Dr. Phil Zeltzman’s Blog

I recently repaired a fracture on a 23 year old cat. Some of my nurses aren’t even that old! It’s a true story with a very happy ending.

Basil, the 23 year old cat, had a broken tibia. The shin bone was broken in 3 main pieces. He went to the local ER, where his owner was told that he was too old and should be put to sleep.

That did not sit well with Basil’s owner. He may be 23 years old, but he was healthy otherwise, so why end his life? His owner contacted me regarding Basil’s situation. We agreed that it was ethical to perform surgery on him, since he was healthy otherwise, and we scheduled him for surgery.

Fixing the shattered bone required 1 pin, 1 plate, 4 wires, and 9 screws to repair! A bone graft was added to speed up healing. Surgery went well and sweet Basil recovered smoothly under the close supervision of his nurses.

At home, he was strictly confined for 8 weeks. At suture removal, after only 2 weeks, he surprised everybody by walking around using the leg very well.

And after 8 weeks, follow up X-rays showed that the bone had healed nicely and we could start to increase Basil’s activity.

And after one more month of that, Basil returned to his normal Grandpa life.

So what’s the moral of this story?

As I always say, “Age is not a disease.”

A few conditions need to be met for surgery to be a valid option in my opinion:

. The patient should be reasonably healthy

. The condition should be fixable.

. Quality of life should be good after surgery.

. The owner should be 100% on board.

Two months after surgery, Basil’s owner writes: “My sweet 23 year old cat is finally back on the couch with me. He is getting giant hugs. He’s really doing great. I really have no words to thank you enough.”

I don’t see why we should deny help to a patient who fulfills these criteria.

Basil’s owner certainly felt that way, and I am sure Basil did as well…

Phil Zeltzman, DVM, DACVS, CVJ, Fear Free Certified

www.DrPhilZeltzman.com

Frady’s owners brought her to the veterinarian with a broken tibia after she suffered an unknown trauma outdoors.

A two-year-old female kitty, Frady needed surgical intervention to fix the broken bone. After we started operating at Orefield Veterinary Clinic, we realized that the bone wasn’t fractured into two pieces – it was shattered!

I repaired the bone with a stainless steel plate, thirteen screws, and two wires. Then I reinforced the repair with a splint.

Outdoor cats are at increased risk for injuries or worse. Sadly, we don’t live in a cat friendly world. Cats get attacked, shot at, or hit by cars all the time. Don’t let your cat be a victim! Keeping your kitty indoors may save her life.

The shattered bone before being repaired.

Here you can see the plate, screws, and wires used to repair the shattered bone.

Another X-ray taken before the repair.

To fix the shattered tibia, I used thirteen screws, a plate, and two wires.