary fixation, chronic fractures, and in presence of severe degenerative joint disease.
Further information about these procedures and their outcomes can be found in the literature.
Activity restriction is indicated until radiographs indicate bone healing of the fracture.
Phase 1: 1-3 day after surgery
Aim is to reduce the edema, inflammation and pain.
Integrative medical therapies, anti-inflammatory and analgesic medications.
Note: Nonsteroidal anti-inflammatory medications can be toxic in the cat and should only be used as labeled for the cat.
Phase 2: 4-10 days after surgery
Aim is to resolve the hematoma, edema and control pain, and prevent muscle contracture.
Anti-inflammatory (see nonsteroidal warning) and analgesic medications may still be needed. Rehabilitation and integrative medical therapies can be used.
Special attention should be given to patients less than 1 year of age with a femoral fracture. Rehabilitation is strongly recommended to help prevent quadriceps muscle contracture.
If the cat is not starting to use the limb within few days after surgery, a careful evaluation is recommended.
10-14 days after surgery the sutures are removed.
Radiographic assessment is performed every 4-8 weeks until bone healing is confirmed.
Implants may cause discomfort of the adjacent soft tissue. If this occurs, implants can be removed after bone healing is observed. In case of infection, implants must be removed after healing.
If there is no implant failure or infection, there is no need for implant removal.