Feline Distal Tibial Physeal Fracture Repair Using a Modified Cross-Pin Technique with Four Pins
Diogo Miraldo1, Bettina Salmelin1, Russell Yeadon1
1Fitzpatrick Referrals, Eashing, Surrey, United Kingdom.
Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T
|February 6, 2020
Summary
A modified cross-pin technique successfully treated distal tibial physeal fractures in cats without external coaptation. This surgical approach offers a favorable prognosis for feline fracture repair.
Area of Science:
- Veterinary Surgery
- Orthopedics
- Feline Medicine
Background:
- Distal tibial physeal fractures are common in young cats.
- Traditional treatments often require external coaptation, which can be challenging in feline patients.
Purpose of the Study:
- To describe a modified cross-pin surgical technique for distal tibial physeal fractures in cats.
- To evaluate the clinical outcomes of this technique without the need for external coaptation.
Main Methods:
- A retrospective study reviewed 9 cats with distal tibial physeal fractures.
- A modified cross-pin technique using additional Kirschner wires was employed.
- Clinical outcomes were assessed via radiographs, lameness evaluation, and the feline musculoskeletal pain index.
Main Results:
- All cats achieved uncomplicated fracture healing.
- Eight cats had excellent outcomes, and one had a good outcome.
- Two cats required Kirschner wire removal due to migration, with no other complications reported.
Conclusions:
- The modified cross-pin technique is a successful treatment for distal tibial physeal fractures in cats.
- This method allows for surgical repair without external coaptation.
- A favorable prognosis can be expected for these fractures when treated with this technique.


