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Outcome and Complications following Stabilization of Coxofemoral Luxations in Cats Using a Modified Hip Toggle
Sebastian Christoph Knell1, Federico Longo1, Nadja Wolfer2
1Department for Small Animals, Clinic for Small Animal Surgery, Vetsuisse Faculty University of Zurich, Zurich, Switzerland.
Objectives:
The main aim of this study was to report the surgical technique, the complications and the clinical outcomes of the mini-Tight Rope system (mini-TR) for a modified hip toggle stabilization of coxofemoral luxation in cats.
Study Design:
A multicentre retrospective study.
Animals:
Thirty-two client-owned cats.
Methods:
Medical records (2009-2017) of cats, which underwent stabilization of a coxofemoral luxation with the mini-TR and had at least a 3-month follow-up, were reviewed. The femoral tunnel diameter, the use of one or two FiberWire loops, perioperative complications and clinical outcomes were recorded. Follow-up information was obtained through clinical and radiographic examinations and an owner questionnaire.
Results:
Thirty-two cats met the inclusion criteria. Concurrent injuries were present in 16 cats. A single or double loop mini-TR was used in 21 and 12 cats respectively. One double loop (1/12 cats) and four single loop (4/16 cats) sutures failed. Moderate-to-severe coxofemoral osteoarthritis developed in 14/27 cats. Owner questionnaires revealed excellent clinical outcomes.
Clinical Significance:
Mini-TR with a double-stranded implant is recommended to decrease the risk of suture failure. Osteoarthritis is common after open reduction of hip luxations.
