86只去甲猫的第三趾骨（P3）碎片外科切除：病例系列（2013-2023）
摘要来源：
https://doi.org/10.1177/1098612X241240331
一校：刘玲
二校：kenda
编辑：百可事乐
摘要
病例系列总结
本病例系列描述了86只去甲猫的临床表现和手术干预情况，其中52只来自收容所或救助中心，34只为家养猫。来自猫主人和收容所工作人员的病史报告包括：随地便溺、咬人行为、排斥行为、舔毛过度、跛行、慢性趾部感染和趾甲再生。所有猫在X线片上均被诊断出有不同大小的第三趾骨（P3）碎片。检查时可见的病理特征包括趾部皮下肿胀、瘀斑、趾垫错位、溃疡、渗出、肌腱挛缩、趾甲再生和胼胝形成。在这些病例中实施手术以切除P3碎片、缓解肌腱挛缩并通过固定缝合复位趾垫。术中发现的大体病变包括角化和非角化的趾甲组织碎片、第二趾骨表面的骨刺、趾部深层屈肌腱钙化，以及细菌性和无菌性渗出物。术后14天最常见的并发症是轻微（14%）至中度（1%）跛行。两组猫的病史参数（随地便溺、咬人行为、排斥行为、舔毛过度、跛行、肌腱挛缩和慢性趾部感染）都有所改善。术后，47只猫中的1只仍出现两个趾垫错位，未报告长期术后跛行。
临床相关与新信息
兽医文献中详细描述了猫去甲的两种方法，包括P3的部分切除和整个P3骨关节断离。本报告中的新信息包括具有P3碎片的去甲猫的病史和临床表现、术中大体病理特征、手术干预和术后随访结果。
原文：
Surgical excision of P3 fragments in 86 declawed cats: case series (2013–2023)
Abstract
Case series summary
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.
Relevance and novel information
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.
