Intertarsal and Tarsometatarsal Arthrodesis Using a Plantar Approach

Wilke, Vicki L.; Robinson, Tom; Dueland, RT

doi:10.1055/s-0038-1632626

Cited by 20 publications

(18 citation statements)

References 4 publications

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“…Seemingly, current research has focused on treating tarsometatarsal instability with a bone plate because of concerns about implant breakage using other techniques . However, others state that bone plating has no distinct advantage over other techniques because the tension‐band side of the tarsus is not stabilized unless the plate is placed on the plantar aspect of the tarsus …”

Section: Discussionmentioning

confidence: 99%

“…The complexity of these ligaments make primary repair difficult and conservative management is ineffective . Arthrodesis is recommended to restore long‐term stability of the joint and can be accomplished by use of an intramedullary Steinmann pin and 2 cross‐pins; pin and tension band combination; linear or circular external fixation; and lateral, medial, or plantar bone plate fixation …”

mentioning

confidence: 99%

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Tarsometatarsal Arthrodesis Using Tarsometatarsal Intramedullary Pin Stabilization

Chow

Balfour²

2012

Veterinary Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Tarsometatarsal Arthrodesis Using Tarsometatarsal Intramedullary Pin Stabilization

Chow

Balfour²

2012

Veterinary Surgery

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“…External coaptation must be continued for 1.5 to 6 months a�er arthrodesis applications (Trostel and Radasch, 1998;Wilke et al, 2000). Johnson (1980) has recommended that, splints should be continued for at least 6-10 weeks.…”

Section: Discussionmentioning

confidence: 99%

Pancarpal and pantarsal arthrodesis applications using compression plates in dogs

Özsoy¹,

Altunatmaz²

2004

Vet. Med. - Czech

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Pancarpal arthrodesis was carried out in 6 dogs and pantarsal arthrodesis in 3 dogs, which could not use their extremities due to various reasons. For arthrodesis, 3 and 4 mm thick compression plates were used. The application was done on the dorsal aspect. Fusion was radiographically seen to have formed between post-operative 45–75 days in 10 joints belonging to 9 cases. The plate broke in one case. With the exception of 1 case, functional recovery was achieved in all cases accompanied with varying degrees of lameness. While the material was removed from 1 case in which the plate broke and another in which a chronic wound developed in the operation site, plates were not removed from any of the other cases.

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“…30 Articular cartilage is removed from the entire joint by high-speed bur or curettage. An alternative plantar approach for plate fixation has also been described but will not be detailed here.…”

Section: Bone Plate Fixationmentioning

confidence: 99%

“…Lateral plate fixation also provides excellent stabilization (Figure 20-37, F and G). 30 External Fixator. Ideally, three screws should be placed in the fourth tarsal bone, but this is rarely possible with normal plates.…”

Section: Intramedullary Pin and Transfixation Pinsmentioning

confidence: 99%

Fractures and Other Orthopedic Injuries of the Tarsus, Metatarsus, and Phalanges

2006

Brinker, Piermattei, and Flo's Handbook of Small Animal Orthopedics and Fracture Repair

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Injuries to the tarsus generally involve fracture of one or more bones, impairment of ligaments, or occasionally a combination of both these injuries. Ligamentous injuries are most often seen in athletic animals, whereas fractures are common in a variety of animals. Ligamentous injuries of the tarsus resulting in varying degrees of instability are relatively common in athletic breeds because of the propulsive force supplied by the hindlegs. Unlike those of the carpus, tarsal injuries are more likely to be caused by spontaneous overstress rather than by outside traumatic forces. Conservative treatment of second-degree and third-degree ligamentous injuries by cast immobilization is not recommended because permanent instability is the usual result (see Chapter 7). Aggressive surgical treatment is much more rewarding, but it does require a good working knowledge of the anatomy of the region. Unfortunately, the official terminology of the tarsus differs greatly from that in current popular use. OVERVIEW Anatomy of the HindpawThe bony anatomy of the hindfoot is complicated and must be well understood before any repairs are attempted. Figure 20-1 reviews these bones and provides a comprehensive resource for interpreting radiographs. Ligaments of the hock and tarsus are shown in Figure 20-2. Beginning at the tarsocrural joint and continuing distally, the terms cranial and caudal are replaced by the terms dorsal and plantar.The bones of the tarsus are arranged in several levels, with a complex arrangement of ligaments. The joint between the tibia and fibula and the talus and calcaneus is the tarsocrural joint, often called the tibiotarsal, talocrural, or hock joint. It consists of both the talocrural and talocalcaneal joints, which are continuous with 661 20 Fractures and Other Orthopedic Injuries of the Tarsus, Metatarsus, and Phalanges each other. Intertarsal joints include all articulations between tarsal bones, with four of them named specifically, as follows:1. Talocalcaneal joint. The joint between the talus and calcaneus. 2. Talocalcaneocentral joint. This joint is primarily an articulation between the talus and central tarsal bone, but the joint capsule is continuous with the calcaneus. 3. Calcaneoquartal joint. The joint between the calcaneus and the fourth tarsal. This joint and the talocalcaneocentral joint collectively are known as the "proximal intertarsal joint." This name is useful to the surgeon because of the awkwardness of the official names. 4. Centrodistal joint. The joint between the central tarsal bone and the distal numbered tarsal bones. The common name is the "distal intertarsal joint."The remaining joints of the hindpaw include the following:1. Tarsometatarsal joints. The joints between the distal tarsal and metatarsal bones. 2. Metatarsophalangeal joints. The joints between the metatarsal bones and the first phalanges. 3. Interphalangeal joints. The joints between the first and second and second and third phalanges.The most common ligamentous injuries of this region involve the collateral ligame...

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Intertarsal and Tarsometatarsal Arthrodesis Using a Plantar Approach

Cited by 20 publications

References 4 publications

Tarsometatarsal Arthrodesis Using Tarsometatarsal Intramedullary Pin Stabilization

Tarsometatarsal Arthrodesis Using Tarsometatarsal Intramedullary Pin Stabilization

Pancarpal and pantarsal arthrodesis applications using compression plates in dogs

Fractures and Other Orthopedic Injuries of the Tarsus, Metatarsus, and Phalanges

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