Clayton et al: Incidence of Bandage-Associated Complications in Cats following Clean Orthopaedic Procedures: A Retrospective Study of 152 Cases
Veterinary and Comparative Orthopaedics and Traumatology 2, 2026

Incidence of Bandage-Associated Complications in Cats following Clean Orthopaedic Procedures: A Retrospective Study of 152 Cases

🔍 Key Findings

  • Bandage-associated complications occurred in 68.4% of cats (104/152) following clean orthopaedic procedures, highlighting the high risk of postoperative coaptation complications in feline patients.
  • Most complications were mild (64.4%), while 32.7% were moderate and 2.9% severe, indicating that although common, severe outcomes are relatively rare.
  • Use of a splint significantly increased complication severity, with splinted cats 3.42× more likely to develop moderate or severe complications (p = 0.012).
  • Complication incidence was not significantly influenced by bandage duration, limb involved, injury location, or professional role of the bandage applier.
  • The most common complications were soiled/wet bandages (34.6%), skin irritation (31.7%), bandage slippage (30.8%), pressure sores (29.8%), chewing (20.2%), and toe swelling (19.2%).
  • Distal pelvic limb injuries (tarsus and distal) showed the highest proportion of complications (81.5%), suggesting distal limb bandaging in cats carries greater risk.
  • Bandages were most commonly applied after osteosynthesis procedures, but procedure type was not associated with complication occurrence (p = 0.720).
  • Findings support cautious use of postoperative bandaging in cats, particularly splinted bandages, and emphasize vigilant monitoring and careful case selection.

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Clayton et al: Incidence of Bandage-Associated Complications in Cats following Clean Orthopaedic Procedures: A Retrospective Study of 152 Cases
Veterinary and Comparative Orthopaedics and Traumatology 2, 2026

🔍 Key Findings

  • Bandage-associated complications occurred in 68.4% of cats (104/152) following clean orthopaedic procedures, highlighting the high risk of postoperative coaptation complications in feline patients.
  • Most complications were mild (64.4%), while 32.7% were moderate and 2.9% severe, indicating that although common, severe outcomes are relatively rare.
  • Use of a splint significantly increased complication severity, with splinted cats 3.42× more likely to develop moderate or severe complications (p = 0.012).
  • Complication incidence was not significantly influenced by bandage duration, limb involved, injury location, or professional role of the bandage applier.
  • The most common complications were soiled/wet bandages (34.6%), skin irritation (31.7%), bandage slippage (30.8%), pressure sores (29.8%), chewing (20.2%), and toe swelling (19.2%).
  • Distal pelvic limb injuries (tarsus and distal) showed the highest proportion of complications (81.5%), suggesting distal limb bandaging in cats carries greater risk.
  • Bandages were most commonly applied after osteosynthesis procedures, but procedure type was not associated with complication occurrence (p = 0.720).
  • Findings support cautious use of postoperative bandaging in cats, particularly splinted bandages, and emphasize vigilant monitoring and careful case selection.

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Multiple Choice Questions on this study

In Clayton 2026 et al., on feline bandage complications, which factor was significantly associated with increased severity of bandage-related complications?

A. Duration of bandage placement greater than 4 weeks
B. Location of the orthopaedic injury on the limb
C. Professional role of the person applying the bandage
D. Use of a splinted bandage
E. Type of orthopaedic surgical procedure performed

Answer: Use of a splinted bandage

Explanation: Ordinal logistic regression showed splint use significantly increased complication severity, with splinted cats 3.42× more likely to develop moderate or severe complications (p = 0.012).
In Clayton 2026 et al., on feline bandage complications, which statement best describes the distribution of complication severity?

A. Most complications were severe and required surgical revision
B. Most complications were moderate and required systemic antibiotics
C. Most complications were mild and required no treatment
D. Complications were equally distributed between mild, moderate, and severe
E. All complications resulted in permanent morbidity

Answer: Most complications were mild and required no treatment

Explanation: The majority of complications were mild (64.4%), typically superficial skin issues or bandage management problems that required little or no treatment.
In Clayton 2026 et al., on feline bandage complications, what proportion of cats developed a bandage-associated complication following clean orthopaedic procedures?

A. Approximately 25% of cats
B. Approximately 45% of cats
C. Approximately 68% of cats
D. Approximately 80% of cats
E. Approximately 95% of cats

Answer: Approximately 68% of cats

Explanation: The retrospective study reported bandage-associated complications in 104 of 152 cats (68.4%), demonstrating a high overall complication incidence.
In Clayton 2026 et al., on feline bandage complications, which injury location had the highest proportion of bandage-associated complications?

A. Elbow injuries
B. Tarsus and distal injuries
C. Stifle injuries
D. Proximal tibial injuries
E. Scapular injuries

Answer: Tarsus and distal injuries

Explanation: Cats with injuries at the tarsus and distal limb had the highest complication proportion (81.5%), indicating distal pelvic limb bandaging carries elevated risk.
In Clayton 2026 et al., on feline bandage complications, which complication was reported most frequently?

A. Osteomyelitis from surgical implants
B. Soiled or wet bandages
C. Skin necrosis requiring amputation
D. Nerve injury causing neuropraxia
E. Implant loosening beneath the bandage

Answer: Soiled or wet bandages

Explanation: The most common complication recorded was soiled or wet bandages (34.6%), followed by skin irritation and bandage slippage.

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