Dowel pin placement was used to treat a complete metatarsal fracture in a 3 year old cat
Query from colleague
Proximal implant purchase seems tiny…. have you considered ESF/SPIDER?
When dowel pins are placed with full insertion into the 'long side' then migration is not a concern.....
In cats the mobilisation possible of the proximal metatarsal region particularly to ‘toggle on’ the short end of the dowel pin means only shorter protruberances are possible.
However, where all four are stabilised, and load sharing is achieved, the robustness of the repair is increased. This will be protected by a splint, regularly changed, for the first couple of weeks post-operatively and confinement for c.6 weeks.
The advantages of dowel pinning over external fixation/incorporated IM pinning in cats include avoidance of bone fissuring/pin weakness due to size constraints, post-operative comfort, infection concerns and especially in this case the very limited proximal bone stock.
10 year old Cleo sustained multiple pelvic fractures in a road traffic accident
Thank you for so many kind messages following our #RichHousePoorHouse episode last night
The image shows a post operative TECA LBO in a cat