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MEET
SOME OF OUR PATIENTS: “Keith"
Keith, named after Keith Moon for all you oldies (none of
our younger staff knew who this was!), came to us from Germany
in February 2006. Being a young, adventurous fellow, he had
a head for heights and liked to go out on the roof of his “wohnung”
(German for flat). One cold January day, he missed his footing
and fell from the roof of the 7th floor.
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While Keith was lucky not to sustain any internal injuries,
x-rays showed that he had very nasty fractures in both
of his hind legs. In his right leg he’d broken his tibia
and fibula (the long bones in the part of the leg below
the knee), while his left leg had multiple fractures of
the tibia and tarsus (ankle). Keith was taken to the local
vet who put pins in his legs and bandaged them.
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Unfortunately there were problems with infection and
the pins had to be removed. Keith was taken to the local
orthopaedic specialist who used a serious of internal
and external fixators (pins holding the bone fragments
stable through holes in the skin connected on the outside,
like a scaffolding) in a resin outer shell to stablise
the fractures in his legs. He was also put onto antibiotics
to help with the infections.
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As luck would have it, all this took place shortly before Keith
was due to move to Edinburgh with his owners. So to add to his
woes, he now had to travel. He arrived from Germany in a rather
run-down state and there were concerns as to whether or not
he would have full use of his legs again. In fact, there was
a possibility that amputation would be necessary if his wounds
wouldn’t heal.
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We first saw Keith for a check up and x-rays about 4
weeks after his accident. Our x-rays showed that his bones
were just starting to mend and that the fixators were
doing their job. We kept him on the antibiotics, to guard
against any further infection, and sent him home with
an appointment for repeat x-rays.
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Right Leg
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Left Leg
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Two weeks later, Keith was back for more x-rays. Cats
are not very good at holding still for an x-ray so they
need to be sedated. We require an empty tummy as complications
can result if a cat vomits its stomach contents while
sedated. Keith was not at all impressed with having to
miss his breakfast again, especially when it meant coming
to see the dreaded “vet” again!
To top his bad day off, he wasn’t in the mood for the
company of other cats and had some choice words to say
to us before he was sedated. His x-rays showed a bit
more healing on the left leg but the right leg showed
a spot of possible infection so we decided to continue
his antibiotics. Keith’s owners were happy to hear about
the healing in his left leg at least as he was coping
a bit too well on his patched up legs – in fact as he
was doing more jumping than any of us would have liked.
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![[Closeup of Keith]](../../images/images2008/catofmonth-keith6.jpg) |
Keith’s next appointment with us was scheduled for 3
weeks later but a small “hardware” problem brought him
in for a check sooner than planned. The scaffolding holding
the bones in his legs together was being held in place
by a pink resin material, very similar to car body filler.
Keith has been running around and jumping so much that
the resin material was starting to crack and fall apart.
After a quick call to a car repair shop, not the usual
phone call a veterinary surgery makes, we’d sourced some
car body filler for Keith’s owner to pick up for repairing
the damaged areas of the resin. Bet you never knew your
local Halford’s could patch up your cat!
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Two weeks later Keith came back in for x-rays. He was
looking quite well in himself and beginning to jump onto
furniture at home. The x-rays revealed the fractures in
the left leg were healing very well and the right leg
was doing better. A return visit was scheduled for two
weeks, with hope that the fixators could be removed at
that visit. Keith continued to be less than impressed
with his visits to us and we think he might have taught
some of our day patients some German swear words!
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![[Keith yawning]](../../images/images2008/catofmonth-keith7.jpg) |
![[Keith standing on his healed legs]](../../images/images2008/catofmonth-keith8.jpg) |
We’re sure it was a happy day for Keith when the x-rays
two weeks later showed that the fixators could be removed
from his left hind leg! While the right leg was progressing
fine, it wasn’t as healed as the left and the decision
was made to leave the fixators in place on the right leg
for a few more weeks.
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Finally, the big day arrived. X-rays showed that Keith’s right
leg had healed and the fixators could be removed. Keith’s hind
legs don’t have the range of movement they did before the accident.
He hasn’t let this stop him, however. His owners have told us
that he’s run into the window of their flat trying to catch
birds. We all hope that Keith’s “high-wire” days are over and
that he enjoys the Scottish summer safely.
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