Case Report: Treatment of Femoral Non-union With Rib and Iliac Crest Autografts and rhBMP-2 in a Cat

A 5-year-old, intact male Bengal cat weighing 5.2 kg was referred for the fixation failure of a right femoral fracture. Multiple surgical revisions failed, and atrophic non-union was diagnosed. The cat was then admitted for a final revision surgery using locking plate fixation in conjunction with ri...

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Autores principales:	Cheng-Shu Chung, Lee-Shuan Lin, Yi-Min Teo
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	cat rhBMP-2 rib autograft iliac crest autograft non-union Veterinary medicine SF600-1100
Acceso en línea:	https://doaj.org/article/ef04f71f26a54758a3a3c94c66c2e321
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spelling	oai:doaj.org-article:ef04f71f26a54758a3a3c94c66c2e3212021-12-01T01:13:00ZCase Report: Treatment of Femoral Non-union With Rib and Iliac Crest Autografts and rhBMP-2 in a Cat2297-176910.3389/fvets.2021.756167https://doaj.org/article/ef04f71f26a54758a3a3c94c66c2e3212021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fvets.2021.756167/fullhttps://doaj.org/toc/2297-1769A 5-year-old, intact male Bengal cat weighing 5.2 kg was referred for the fixation failure of a right femoral fracture. Multiple surgical revisions failed, and atrophic non-union was diagnosed. The cat was then admitted for a final revision surgery using locking plate fixation in conjunction with rib and iliac crest autografts and recombinant human bone morphogenetic protein 2 (rhBMP-2). The fracture site was debrided and stabilized before filling the defect with 1.8 cm of rib bone autograft. The residual space in the defect was then filled with an iliac crest autograft. Finally, a 3 ×5 cm absorbable collagen sponge soaked with 0.5 mL of 0.2 mg/mL rhBMP-2 solution was placed around the defect. No significant complications were noted postoperatively. Bone healing was noted 2 months postoperatively, and it continued for 12 months. Although mild lameness remained, the cat's ambulatory function and quality of life were good. To the authors' knowledge, this is the first case report of a clinical transplantation of a rib segment as an autograft in combination with rhBMP-2 in a cat with a large bone defect.Cheng-Shu ChungLee-Shuan LinYi-Min TeoFrontiers Media S.A.articlecatrhBMP-2rib autograftiliac crest autograftnon-unionVeterinary medicineSF600-1100ENFrontiers in Veterinary Science, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cat rhBMP-2 rib autograft iliac crest autograft non-union Veterinary medicine SF600-1100
spellingShingle	cat rhBMP-2 rib autograft iliac crest autograft non-union Veterinary medicine SF600-1100 Cheng-Shu Chung Lee-Shuan Lin Yi-Min Teo Case Report: Treatment of Femoral Non-union With Rib and Iliac Crest Autografts and rhBMP-2 in a Cat
description	A 5-year-old, intact male Bengal cat weighing 5.2 kg was referred for the fixation failure of a right femoral fracture. Multiple surgical revisions failed, and atrophic non-union was diagnosed. The cat was then admitted for a final revision surgery using locking plate fixation in conjunction with rib and iliac crest autografts and recombinant human bone morphogenetic protein 2 (rhBMP-2). The fracture site was debrided and stabilized before filling the defect with 1.8 cm of rib bone autograft. The residual space in the defect was then filled with an iliac crest autograft. Finally, a 3 ×5 cm absorbable collagen sponge soaked with 0.5 mL of 0.2 mg/mL rhBMP-2 solution was placed around the defect. No significant complications were noted postoperatively. Bone healing was noted 2 months postoperatively, and it continued for 12 months. Although mild lameness remained, the cat's ambulatory function and quality of life were good. To the authors' knowledge, this is the first case report of a clinical transplantation of a rib segment as an autograft in combination with rhBMP-2 in a cat with a large bone defect.
format	article
author	Cheng-Shu Chung Lee-Shuan Lin Yi-Min Teo
author_facet	Cheng-Shu Chung Lee-Shuan Lin Yi-Min Teo
author_sort	Cheng-Shu Chung
title	Case Report: Treatment of Femoral Non-union With Rib and Iliac Crest Autografts and rhBMP-2 in a Cat
title_short	Case Report: Treatment of Femoral Non-union With Rib and Iliac Crest Autografts and rhBMP-2 in a Cat
title_full	Case Report: Treatment of Femoral Non-union With Rib and Iliac Crest Autografts and rhBMP-2 in a Cat
title_fullStr	Case Report: Treatment of Femoral Non-union With Rib and Iliac Crest Autografts and rhBMP-2 in a Cat
title_full_unstemmed	Case Report: Treatment of Femoral Non-union With Rib and Iliac Crest Autografts and rhBMP-2 in a Cat
title_sort	case report: treatment of femoral non-union with rib and iliac crest autografts and rhbmp-2 in a cat
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/ef04f71f26a54758a3a3c94c66c2e321
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Case Report: Treatment of Femoral Non-union With Rib and Iliac Crest Autografts and rhBMP-2 in a Cat

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