General Information About Fracture in Cats
A fracture is a break or crack in a bone. Although we commonly think of fractures as involving a leg, it is also possible to fracture the skull, jaw, spine, ribs, pelvis and digits (fingers) as well as the long bones and small bones of the front and back limbs.
Practically every bone in your cat’s body is susceptible to fracture, and some, like spinal fractures, have a higher priority to treat. The symptoms that arise with fractures are based on the body part injured and any organ damage. Fractures are usually caused by a traumatic event; however, pathologic fractures can occur from relatively low energy events when preexisting disease such as a tumor or a metabolic bone disease like rickets weakens the bone. Some breeds are also susceptible to particular fractures based on their anatomy, conformation and use (such as hunting or racing).
Because of the trauma involved with a fracture, it is imperative that your cat be checked for concurrent or parallel traumatic injuries. Though your cat’s fracture may seem traumatic, rarely is the fracture by itself a cause for urgent surgical treatment. Your pet should first be evaluated for shock, neurological problems and injury to internal organs.
What to Watch For
Diagnosis of Feline Fractures
Diagnostic tests that may be needed to recognize and treat fractures include:
Treatment of Feline Fractures
Depending on the physical status of your cat, your veterinarian may temporarily stabilize the fracture by applying a splint, padded bandage or other device. After the patient is stable, definitive fracture repair can be instituted. Your veterinarian may recommend a consultation with an orthopedic specialist.
The type of repair undertaken depends on a number of factors:
Definitive fracture reduction and stabilization involves either closed reduction, in which a cast or splint is applied without surgery. A surgical method may also be an option using some type of metallic surgical implant such as a pin, wire, plate, screw, nail or fixator. The surgical technique often provides the best repair and chance for full return to function.
Frequently used implants include:
ESF utilizes fixation pins that are placed through the skin and into the bone fragments. A series of clamps and bars or rings are used to stabilize the major fracture fragments.
Advanced veterinary surgery is technically equivalent to that enjoyed by human patients and uses similarly expensive materials (implants, bone plates, fixator devices) for repair of some fractures. The most desirable treatment can be somewhat costly. If medical and surgical costs are an issue, it is important to discuss the therapy options with your veterinarian first. But remember that if you choose a less desirable option, the success rate may be lower and the chance for return to limb function less than ideal or you may incur repeated visits to the veterinarian for problems associated with the original fracture. These visits can also contribute to overall veterinary costs.
Home Care and Prevention
Carefully follow all the instructions your veterinarian provided and pay particular attention to the wound and the bandages or splints that were applied. Watch for redness, swelling or abnormal discharge from the incision.
All bandages, splints or casts must be kept clean and dry. It is better to have no bandage than a loose or wet one.
Return for reevaluation as recommended by your veterinarian. X-rays may be taken to make sure the fracture is healing properly.
In-Depth Information on Feline Fractures
Fractures are caused by a complex number of forces that exceed the bone’s ability to absorb them. Twisting, shearing, bending, compression and torsion all play a role in the development of a fracture. The type of force applied to a bone during trauma in many respects determines the fracture pattern of the bone. Bones are generally stronger when they are compressed compared to when the force pulls (tension) on the bone.
Fractures can be classified as closed or open. Open fractures occur part of the bone has penetrated through the skin. Large bone pieces sticking through the skin are obvious indicators of an open fracture; however, frequently the bone will penetrate through the skin and then retract, leaving a hole in the skin. Although an open fracture can be dramatic and emotional, the prognosis is often similar to that of a closed fracture where the bone fragments have not penetrated the skin.
If your pet develops a fracture that was the result of a low energy (mild) trauma (such as walking down stairs or running in the yard), your veterinarian will want to determine if a preexisting disease that weakened the bone is present. Examples of such conditions that weaken bone include bone tumors (cancer) or metabolic bone disease. A thorough clinical and radiographic exam is necessary to define preexisting disease.
Because multiple disorders may occur with trauma, a thorough clinical examination is necessary. Cats that have been hit by a car should have a chest X-ray (radiograph) taken to evaluate for concurrent chest trauma.
Some cats may have subtle joint injuries or spinal injuries with their more obvious long bone fracture. It is imperative to evaluate these patients fully.
Diagnostic tests, which may be needed to recognize or treat fractures, include:
A comminuted fracture is defined as one that has more than two major fracture fragments. These fractures are inherently unstable. Fractures involving a joint require specific repair methods that allow early motion in the affected joint. Forces act at fracture sites needing stabilization and occur in the direction of the bone, perpendicular to the bone (bending or shear) or around the bone (rotational or torsional).
Many factors come into play when deciding definitive fracture repair. The type of repair undertaken must stabilize distracting forces.
Follow-up Care for Cats with Fractures
It is very important to follow your veterinarian’s instructions concerning postoperative care. Make sure all your questions are answered before leaving the hospital with your pet.
If your pet has had surgery performed, pay particular attention to the wound looking for excessive redness, swelling or discharge. Be sure to alert your veterinarian if any of these conditions occur.
Follow your veterinarian’s directions for follow up examinations. Radiographs (X-rays), are usually taken at 4 to 6 week intervals, until the bone is healed.
Physical therapy may be helpful in the early rehabilitative process, and your veterinarian should provide explicit instructions. Your veterinarian may have “prescribed” a certain amount of physical therapy following fracture repair. Many times the success or failure of a specific fracture is dependent on the type of aftercare provided.