Dowel pinning of metacarpal and metatarsal fractures in 45 cats and assessment of outcome using the feline musculoskeletal pain index.

BACKGROUND

Fractures of metacarpal and metatarsal bones are commonly seen in companion animal practice. The aim of this study was to describe the presentation, complications and long-term owner-reported outcomes for cats with metacarpal and metatarsal fractures treated with the dowel pinning technique.

METHODS

The medical records of cats with metacarpal and metatarsal fractures treated with the dowel pinning technique were retrospectively reviewed. In each case, the cat's history, surgical treatment, clinical and radiographic follow-up and complications were assessed. Long-term outcome was assessed using an owner questionnaire based on the feline musculoskeletal pain index (FMPI).

RESULTS

This study included 45 cases with metacarpal or metatarsal fractures. The main cause of the fractures was falling or jumping from heights. Complications were reported in 11 cases (24%) and were related to soft tissue in eight cases (18%). Twenty-three owners completed the FMPI questionnaire. The mean FMPI score was 0.21 (range 0.00‒0.89), indicating good function. The mean follow-up period was 40 months (range 3‒98 months).

LIMITATIONS: The major limitation of the study was the lack of owner-reported long-term follow-up for 22 patients (49%).

CONCLUSION

The FMPI scores confirmed a good functional outcome for cats treated with the dowel pinning technique. Most complications that occurred were soft tissue related, requiring extensive wound management.