Surgical treatment of traumatic elbow Luxation in a Cat

History

  • Leo, 3 years old cat, was admitted to our clinic )Elite veterinary clinic, Riyadh, KSA) with acute left hand lameness after a sudden accident.
  • Outward rotation of the hand was very clear
Leo with outward rotation of the hand distal to the elbow joint

Orthopedic and Radiographic examination:

  • Orthopedic examination revealed severe pain and crepitating sound at the elbow joint.
  • Radiographic examination showed complete elbow dislocation with radius and ulna bones proximal extremities was completely displaced.

Decision:

  • Surgical (Open) reduction and stabilization of the elbow joint by Screw/Circumferential suture protheses.https://pubmed.ncbi.nlm.nih.gov/19151874/

Surgery:

  • Approach was performed according to the guidelines mentioned in (Piermattei’s Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat Book • Fifth Edition • 2014 https://www.sciencedirect.com/book/9781437716344/piermatteis-atlas-of-surgical-approaches-to-the-bones-and-joints-of-the-dog-and-cat

Postoperative care:

  • Antibiotics (Amoxycillin clavulanic acid for 7 days) and Analgesics for 5 days following surgery (Ketoprofen)
  • Complete cage restriction for one month following surgery
  • Hand bandage is removed 10 days following surgery.

Follow up after One 3 weeks:

Leo can use his left hand with very unnoticed degree of lameness
  • Leo was able to use his hand sufficiently and waiting for more improvement in his gait as soon as possible.
  • Continue cage restriction

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