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In cats with cranial cruciate rupture are better long-term outcomes achieved by surgical or conservative management?
Pico Question:
In cats diagnosed with isolated rupture of the cranial cruciate ligament, does surgical intervention result in improved long-term function, when compared with conservative management?
Category Of Research:
Treatment.
Number And Type Of Study Designs Reviewed:
One retrospective cohort study comparing surgical management and conservative management.
Strength Of Evidence:
Weak.
Outcomes Reported:
This study evaluated and compared the long-term Feline Musculoskeletal Pain Index (FMPI) of patients with a cranial cruciate injury (39-87 months post injury). Patients that were managed conservatively showed statistically significant (P = 0.017) lower FMPI scores long term.
Conclusion:
Conservative management can be considered in cats presenting with isolated cranial cruciate rupture; however, further research is required to establish the optimum treatment in these cases. Given the limitations of this study and the current lack of evidence, clinicians must rely on their clinical judgement at this point when managing this condition until further research is available.
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