Clinical outcomes and complications of pancarpal arthrodesis stabilised with 3.5 mm/2.7 mm locking compression plates with internal additional fixation in 12 dogs

Tuan, Jayson; Comas, Nuria; Solano, Miguel A.

doi:10.1080/00480169.2019.1636417

Cited by 7 publications

(15 citation statements)

References 27 publications

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“…24 A high rate of surgical site infection, however, was recorded in our HDCP and for ALPS cohort compared with previous published PCA surgical site infection rates of 7.7 to 31%. 2 3 7 10…”

Section: Discussionmentioning

confidence: 99%

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Retrospective Comparison of Titanium Hybrid Locking Plate with Stainless Steel Hybrid Dynamic Compression Plate for Pancarpal Arthrodesis: 23 Dogs

Chong

Eckart

Sul

et al. 2022

Vet Comp Orthop Traumatol

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Objective The aim of this study was to evaluate outcomes and complications of dogs that had pancarpal arthrodesis (PCA) using a titanium hybrid advanced locking plate system (ALPS) and stainless steel hybrid dynamic compression plate (HDCP). Study Design Retrospective observational study. Methods Medical records (2007–2020) were reviewed for cases that had PCA performed using ALPS or HDCP. Implant characteristics including metacarpal coverage (MCov), metacarpal width occupied by screw diameter percentage and carpal arthrodesis angle (CAA), complications and outcomes were recorded. Results Pancarpal arthrodesis was performed with ALPS on 15 limbs from 12 dogs, and HDCP on 14 limbs from 11dogs. Median follow-up time was 1,157 days (range: 62–1,902 days) for ALPS group and 340 days (range: 43–1,465 days) for HDCP. Median MCov for ALPS group was 74% (range: 60–87.5%) compared with 56.5% (range: 49.7–91.3%) for HDCP (p = 0.001). There was no difference in CAA and metacarpal width to screw diameter percentage between ALPS and HDCP group. Major and minor complications and surgical site infection rates were not statistically different between the two groups. Plate fracture occurred in 2/15 ALPS PCA and screw loosening occurred in 4/14 HDCP PCA. Full function was achieved in 8/12 and 8/11 of ALPS and HDCP cases, respectively, which was not statistically different (p = 0.76). Conclusion The use of ALPS offers comparable performance to HDCP for PCA

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“…24 A high rate of surgical site infection, however, was recorded in our HDCP and for ALPS cohort compared with previous published PCA surgical site infection rates of 7.7 to 31%. 2 3 7 10…”

Section: Discussionmentioning

confidence: 99%

“…9 The most recent modification to hybrid PCA plates was the addition of Combi holes which allowed the insertion of either locking screws or cortex screws. 2 The latter allowed the generation of interfragmentary compression at the arthrodesis.…”

Section: Introductionmentioning

confidence: 99%

Retrospective Comparison of Titanium Hybrid Locking Plate with Stainless Steel Hybrid Dynamic Compression Plate for Pancarpal Arthrodesis: 23 Dogs

Chong

Eckart

Sul

et al. 2022

Vet Comp Orthop Traumatol

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“…Current treatment recommendations for multi‐ligamentous carpal injuries include partial or pancarpal arthrodesis, even in the absence of hyperextension 8,9 . These invasive surgical procedures lead to the loss of the carpal range of motion or involve the risk of severe surgical complications, including surgical site infection, implant failure, metacarpal fractures and persistent lameness 10 . The most common reported complication was surgical site infection ranging between 18.3% and 31% 10,11 .…”

Section: Discussionmentioning

confidence: 99%

“…8,9 These invasive surgical procedures lead to the loss of the carpal range of motion or involve the risk of severe surgical complications, including surgical site infection, implant failure, metacarpal fractures and persistent lameness. 10 The most common reported complication was surgical site infection ranging between 18.3% and 31%. 10,11 Data of surgical site infection rate using fiber wire are only available for cranial cruciate ligament repair ranging from 1.8% to 5.4% 12 ; the rate remains unknown for the use of fiber wire for carpal ligament prosthesis.…”

Section: Outcome and Follow-upmentioning

confidence: 99%

“…10 The most common reported complication was surgical site infection ranging between 18.3% and 31%. 10,11 Data of surgical site infection rate using fiber wire are only available for cranial cruciate ligament repair ranging from 1.8% to 5.4% 12 ; the rate remains unknown for the use of fiber wire for carpal ligament prosthesis. Kinematic studies on artificially restricted carpal joints were able to demonstrate the presence of significant compensatory changes in the gait pattern of the involved forelimb and overuse of the ipsilateral shoulder joint and contralateral stifle joint 13 indicated by marked changes in gait parameters.…”

Section: Outcome and Follow-upmentioning

confidence: 99%

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Multi‐ligamentous injury of the carpus with dislocation of the ulnar styloid in a dog

Renner¹,

Medl²

2021

Vet Record Case Reports

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A 3‐year‐old mixed‐breed dog was presented with acute onset of non‐weight bearing right thoracic limb lameness. Radiographs revealed dislocation of the ulnar styloid and a small slab fracture of the medial cortex of the distal ulna. Moderate medial and mild lateral instability without hyperextension were detected, and carpal bone fractures were excluded on stress radiographs and computed tomography. The surgical repositioning of the ulnar bone revealed multiple torn ligaments. To reinforce primary repair, the collateral ligaments were augmented medially and laterally using screws, washers and synthetic suture material. Postoperatively, external coaptation, followed by a soft neoprene brace, was used for further rehabilitation. Seven months postoperatively, the dog exhibited pre‐traumatic function. There is no proper classification for multi‐ligamentous injuries, and little is known regarding the long‐term outcomes and limitations of primary carpal ligament repair. In this case, medial and lateral ligament prostheses provided a feasible treatment option with excellent outcomes.

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Stifle arthrodesis in dogs using semi-circular saw: Cadaveric study

Carneiro,

Brose,

de Souza

et al. 2024

Topics in Companion Animal Medicine

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Clinical outcomes and complications of pancarpal arthrodesis stabilised with 3.5 mm/2.7 mm locking compression plates with internal additional fixation in 12 dogs

Cited by 7 publications

References 27 publications

Retrospective Comparison of Titanium Hybrid Locking Plate with Stainless Steel Hybrid Dynamic Compression Plate for Pancarpal Arthrodesis: 23 Dogs

Retrospective Comparison of Titanium Hybrid Locking Plate with Stainless Steel Hybrid Dynamic Compression Plate for Pancarpal Arthrodesis: 23 Dogs

Multi‐ligamentous injury of the carpus with dislocation of the ulnar styloid in a dog

Stifle arthrodesis in dogs using semi-circular saw: Cadaveric study

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