Arthrodesis Techniques

Lischer, Christoph; Auer, Jörg A

doi:10.1016/b978-0-323-48420-6.00082-x

Cited by 13 publications

(48 citation statements)

References 75 publications

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“…A palmar tension band is recommended in horses that suffer from suspensory breakdown. The function of the tension band is to convert compression forces acting on the dorsal aspect of the joint into tensile forces 1. This is unnecessary when the suspensory apparatus is functional because the suspensory apparatus acts as a tension band.…”

Section: Discussionmentioning

confidence: 99%

“…This is unnecessary when the suspensory apparatus is functional because the suspensory apparatus acts as a tension band. Without the suspensory apparatus, as the joint hyperextends, the dorsal plates would be placed on a compression surface of the joint where the plates are inherently weaker 1. However, the presence of two digits made manipulation and placement of the tension band on the lateral digit very challenging.…”

Section: Discussionmentioning

confidence: 99%

“…Dynamic compression plating (DCP) to achieve surgical arthrodesis for correction of suspensory apparatus breakdown is a reported technique in equids 1. Artiodactylids present unique challenges due to differences in digit anatomy.…”

Section: Introductionmentioning

confidence: 99%

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Fetlock arthrodesis using DCP internal fixation in a Bactrian camel (Camelus bactrianus) for treatment of metacarpophalangeal joint hyperextension

McLean

Lozier

Lakritz

et al. 2019

Vet Record Case Reports

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A 21-month-old intact, male Bactrian camel (Camelus bactrianus) presented for bilateral metacarpophalangeal joint hyperextension. Physical and radiographic evaluation revealed evidence of soft tissue hyperextension with no bony changes. The left metacarpophalangeal joint was fused using two dynamic compression plates on the dorsal aspect of the joint along with a figure-8 tension band on the palmar aspect of the lateral fetlock for additional structural support. Twenty-seven days postoperatively, the patient was able to weightbear on both thoracic limbs. The patient was released with recommendations to have the contralateral limb corrected in the near future. Follow-up communication with the referring veterinarian revealed no known complications with the surgically corrected limb four months postrelease. This report illustrates the adaptation of a commonly reported surgical procedure in equine medicine and supports its use for correction of metacarpophalangeal joint hyperextension in artiodactylids not amenable to long-term medical management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Fetlock arthrodesis using DCP internal fixation in a Bactrian camel (Camelus bactrianus) for treatment of metacarpophalangeal joint hyperextension

McLean

Lozier

Lakritz

et al. 2019

Vet Record Case Reports

View full text Add to dashboard Cite

show abstract

“…In all these cases, the purpose of the procedure is to restore comfortable weight bearing on the limb for salvage of the animal or for breeding . Several techniques for attaining fusion of the fetlock joint have been described for using internal fixation and cartilage removal to ensure maximum bone‐to‐bone contact …”

Section: Introductionmentioning

confidence: 99%

“…A tension band is also commonly used to increase the stability of the repair in case of osteoarthritis. A 10‐ to 14‐hole 4.5‐ or 5.5‐mm broad locking compression plate (LCP) with 10° to 15° angle is applied to the dorsal aspect of the limb …”

Section: Introductionmentioning

confidence: 99%

Ex vivo study of minimally invasive procedures for cartilage removal from the metacarpophalangeal or metatarsophalangeal joint and for fetlock tension band application

Farfan

Genton

Rossignol³

2020

Veterinary Surgery

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Objective To describe reliable minimally invasive procedures for (1) removing cartilage by joint distraction and articular drilling for equine metacarpophalangeal (MCP)/metatarsophalangeal (MTP) arthrodesis; (2) applying a palmar/plantar tension band without MCP/MTP joint luxation. Study design Experimental study. Sample population Cadaveric equine limbs (n = 12). Methods All limbs were used to evaluate the drilling technique. First the MCP/MTP joint was distracted with a 5.5‐mm cortical screw. Then, through four stab incisions, articular cartilage was removed with a 4.5‐mm drill. Six randomly chosen limbs were then tested for minimally invasive tension band application with a specially designed cannula. Accurate positioning of the tension band was assessed radiographically. All MCP/MTP joints were disarticulated, and the areas of removed cartilage were visually assessed and measured by using planimetry. Results The mean percentage of removed cartilage was 66.8% ± 7.6% for the metacarpus/metatarsus surface, 67.9% ± 8.6% for the proximal phalanx surface, and 59.5% ± 1% for the two sesamoid bones. The tension band could be accurately placed through four stab incisions with the cannula. Conclusion This minimally invasive technique for cartilage removal was efficient and should be favorable for joint fusion in some clinical situations. The minimally invasive tension band application through stab incisions was feasible and repeatable. Clinical significance These procedures should allow total minimally invasive MCP/MTP arthrodesis and be used in selected clinical cases.

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Evaluation of factors associated with surgical site infection in equine proximal interphalangeal joint arthrodesis: 54 cases (2010–2019)

Daniels

Pezzanite

Griffenhagen

et al. 2022

Veterinary Medicine & Sci

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Background:The frequency of surgical site infection (SSI) following orthopaedic implant placement in horses has been reported but not compared with respect to specific antibiotic protocols administered. Objectives: To determine factors associated with SSI in horses undergoing proximal interphalangeal joint (PIPJ) arthrodesis including perioperative antibiotic protocols. Methods: Records were evaluated (2010-2019), and horses undergoing PIPJ arthrodesis were identified. Patient signalment, supervising surgeon, reason for surgery, limb, implants placed, anaesthetic time, duration casting/coaptation postoperatively, antibiotic regimen and incidence/onset SSI were recorded. Bayesian and frequentist logistic regressions were used to estimate the contribution of covariates to infection occurrence.

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Arthrodesis Techniques

Cited by 13 publications

References 75 publications

Fetlock arthrodesis using DCP internal fixation in a Bactrian camel (Camelus bactrianus) for treatment of metacarpophalangeal joint hyperextension

Fetlock arthrodesis using DCP internal fixation in a Bactrian camel (Camelus bactrianus) for treatment of metacarpophalangeal joint hyperextension

Ex vivo study of minimally invasive procedures for cartilage removal from the metacarpophalangeal or metatarsophalangeal joint and for fetlock tension band application

Evaluation of factors associated with surgical site infection in equine proximal interphalangeal joint arthrodesis: 54 cases (2010–2019)

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