Objective: To compare the tensile performance of 3 constructs for feline greater trochanter (GT) avulsion fractures using a cadaveric model.
Methods: An experimental cadaveric study was performed using a standardized GT osteotomy model. Adult feline cadavers euthanized for reasons unrelated to this study and without radiographic evidence of orthopedic disease were included; specimens with musculoskeletal abnormalities were excluded. All testing was conducted at a single academic biomechanics laboratory. Fixation constructs were subjected to quasistatic tensile loading until failure.
Results: 18 hindlimbs from 9 feline cadavers were allocated equally to bicortical pin tension-band wiring (TBW; n = 6), tricortical pin TBW (6), and FiberWire-only fixation (6). At 3-mm displacement, tricortical fixation demonstrated higher mean load resistance than both bicortical fixation (mean difference, 45.0 N; 95% CI, 19.7 to 70.3 N) and FiberWire-only fixation (mean difference, 140.5 N; 95% CI, 115.1 to 165.9 N). Bicortical and tricortical constructs exhibited similar resistance at 1- and 2-mm displacement.
Conclusions: Tricortical pin TBW provided the greatest tensile resistance under maximal loading. However, the bicortical pin TBW and tricortical pin TBW techniques provided similar strength during early displacement. The FiberWire-only fixation construct demonstrated the lowest stability, suggesting that FiberWire fixation alone may not provide sufficient strength or an optimal tension-band configuration for feline GT avulsion repair.
Clinical relevance: For routine feline GT, bicortical pin TBW may offer a practical balance of strength and simplicity. Tricortical pin TBW fixation may be reserved for cases requiring maximal resistance, whereas FiberWire-only fixation should be used with caution due to its lower load-bearing capacity.
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