Long-term follow-up of working dogs in New Zealand following pancarpal arthrodesis using dorsal hybrid plating

Sawyere, Dominique M; Jerram, RM; Walker, AM

doi:10.1080/00480169.2015.1034218

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…In a study by Sawyere et al, infection or screw loosening was identified as the most common long-term complication necessitating implant removal following pancarpal arthrodesis. 19 Infection rates necessitating implant removal following pancarpal arthrodesis are difficult to accurately ascertain, 7,20-22 but have been reported as 7% in one study. 10 Implant removal precipitated by infection was predictable in dog 1, which had a chronically infected carpus, and in dog 2, which had chronic Staphylococcus pyoderma.…”

Section: Discussionmentioning

confidence: 99%

Antebrachiometacarpal arthrodesis in five dogs

Lewis

Cross³

et al. 2019

Aust Veterinary J

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Case reports Five dogs (4 with severe carpal contracture, 1 with a chronically infected carpal joint) underwent antebrachiometacarpal arthrodesis. Excision of all carpal bones, except the accessory carpal bone, was done, either because of persistent infection or to allow the manus to be arthrodesed in a functional position. All five dogs developed varying degrees of soft tissue swelling of the surgical site following surgery. All five arthrodeses achieved complete osseous union within 4–67 weeks. The immediate postoperative distal radiometacarpal frontal plane angulation ranged from 1° to 19° (mean ± SD: 7 ± 8°). The immediate postoperative distal radiometacarpal sagittal plane angulation ranged from 6° to 26° (mean ± SD: 17 ± 9°). Plate coverage of the secured metacarpal bone(s) ranged from 75% to 87% (mean ± SD: 80 ± 4%). Infection necessitated plate removal in four dogs, 3–17 (mean ± SD: 8 ± 6) months following surgery and 0–15 (mean ± SD: 5 ± 7) weeks following radiographic documentation of complete osseous union. Conclusion Despite one dog having marked elbow incongruency and degenerative joint disease and one dog having an ipsilateral radial nerve deficit, all five dogs improved and had acceptable limb function at the time of the final evaluation, which ranged from 25 to 296 (mean ± SD: 99 ± 111) weeks following surgery.

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Section: Discussionmentioning

confidence: 99%

Antebrachiometacarpal arthrodesis in five dogs

Lewis

Cross³

et al. 2019

Aust Veterinary J

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“…Current treatment recommendations for multiligamentous 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%.…”

Section: Outcome and Follow-upmentioning

confidence: 99%

“…Laterally, radioulnar (1), lateral collateral (2), short ulnar collateral (3), dorsal radiocarpal (4), and palmar ulnocarpal (9) ligaments were completely torn. Medially, the medial collateral (5), short radial collateral (6) ligaments and the short ligament(8) that is attached to the intermedioradial carpal bone and second carpal bone were ruptured. Entry points of the screws for lateral (yellow arrows) and medial ligament prosthesis (blue arrows) Abbreviations: CA, accessory carpal bone; CR, intermedioradial carpal bone; CU, ulnar carpal bone into the second carpal bone in a medial to lateral direction.…”

mentioning

confidence: 99%

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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“…Pancarpal arthrodesis involves surgical fusion of the antebrachiocarpal, middle carpal, and carpometacarpal joints. This surgical procedure is widely used to treat carpal hyperextension, regardless of the joint level involved, and it has yielded good results with refinement of the materials used for fixation 3–5 . Although pancarpal arthrodesis can improve gait to a satisfactory level, mechanical lameness can persist owing to the absence of a range of motion in the joints.…”

Section: Introductionmentioning

confidence: 99%

“…This surgical procedure is widely used to treat carpal hyperextension, regardless of the joint level involved, and it has yielded good results with refinement of the materials used for fixation. [3][4][5] Although pancarpal arthrodesis can improve gait to a satisfactory level, mechanical lameness can persist owing to the absence of a range of motion in the joints. Moreover, complications have been reported, including surgical site infection, plate fracture, screw loosening, and fracture of the bone adjacent to the plate.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

Tani

2022

Veterinary Surgery

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Objective To describe the outcome of two dogs treated with fascia lata autografts to repair carpal hyperextension caused by flexor carpi ulnaris (FCU) tendon injury. Animals Two dogs with traumatic carpal hyperextension. Study design Case report. Methods Radiographic abnormalities were detected in the antebrachiocarpal joint of each dog. Damage to the FCU tendon were located at the ulnar head on ultrasonographic and intraoperative examinations. Each injured tendon was reconstructed with a fascia lata graft. The radius and metacarpal bones were immobilized by a type I external skeletal fixation for 6 weeks. Results No difference was detected between the operated and contralateral limbs on postoperative examination, including range of motion, and angles of the carpus during standing or extension stress. No recurrence of carpal hyperextension was observed over 36 months after surgery. Conclusion Carpal hyperextension was successfully treated by primary repair of the damaged area and reinforcement with fascia lata and maintained long‐term joint mobility in two dogs.

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Long-term follow-up of working dogs in New Zealand following pancarpal arthrodesis using dorsal hybrid plating

Cited by 6 publications

References 9 publications

Antebrachiometacarpal arthrodesis in five dogs

Antebrachiometacarpal arthrodesis in five dogs

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

Reconstruction of the flexor carpi ulnaris tendon with a fascia lata autograft in two dogs with carpal hyperextension

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