Short and long-term outcome following surgical stabilization of tarsocrural instability in dogs

Beever, Lee; Kulendra, Elvin; Meeson, Richard

doi:10.3415/vcot-15-05-0083

Cited by 23 publications

(51 citation statements)

References 29 publications

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“…Recommendations vary from two to three pins. 7,14,17 In the study published by Kulendra et al, the number of fixation pins inserted proximally and distally to the tarsocrural joint respectively varied between 2 þ 2 up to 5 þ 5, with the majority of cats having three or more pins on one or both sides of the joint. 17 Due to the limited number of cases, no conclusion could be drawn whether two or three pins would perform superior over the other.…”

Section: Discussionmentioning

confidence: 99%

“…2,6,8,[10][11][12] Clinical use of this technique in veterinary orthopaedics has only been documented in dogs in limited retrospective studies. 13,14 Anatomic specificities in the cat need to be carefully considered when applying these techniques as cats only have short collateral ligaments consisting of straight and oblique branches. 12 Correct implant placement is therefore especially challenging in cats due to the small bone sizes.…”

Section: Introductionmentioning

confidence: 99%

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Tarsocrural Instability in Cats: Combined Internal Repair and Transarticular External Skeletal Fixation

2020

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Objective The aim of this study was to report outcomes after combined internal repair and transarticular external skeletal fixation (TESF) for the treatment of tarsocrural joint instabilities (TCI) in cats. Materials and Methods Open reduction of the tarsal joint was performed followed by combined (1) internal repair (tibial/ fibular malleolar osteosynthesis or primary ligament suture and/or prosthetic ligament repair) and (2) temporary TESF. Stability of the tarsus was determined at short-term follow-up (4–8 weeks postoperatively). Short-term complications were evaluated and midterm outcome assessed by an owner telephone questionnaire. Results Fourteen cats were included of which nine had open TCI. Median time for frame removal was 47 days. Eleven patients had satisfactory stability of the tarsus at short-term follow-up. Catastrophic complications occurred in three cats consisting of extensive skin necrosis of the paw with subsequent hindlimb amputation in two and multiple digit amputations in one cat. Major complications occurred in one cat with persistent TCI requiring pantarsal arthrodesis. Nine cat owners indicated a ‘full or acceptable’ outcome at midterm (median, 1.5 years). Conclusion Close monitoring in the postoperative period until TESF removal is important for early identification of complications. Despite good joint stability at short-term, persistent or recurrent lameness at midterm can occur.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tarsocrural Instability in Cats: Combined Internal Repair and Transarticular External Skeletal Fixation

2020

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“…3,5,6,9,10,26 Obtaining ten radiographic views of a patient that has sustained trauma is less feasible in the clinical setting. 14 Additionally, the increased time required to take the 10 projections along with the need to continuously reposition the joint could increase pain and distress for the patient along with potentially increasing damage to the joint.…”

Section: Discussionmentioning

confidence: 99%

“…2,3,[5][6][7][8] The radiographic anatomy of the tarsus has been described; however, radiographic evaluation of the joint remains challenging, and may require stress radiographic views. [9][10][11] Compared to computed tomography (CT) imaging, radiography produces an image with superior detail due to a higher spatial resolution of 0.08-0.17 mm compared to 0.3-1.0 mm. 12,13 Disadvantages of using radiography to interpret complex joints include the superimposition of overlaying structures and relatively low contrast resolution.…”

Section: Introductionmentioning

confidence: 99%

Comparison of radiography and computed tomography to evaluate fractures of the canine tarsus

Butler

Nemanic

Warnock

2017

Vet Radiology Ultrasound

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Detection and accurate classification of traumatic tarsal fractures are important for identifying cases requiring surgical intervention. The aim of this prospective, experimental, methods comparison study was to directly compare the accuracy, sensitivity, and specificity of tarsal computed tomography (CT), ten-view and two-view digital radiographs for detecting traumatic fractures of the canine tarsus. The working hypothesis was that tarsal fractures would be detected with higher accuracy, sensitivity, and specificity using CT imaging compared to radiography, and a tenview would be superior to a two-view radiographic study. Ten cadaver hind limbs of medium to large dogs received a CT scan and ten-view radiographic study before and after induction of fractures with a hydraulic press. All bones included in the radiographic images were assessed for fractures by two observers and gross dissection was used as the gold standard. The two-view radiographic study (dorsoplantar, lateromedial) was created from the ten-view study and reviewed 2 years later. All limbs sustained fractures, the most common locations were the talus and calcaneus (n = 7). The sensitivity of CT was greater than ten-view radiographic study (77% vs. 57%), while the specificity was similar (97% vs. 98%). The sensitivity and specificity of the ten-view and twoview radiograph studies were similar (57% vs. 55%; both 98%). Computed tomography images were reassessed postdissection to determine if failure to identify fractures resulted from observer error. Overall, CT was better than radiography for detecting fractures of the canine tarsus, however there was little improvement with ten-view compared to two-view radiographic studies.

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“…Dear Sir, I am interested in the choice of questions used in the study 'Short and long-term outcome following surgical stabilisation of tarsocrurual instability in dogs', which was published in issue 2/2016 of VCOT (1). Following receipt of the links to this information from the Managing Editor on behalf of the authors, I have had a look at the questionnaires.…”

mentioning

confidence: 99%

Evaluation of pain

Manning¹

2016

Vet Comp Orthop Traumatol

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Short and long-term outcome following surgical stabilization of tarsocrural instability in dogs

Cited by 23 publications

References 29 publications

Tarsocrural Instability in Cats: Combined Internal Repair and Transarticular External Skeletal Fixation

Tarsocrural Instability in Cats: Combined Internal Repair and Transarticular External Skeletal Fixation

Comparison of radiography and computed tomography to evaluate fractures of the canine tarsus

Evaluation of pain

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