title: Complications associated with corrective surgery for patellar luxation in 85 feline surgical cases.
abstract: The objective was to review surgical techniques and postoperative complications of surgical correction for patellar luxation (PL) in cats. A retrospective study evaluating 85 surgeries in 71 cats was performed. The records from four referral centres were searched for cats with surgical management of PL. Signalment, history, PL grade and direction, corrective surgical techniques and outcome were retrieved. Binary logistic regression analysis was used to interrogate relationships between case features, surgical correction methods and outcomes. The outcomes were classified as minor and major complications (requiring revision surgery), including continued PL (reluxation). Postoperative complications occurred in 26% of cases; 20% had major complications, including 5% patellar reluxation, and 6% had minor complications. Cats with previous ipsilateral femoral fracture were significantly more likely to suffer complications, including minor (P = 0.02, odds ratio = 12.67), major (P = 0.03, OR = 7.2) and patellar reluxation (P = 0.01, OR = 19.25). Minor complications were significantly more likely with grade 4 PL (P = 0.03, OR = 8.5). Major complications were significantly more likely with tibial tuberosity transposition (TTT; P = 0.03, OR = 5.57). Patellar reluxation was significantly more likely if stifle surgery had been performed previously (P = 0.05, OR = 8.00). The presence of bilateral PL, hip dysplasia, grade 1, 2 or 3 PL, corrective surgery using an anti-rotational suture or femoral sulcoplasty did not influence complications. Complications were more likely for grade 4 PL, previous ipsilateral femoral fracture, if TTT was performed and for cases with previous stifle surgery. This information allows consideration of risks and complicating factors.
authors.affiliation: Royal Veterinary College, Queen Mother Hospital for Animals, Hatfield, UK lrutherford@rvc.ac.uk.
authors.forename: Lynda
authors.initials: L
authors.lastname: Rutherford
authors.affiliation: University of Bristol, Langford House, Langford, UK.
authors.forename: Sorrel J
authors.initials: SJ
authors.lastname: Langley-Hobbs
authors.affiliation: Davies Veterinary Specialists, Higham Gobion, UK.
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Whitelock
authors.affiliation: Willows Veterinary Centre and Referral Service, Solihull, UK.
authors.forename: Gareth Ian
authors.initials: GI
authors.lastname: Arthurs
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000601:surgery*; D002415:Cats; D005264:Femoral Fractures / Q000601:surgery / Q000662:veterinary*; D031222:Patellar Dislocation / Q000601:surgery / Q000662:veterinary*; D011183:Postoperative Complications / Q000517:prevention & control / Q000662:veterinary*; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D013264:Stifle / Q000293:injuries / Q000601:surgery; D016896:Treatment Outcome