Article Text

Download PDFPDF
Transarticular hinged external skeletal fixation for revision surgery of stifle subluxation associated with multiple ligament injuries in a cat
  1. Ross Christopher Elliott
  1. Department of Small Animal Surger, Bryanston Veterinary Hospital, Johannesburg, South Africa
  1. Correspondence to Dr Ross Christopher Elliott; rosselliott_2{at}


Stifle subluxation with multiple ligamentous injuries are a rare but catastrophic injury seen most commonly in cats in the veterinary literature. There is often damage to both cruciate ligaments, the medial and lateral collateral ligaments and the menisci. The long-term prognosis for this injury is guarded due to the development of marked osteoarthritis after the injury. This paper describes the use of a commercially available range of motion hinge used as a secondary stabilisation for a failed primary anatomical stabilisation. None of the primary implants were removed or augmented at the time of revision surgery. A transarticular fixator was placed and increasing range of motion was allowed by adjusting the hinge at varying intervals over 8 weeks. This allowed fibrous tissue to stabilise the stifle while preventing articular cartilage degeneration. From this case report, transarticular hinge fixation can be considered a method of stabilisation in patients with stifle subluxation.

  • stifle subluxation
  • multiple ligament injuries
  • cats
View Full Text

Statistics from


  • Contributors All work done on this case was performed by myself with no conflict of interest.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All data will be made availabile as required.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.