Complications of lateral plate fixation compared with tension band wiring and pin or lag screw fixation for calcaneoquartal arthrodesis

Barnes, Darren; Knudsen, C. S.; Gosling, Mark J.; McKee, Malcolm; Whitelock, Richard; Arthurs, Gareth; Ness, Malcolm G.; Radke, Heidi; Langley‐Hobbs, Sorrel

doi:10.3415/vcot-12-07-0089

Cited by 10 publications

(3 citation statements)

References 10 publications

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“…For example, complications that we classified as major II that were managed medically would have been classified as minor complications in other studies. 4,16 Our results seem to compare favorably with a previous study in which 12 complications were recorded in 9 PTA performed with the same surgical technique. 9 On the other hand, McKee et al 4 we report a high number of major complications, most of these were easily addressed with either medical treatment or a short surgical procedure.…”

Section: Discussionsupporting

confidence: 83%

“…Additional studies are required to confirm that transection of the common and gastrocnemius tendons influences the outcome and/or complications. Five dogs experienced metatarsal fracture after surgery (procedure Nos 4,16,20,25,and 28). To the best of the authors' knowledge, metatarsal fracture has not previously been described as a postoperative complication of PTA.…”

Section: Discussionmentioning

confidence: 99%

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Long‐term outcomes after pantarsal arthrodesis with medial plate fixation without external coaptation in 30 dogs

et al. 2019

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Objective To report long‐term outcomes of dogs treated with pantarsal arthrodesis (PTA) with medial plate fixation without external coaptation. Study design Retrospective case series. Animals Client‐owned dogs (n = 30). Methods Medical records of dogs that had undergone a PTA with a medially applied plate without adjunctive rigid external coaptation were reviewed. Data collected included signalment, complications, and assessment of function at last physical examination. Follow‐up information was obtained by phone conversations with owners. Complications were classified as minor, major II, major I, and catastrophic. Results Thirty‐six PTA were performed in 30 dogs. Recorded complications included eight (22.2%) minor complications, 11 (30.6%) major II complications and 11 (30.6%) major I complications. One (2.8%) dog required amputation because of catastrophic complication. Owners provided follow‐up for 26 dogs at a median duration of 1215 days (range, 325‐3495) after surgery. The outcome was reported as full function in 12 dogs and acceptable function in 14 dogs, with no owners reporting unacceptable function. The owner of the dog in which amputation was required was not contacted. Incorrect contact details prevented owner follow‐up in the other three dogs, but all had acceptable function at last veterinary follow up. Conclusion Dogs treated with PTA by medially applied plate had a high incidence of complications requiring surgical or medical management, although full or acceptable function was achieved in 29 of 30 dogs. Clinical significance: Pantarsal arthrodesis offers a predictably good medium to long‐term outcome in spite of a high risk of complications.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Long‐term outcomes after pantarsal arthrodesis with medial plate fixation without external coaptation in 30 dogs

et al. 2019

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“…For testing, 8 samples were randomly assigned to 5 different groups: (1) TTA rapid group: osteotomy was held with cage and 6 screws [17]; (2) TBW group: osteotomy was held with pins and wire and cage and 2 screws [29]; 2 pins placed dorsal to cage, 1 screw caudal in the cage and one cerclage wire over pins on cranial aspect; cage is more dorsal and is at the top of the osteotomy (easy to remove then) and pins are ventral to cage; the pins do not interfere with the cage at all; (3) TTA cage group: osteotomy was held by cage and 2 screws only attached to the bone [30]; (4) TTA-2 group: osteotomy held by modified cage and staple [31]; and (5) TTA plate group: with cage and 2 screws, and plate and 5 screws [32]; this was used as control group. The different surgical techniques are shown in Fig.…”

Section: Methodsmentioning

confidence: 99%

Comparison of tension band wiring and other tibial tuberosity advancement techniques for cranial cruciate ligament repair: an experimental study

McCartney¹,

Ober²,

Benito³

et al. 2019

Acta Vet Scand

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Background Cranial cruciate ligament (CCL) rupture is one of the most common causes of limb lameness in dogs. Surgical techniques based on tibial osteotomies such as tibial plateau leveling osteotomy and tibial tuberosity advancement are used to eliminate dynamic thrust. Tibial tuberosity advancement (TTA) uses an osteotomy fixated by cage, plates, forks and screws to change the relationship of the patellar tendon and tibial plateau angle. Tension band wiring technique is one of the most common surgical methods used to treat a tension fracture and remains the gold standard for the treatment of tibial tuberosity fractures. In this study, we compared experimentally the biomechanical effect of application of tension band wiring compared to other techniques for the fixation of the TTA osteotomy. The techniques compared to are standard commercially available systems for TTA fixation. Results Tension band wiring (TBW) presented the higher resistance to failure compared to all the other surgical procedures, with the highest values found in the TBW group with 1.47 ± 0.07 N and the lowest in the TTA cage (0.82 ± 0.08) and TTA-2 (0.85 ± 0.06) groups with statistically significant differences in all cases (P < 0.001). TTA rapid and TTA plate groups exhibited a similar strength, and same happened between TTA-2 and TTA cage groups. All the other comparisons by pair were significantly different with P < 0.001. Conclusions Results suggest that fixating the osteotomy with tension band wiring increases the strength of the fixation and decrease the risk of implant failure. Further clinical studies are needed to demonstrate in vivo reliability and to test different variables such as size and weight of dogs. These results could have important clinical implications in the treatment of CCL ruptures.

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Arthrodesis

Griffon

2016

Complications in Small Animal Surgery

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Complications of lateral plate fixation compared with tension band wiring and pin or lag screw fixation for calcaneoquartal arthrodesis

Abstract: Lateral plating was associated with fewer postoperative complications than pin and tension-band-wire fixation for arthrodesis of the calcaneoquartal joint in dogs with non-traumatic disruption of the plantar tarsal ligament.

Cited by 10 publications

References 10 publications

Long‐term outcomes after pantarsal arthrodesis with medial plate fixation without external coaptation in 30 dogs

Long‐term outcomes after pantarsal arthrodesis with medial plate fixation without external coaptation in 30 dogs

Comparison of tension band wiring and other tibial tuberosity advancement techniques for cranial cruciate ligament repair: an experimental study

Arthrodesis

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