This retrospective study evaluated the clinical and radiographic outcomes of wire-reinforced intraoral composite splints (WRICS) for the stabilisation of mandibular body fractures in 15 cats treated at a UK referral centre between 2016 and 2024. Inclusion criteria required treatment with WRICS and the availability of pre-operative and follow-up CT imaging. Fractures were most commonly located between the canine tooth and third premolar (73%), with 80% classified as open fractures. The median time from trauma to splint application was 2 days, and the median duration of splint placement was 8 weeks. Normocclusion was restored in 14 of 15 cats postoperatively.
Major complications occurred in two cases (13%) and were attributed to soft tissue ulceration from sharp edges of the splint. Minor complications were recorded in 27% of cases and included ptyalism, pyrexia, and mild pain. Regression analysis suggested faster bone healing in heavier cats and those with delayed presentation, although findings should be interpreted cautiously due to small sample size. No cases exhibited radiographic non-union.
These results indicate that WRICS provide a minimally invasive, effective method for managing mandibular body fractures in cats, with favourable functional and occlusal outcomes. However, technical precision and careful postoperative monitoring are critical to minimise complications. This technique offers a viable alternative to open reduction and internal fixation, particularly for fractures in dentate regions where anatomical constraints limit surgical options.
References
Pakula J, Freeman A, Perry A. Clinical Outcomes of Mandibular Body Fracture Management Using Wire-Reinforced Intraoral Composite Splints in 15 Cats. Frontiers in Veterinary Science. Volume 12 - 2025. DOI=10.3389/fvets.2025.1552682. ISSN=2297-1769