ISSN 2398-2950      

Tibia and fibula: fracture

ffelis

Introduction

  • Cause: fractures of the feline tibia and fibula occur predominantly as a result of major trauma, usually a road traffic accident or fall from a height. 
  • Signs: acute onset, non-weight bearing hindlimb lameness is the most common presentation. 
  • Fractures can be divided into regions:  
    • Tibia:  
      • Fractures of the proximal physis. 
      • Diaphyseal fractures. 
      • Distal tibial fractures. 
      • Fracture of the distal physis.
    • Fibula:      
      • Fractures of the proximal fibula.     
      • Fractures of the diaphysis.  
      • Fractures of the distal fibula. 
  • Treatment: surgical treatment is recommended in the majority of cases. Conservative management can be considered for minimally displaced fractures when the fibula is intact in young cats. 
  • Prognosis: if simple diaphyseal fractures when managed appropriately and promptly the prognosis is generally good. Tibial fractures can have a high complication rate of delayed and non-union; this is particularly true of distal tibial fractures that are (poorly) stabilized with external skeletal fixation.

Diagnosis

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Treatment

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Outcomes

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Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMedResource
  • von Pfeil D J F, Glassman M, Ropski M (2017) Percutaneous tibial physeal fracture repair in small animals: technique and 17 cases. Vet Comp Orthop Traumatol 30(4), 279-287 PubMed
  • Morris A P, Anderson A A, Barnes D M, Bright S R, Knudsen C S, Lewis D D, Pozzi A, Langley-Hobbs S J (2016) Plate failure by bending following tibial fracture stabilisation in 10 cats. J Small Anim Pract 57(9),472-478 PubMed
  • Perry K, Bruce M (2015) Impact of fixation method on postoperative complication rates following surgical stabilisation of diaphyseal tibial fractures in cats. Vet Comp Orthop Traumatol 28(2), 109-115 PubMed
  • Nicholson I, Langley-Hobbs S, Sutcliffe M, Jeffrey N, Radke H (2012) Feline talocrural luxation: a cadaveric study of repair using ligament prosthesis. Vet Comp Orthop Traumatol 25(2) 116-125 PubMed
  • Dugat D, Rochat M, Ritchey J, Payton M (2011) Quantitative analysis of the intramedullary arterial supply of the feline tibia. Vet Comp Orthop Traumatol 24(5), 313-319 PubMed
  • Roch S P, Störk C K, Gemmill T J, Downes C, Pink J, McKee W M (2009) Treatment of fractures of the tibial and/or fibular malleoli in 30 cats. Vet Rec 165(6), 165-170  Erratum in: Vet Rec (2009) 165(7), 199 PubMed

Other sources of information

  • Kulendra E, Arthurs G I (2014) Management & treatment of tarsal injuries. In Practice 36(3) 119-132 bvajournals.onlinelibrary.wiley.com/doi/10.1136/inp.g1434
  • Montavon P, Voss K, Langley-Hobbs S J (2009) Tibial fractures. In: Feline Orthopedic Surgery and Musculoskeletal Disease. Saunders Elsevier.
  • Scott H, McLaughlin R (2006) Fractures and Disorders of the Forelimb. In: Feline Orthopaedics. CRC Press 

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