Monday 25th May, 2020
Nai Gai the Ragdoll fell from a 4th floor window...
Nai Gai’s X-rays showed the fractures affecting the left femur and tibia.
The distal femoral fracture had occurred at the growth plate, and usually interdigitates nicely when reduced and can be stabilised with cross-pins - we did this first.
The tibial fracture was trickier, the main issue being the oblique fracture ending distally meaning there was minimal distal ‘bone stock’ to hold implants.
What internal stabilisation was chosen for the tibia?
We used a medial plate with a lag screw placed through the plate and across the fracture gap to stabilise the oblique fracture.
With only 2 screws distally, we made the decision to also place a cranial plate on the front of the tibia. It perhaps could be argued that this may not have been necessary, but (despite what is often thought) cat tibial fractures are recognised as being more prone to delayed or non-union.
They don’t just heal if “you put them in the same room”, and it was for this reason as well as the multiple trauma that we decided to place the cranial plate giving additional stability to the repair.
How did Nai Gai recover?
Nai Gai had a smooth recovery from his injuries over 8 weeks, with a good range of motion of his left stifle and use of his leg. He is a back to playing and prowling around - but hopefully no more sky diving!!
Here's a video of his progress over the last eight weeks!