Abstract:
METHODS: This case series describes the clinical findings and surgical intervention of 86 declawed cats; 52 from a shelter or rescue and 34 owned cats. Historical reports from owners and shelter staff included house-soiling, biting behavior, repelling behavior, barbering, lameness, chronic digit infection and nail regrowth. All the cats had fragments of the third phalanx (P3) of varying sizes diagnosed on radiographs. Pathology visible on examination included digital subcutaneous swelling, ecchymosis, malaligned digital pads, ulcerations, exudate, tendon contracture, nail regrowth and callusing. Surgery was pursued in these cases to remove the P3 fragments, relieve tendon contracture and reposition the digital pads with an anchoring suture. Gross findings intraoperatively included fragmented growth of cornified and non-cornified nail tissue, osteophytes on the surface of the second phalanx, deep digital flexor tendon calcification, and both bacterial and sterile exudate. The most common complication 14 days postoperatively was mild (14%) to moderate (1%) lameness. All historical parameters recorded improved in both populations of cats (house-soiling, biting behavior, repelling behavior, barbering, lameness, tendon contracture and chronic digit infection). Postoperatively, 1/47 cats exhibited continued malalignment of two digital pads and there were no reports of long-term postoperative lameness.
CONCLUSIONS: Two methods of declawing cats are detailed in the veterinary literature, including partial amputation of P3 and disarticulation of the entire P3 bone. The novel information in this report includes historical and clinical signs of declawed cats with P3 fragments, intraoperative gross pathology, surgical intervention and the postoperative follow-up results.
摘要:
方法:本病例系列描述了86只被剥夺的猫的临床发现和手术干预;52只来自庇护所或救援人员和34只拥有的猫。业主和庇护所工作人员的历史报告包括弄脏房屋,咬人行为,排斥行为,理发,跛行,慢性手指感染和指甲再生。所有的猫都有在X光片上诊断出的不同大小的第三指骨(P3)片段。检查可见的病理包括数字皮下肿胀,瘀斑,不对齐的数字焊盘,溃疡,渗出物,肌腱挛缩,指甲再生和老茧。在这些情况下进行手术以去除P3碎片,缓解肌腱挛缩,并通过锚定缝线重新定位数字垫。术中大体结果包括角化和非角化指甲组织的碎片生长,第二指骨表面的骨赘,深指屈肌腱钙化,细菌和无菌渗出物。术后14天最常见的并发症是轻度(14%)至中度(1%)跛行。在两个猫种群中记录的所有历史参数都得到了改善(房屋污染,咬人行为,排斥行为,理发,跛行,肌腱挛缩和慢性手指感染)。术后,1/47只猫表现出两个数字垫的持续错位,并且没有关于术后长期跛行的报道。
结论:兽医文献中详细介绍了两种除猫的方法,包括P3的部分截肢和整个P3骨的离断。本报告中的新信息包括P3片段被剥夺的猫的历史和临床症状,术中大体病理,手术干预和术后随访结果。