Evaluation of Ethyl Alcohol for Use in a Minimally Invasive Technique for Equine Proximal Interphalangeal Joint Arthrodesis

Wolker, Ryan R. E.; Wilson, David G.; Allen, Andrew L.; Carmalt, James L.

doi:10.1111/j.1532-950x.2010.00794.x

Cited by 17 publications

(13 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Wolker et al . described a single injection of the PIJ in normal horses with 70% ethyl alcohol, and they did not find that the joints were consistently fusing . This would support the need for multiple injections.…”

Section: Discussionmentioning

confidence: 99%

“…Ethyl alcohol has also been used for facilitated ankylosis . In one study, ethyl alcohol was used for experimental facilitated ankylosis of the tarsometatarsal joint in normal horses and, more recently, its use has been reported in clinical cases with osteoarthritis.…”

Section: Introductionmentioning

confidence: 99%

“…Thirty days later, 2 parallel 5.5 mm lag screws were placed across the hind PIJ, and those limbs were cast. Variable cartilage thinning and bone proliferation was seen, and only one front and one hind PIJ were considered radiographically fused at 10 months .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Retrospective evaluation of facilitated pastern ankylosis using intra‐articular ethanol injections: 34 cases (2006–2012)

Caston

McClure

Beug³

et al. 2012

Equine Veterinary Journal

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retrospective evaluation of facilitated pastern ankylosis using intra‐articular ethanol injections: 34 cases (2006–2012)

Caston

McClure

Beug³

et al. 2012

Equine Veterinary Journal

View full text Add to dashboard Cite

show abstract

“…This complex stress state is responsible for the type of mechanical failure that occurs [30]. In various studies, constructs have been examined by means of 3-point [15][26] [27] or 4-point bending tests [8]. These test methods induce a pure bending stress into the composite that does not occur physiologically.…”

Section: Discussionmentioning

confidence: 99%

Arthrodesis of the equine proximal interphalangeal joint: a biomechanical comparison of 2 different LCP systems

Vidović

Jansen

Schwan

et al. 2020

Tierarztl Prax Ausg G

View full text Add to dashboard Cite

Objective This study compares the mechanical stability and surgical usability of 2 locking plate systems (Kyon ALPS-20 and Synthes PIP-LCP system) for arthrodesis of the equine proximal interphalangeal joint (PIJ). Material and methods The experimental ex vivo study included 6 pairs of cadaver distal limbs (n = 12). All specimens were derived from Warmblood horses of various ages that were euthanized for non-orthopedic reasons. Of the 12 limbs collected, 3 left and 3 right distal limb specimens were randomly assigned to each system for implantation. Two abaxial 4.5-mm cortical screws were inserted transarticularly in all cases. Both systems were implanted according to the manufacturer’s instructions with the plates placed centrally between the 2 transarticular screws. The ALPS-20 systems were implanted using Kyon B-6.4-mm monocortical locking screws in all positions. The LCP systems were implanted axially using 2 Synthes 5-mm locking screws in the proximal and distal positions, with a standard 4.5-mm cortical screw inserted in the middle position. All constructs underwent CT-scans after implantation and biomechanical testing to detect implant deformation. Uniaxial mechanical loading was applied via a servo-hydraulic test system at a test speed of 50 mm/s, up to a maximum displacement of 80 mm. The resulting load-displacement curves were used to calculate yield point, stiffness, and maximum force for each construct. The measured values were evaluated for statistical significance (p < 0.05) between the 2 plate systems via one-factor ANOVA (Tukey test). The statistical power was verified for yield force, stiffness, and maximum load. Results No statistically significant differences between the 2 preparation groups were calculated across all of the measured parameters (p > 0.05). The ALPS system implants showed no signs of deformation, either in the plates or the screws. In contrast, the LCP demonstrated visible deformation, which had already occurred at the time of implantation from the tightening of the middle screw, as well as during the subsequent testing of the implants. After biomechanical testing, deformations ranging between 3.1° and 7.0° were measured in 4 LCPs. A total implant failure was observed for 2 LCPs. Conclusion and clinical relevance Both systems demonstrated comparable mechanical properties in the present study’s ex vivo test model for equine PIJ arthrodesis. As such, the Kyon ALPS-20 may be a good alternative to the Synthes LCP for equine PIJ arthrodesis.

show abstract

“…Non-surgical methods include the judicious use of nonsteroidal anti-inflammatory medications, intra-articular corticosteroid injections, corrective shoeing, confinement, and facilitated ankylosis by chemical ablation of cartilage (ethyl alcohol or sodium monoiodoacetate). 5,6 Recalcitrant lameness is treated with surgical fusion of the proximal interphalangeal joint. Traditional surgical approaches utilize general anaesthesia, transection of the long or common digital extensor tendon, the proximal interphalangeal joint collateral ligaments and disarticulation of the proximal interphalangeal joint to aid in removal of the cartilage.…”

Section: Introductionmentioning

confidence: 99%

A Standing Percutaneous Technique for Proximal Interphalangeal Joint Arthrodesis in Twelve Horses (2014–2017)

Heaton

Farnsworth

Souza

et al. 2019

Vet Comp Orthop Traumatol

View full text Add to dashboard Cite

Objectives This report describes the use of a minimally invasive standing pastern arthrodesis technique for the treatment of osteoarthritis in horses and documents its clinical outcome in 12 horses. Materials and Methods Medical records and radiographs of horses diagnosed with proximal interphalangeal joint osteoarthritis that underwent standing pastern arthrodesis using transarticular screws were reviewed. Follow-up information for determination of outcome was obtained via phone interview with the owners. Results Twelve horses (15 limbs) were included in the study. Radiographical findings revealed severe osteoarthritis in 12/15 limbs and moderate osteoarthritis in 3/15 limbs. Follow-up information was available for 11/12 cases (13/15 limbs). Phone surveys with the owners revealed that 8/11 horses were performing at their previous activity level or higher. Two horses remained lame. One horse developed a surgical site infection and was euthanatized. The average time for horses to return to their previous level of activity was 6.5 months (range: 1–18 months). Clinical Significance Stabilization of the proximal interphalangeal joint in horses with moderate-to-severe osteoarthritis can be performed using this minimally invasive standing technique. This procedure can be performed safely and provides a similar outcome when compared with other described techniques.

show abstract

Evaluation of Ethyl Alcohol for Use in a Minimally Invasive Technique for Equine Proximal Interphalangeal Joint Arthrodesis

Abstract: Ethyl alcohol injected alone or in combination with percutaneously placed transarticular lag screws failed to reliably produce fusion of the PIP joint.

Cited by 17 publications

References 14 publications

Retrospective evaluation of facilitated pastern ankylosis using intra‐articular ethanol injections: 34 cases (2006–2012)

Retrospective evaluation of facilitated pastern ankylosis using intra‐articular ethanol injections: 34 cases (2006–2012)

Arthrodesis of the equine proximal interphalangeal joint: a biomechanical comparison of 2 different LCP systems

A Standing Percutaneous Technique for Proximal Interphalangeal Joint Arthrodesis in Twelve Horses (2014–2017)

Contact Info

Product

Resources

About