Subscribe to RSS
DOI: 10.1055/a-2655-9218
Incidence of Bandage-Associated Complications in Cats following Clean Orthopaedic Procedures: A Retrospective Study of 152 Cases

Abstract
Objective
To report the incidence of bandage-associated complications in cats following clean orthopaedic injury.
Study Design
Multi-institutional retrospective case series of 152 client-owned cats. Medical records were searched for cats that had a bandage placed after a clean orthopaedic injury. Data collected included: signalment, diagnosis, anatomical region, orthopaedic procedure, professional role of the person applying the bandage (specialist/resident/nurse), bandage duration, complications, and outcomes.
Results
A total of 152 cats had bandages placed after clean orthopaedic injuries. Complications were reported in 104 cats (68.4%). Bandage-related complications were mild in 64.4% cases, moderate in 32.7% cases, and severe 2.9% of cases. If a cat had a splint placed, it was 3.4 times more likely to have a more severe complication compared with a cat which did not require a splint.
Conclusion
Bandage complications occur frequently in cats, and the use of splints was a significant predictor of increased complication severity. Clinicians should be particularly vigilant when bandaging limbs in cats, as complications secondary to bandaging occur frequently. These findings underscore the importance of appropriate case selection for bandage application and monitoring strategies to minimize the risk of complications.
Ethical Approval Statement
This paper reports on retrospective data, and as such ethical approval was not required from our institution.
Authors' Contribution
D.C. and R.M.B conceived the idea for the article. All authors collected and processed the data. E.H. conducted the statistical analysis. D.C, R.M.B., and S.C. analysed and interpreted the data. D.C., R.M.B., and S.C. drafted the initial manuscript. All authors contributed to the critical revision and approval of the final manuscript.
Publication History
Received: 23 January 2025
Accepted: 15 July 2025
Article published online:
31 July 2025
© 2025. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
-
References
- 1 Harasen G. Orthopedic therapy under wraps: the pros and cons of external coaptation. Can Vet J 2012; 53 (06) 679-680
- 2 Grierson J. External coaptation in small animal practice. In Pract 2009; 31: 218-225
- 3 Roberts VJ, Meeson RL. Feline femoral fracture fixation: what are the options?. J Feline Med Surg 2022; 24 (05) 442-463
- 4 Carney HC, Little S, Brownlee-Tomasso D. et al; American Association of Feline Practitioners, International Society of Feline Medicine. AAFP and ISFM feline-friendly nursing care guidelines. J Feline Med Surg 2012; 14 (05) 337-349
- 5 Denny HR, Butterworth SJ, Harari J. A Guide to Canine and Feline Orthopaedic Surgery. 4th ed.. Oxford: Blackwell Science; 2000
- 6 Bristow PC. et al. Complications associated with bandaging in small animal practice. J Small Anim Pract 2015; 56 (09) 541-546
- 7 Meeson RL, Davidson C, Arthurs GI. Soft-tissue injuries associated with cast application for distal limb orthopaedic conditions. A retrospective study of sixty dogs and cats. Vet Comp Orthop Traumatol 2011; 24 (02) 126-131
- 8 Langley-Hobbs SJ. et al. Feline Orthopedic Surgery and Musculoskeletal Disease. 2nd ed.. Saunders Elsevier; 2020
- 9 Brunnberg L, Ludewig E. Complications of bandaging techniques in small animal practice. Proceedings of the 29th WSAVA Congress; 2003
- 10 Glyde MR. et al. Internal fixation in feline orthopaedics: is bandaging still necessary?. Aust Vet Pract 2018; 48 (04) 145-150
- 11 Miraldo D, Salmelin B, Yeadon R. Feline distal tibial physeal fracture repair using a modified cross pin technique with four pins. Vet Comp Orthop Traumatol 2020; 33 (03) 220-226
- 12 Tomlinson J. Complications of fractures repaired with casts and splints. Vet Clin North Am Small Anim Pract 1991; 21 (04) 735-744
- 13 Lafuente P, Witte PG. Postoperative care and rehabilitation following orthopaedic surgery in small animals. Vet Clin North Am Small Anim Pract 2022; 52 (02) 275-292
- 14 Barnes DM. et al. Principles of bandaging in small animal practice. Compend Contin Educ Vet 2019; 41 (03) 126-134
- 15 Johnson AL, Houlton JEF, Vannini R. AO Principles of Fracture Management in the Dog and Cat. Davos-Platz: AO Publishing; 2005
- 16 Liu P, Mu X, Zhang Q, Liu Z, Wang W, Guo W. Should compression bandage be performed after total knee arthroplasty? A meta-analysis of randomized controlled trials. J Orthop Surg Res 2020; 15 (01) 52
- 17 Unis MD, Roush JK, Bilicki KL, Baker SG. Effect of bandaging on post-operative swelling after tibial plateau levelling osteotomy. Vet Comp Orthop Traumatol 2010; 23 (04) 240-244
- 18 Woods S, Wallace RJ, Mosley JR. The effect of external coaptation on plate deformation in an ex vivo model of canine pancarpal arthrodesis. Vet Comp Orthop Traumatol 2012; 25 (06) 439-444
- 19 Coppola M, Das S, Matthews G. et al. Traumatic stifle injury in 72 cats: a multicentre retrospective study. J Feline Med Surg 2022; 24 (06) 587-595
- 20 Anderson DM, White RAS. Ischemic bandage injuries: a case series and review of the literature. Vet Surg 2000; 29 (06) 488-498
- 21 Halanski M, Noonan KJ. Cast and splint immobilization: complications. J Am Acad Orthop Surg 2008; 16 (01) 30-40
- 22 Janicek JC, McClure SR, Lescun TB. et al. Risk factors associated with cast complications in horses: 398 cases (1997-2006). J Am Vet Med Assoc 2013; 242 (01) 93-98
- 23 Iodence AE, Olsen AM, McGilvray KC, Duncan CG, Duerr FM. Use of pressure mapping for quantitative analysis of pressure points induced by external coaptation of the distal portion of the pelvic limb of dogs. Am J Vet Res 2018; 79 (03) 317-323
- 24 Smith E, Juvinall R. Mechanics of orthotics. In: Orthotics Etcetera. Baltimore: Williams & Wilkins Co; 1980: 21-51