Surgical arthrodesis of distal tarsal joints in 17 horses clinically affected with osteoarthritis

Adkins, AR; Yovich, J. V.; Steel, C. M.

doi:10.1111/j.1751-0813.2001.tb10634.x

Cited by 17 publications

(25 citation statements)

References 11 publications

(19 reference statements)

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“…However, the radiographic abnormalities were mild in both groups without evidence of complete joint arthrodesis. Adkins et al (2001) reported that, in 9 horses that were radiographed after drilling, no horses had evidence of complete arthrodesis. Hague and Guccione (2002) found that horses treated with the laser may become sound without radiographic evidence of arthrodesis.…”

Section: Discussionmentioning

confidence: 99%

“…If medical treatment is unsuccessful or osteoarthritis is advanced, various surgical methods have been used to alleviate pain or promote arthrodesis of the distal tarsal joints. These include cunean tenectomy (Sullins 2002;Baxter et al 2003b), partial tibial neurectomy and neurectomy of the deep peroneal nerve (Imschoot et al 1995), plate fixation (Wyn-Jones and May 1986), intraarticular injection of sodium monoiodoacetate (Bohanon et al 1991;Sammut and Kannegieter 1995), subchondral bone fenestration (Sonnichsen and Svalastoga 1985) and intra-articular drilling (Edwards 1982;Barber 1984;Wyn-Jones and May 1986;Adkins et al 2001;Dechant et al 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Early intra-articular drilling techniques using a fanning of the drill bit to promote arthrodesis of the distal tarsal joints resulted in significant post operative morbidity from the instability caused by loss of joint congruity (Barber 1984). Other reports utilising 3 or 4 discrete drill tracts reported acceptable post operative morbidity (Edwards 1982;Adkins et al 2001;Dechant et al 2003). This procedure is thought to cause arthrodesis by creating localised areas of boney union (spot welds) within the joints (Sullins 2002).…”

Section: Introductionmentioning

confidence: 99%

“…This procedure is thought to cause arthrodesis by creating localised areas of boney union (spot welds) within the joints (Sullins 2002). Reported success rates for the intra-articular drilling procedure are 59-85% (Edwards 1982;Adkins et al 2001;Dechant et al 2003). Convalescent time appears to be variable, with one study reporting 6-17 months from the time of surgery to return to performance (Adkins et al 2001).…”

Section: Introductionmentioning

confidence: 99%

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Comparison of intra‐articular drilling and diode laser treatment for arthrodesis of the distal tarsal joints in normal horses

Scruton

Baxter

Cross

et al. 2005

Equine Veterinary Journal

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Summary Reasons for performing study: Anecdotal reports suggest that laser‐facilitated arthrodesis of the distal tarsal joints improves the prognosis compared with intra‐articular drilling but no objective comparisons have been performed. Objectives: To evaluate intra‐articular drilling and laser‐facilitated arthrodesis using in situ and in vivo techniques. Methods: Fourteen cadaver limbs were evaluated in situ for chondrocyte viability after both surgical techniques. In vivo, one randomly selected limb was subjected to laser‐facilitated arthrodesis and the other underwent intra‐articular drilling in 6 normal horses. Clinical examinations were performed at 1, 3 and 5 months. Two horses were subjected to euthanasia at 1, 3 and 5 months. Results: Significantly more chondrocyte death was observed with laser‐facilitated arthrodesis compared to drilling, but the overall degree suggested only a focal effect. In vivo, both groups demonstrated minimal post operative morbidity. There was more evidence of arthrodesis seen at all time points with intra‐articular drilling. Conclusions: This study demonstrated that changes associated with ultimate arthrodesis occur earlier after intra‐articular drilling of the distal tarsal joints than laser‐facilitated arthrodesis, although clinically affected horses may respond differently. Potential relevance: Intra‐articular drilling may provide earlier arthrodesis of the distal tarsal joints, but not necessarily a better long‐term result.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of intra‐articular drilling and diode laser treatment for arthrodesis of the distal tarsal joints in normal horses

Scruton

Baxter

Cross

et al. 2005

Equine Veterinary Journal

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“…5 Drilling of the distal intertarsal joints is the currently recommended technique for surgical arthrodesis. [8][9][10][11] Complementary surgical techniques appear to offer little benefit over drilling alone. 3,[10][11][12][13][14] Chemical arthrodesis using MIA has been described as an alternative to surgery and has been shown to produce radiographic evidence of ankylosis but variable degrees of soundness.…”

mentioning

confidence: 99%

Chemical Arthrodesis of the Distal Tarsal Joints Using Sodium Monoiodoacetate in 104 Horses

Dowling¹,

Dart²

Advances in Equine Nutrition III

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ObjectiveTo evaluate chemical arthrodesis using sodium monoiodoacetate for treatment of degenerative joint disease of the tarsometatarsal and distal intertarsal joints. DesignRetrospective clinical study.Method Horses were diagnosed with degenerative joint disease of one or more of the tarsometatarsal or distal intertarsal joints based on history, lameness examination, radiographic findings and, in some cases, response to intra-articular anaesthesia or medication. Intra-articular injections of sodium monoiodoacetate were performed using 23 gauge needles in the sedated, standing horse. Positive contrast arthrography of the distal intertarsal joint was performed in all horses to evaluate needle placement and the presence or absence of communication with other synovial structures. The mean intra-articular dose of sodium monoiodoacetate was 192 mg. Horses were subject to a graded exercise program commencing 7 to 10 days after treatment. Where possible, follow up lameness examination and radiography was performed at 3, 6, 12 and 24 months after treatment.Results At 3, 6, 12 and 24 months after treatment, respectively, 0/57, 14/55, 41/50, and 29/34 of horses were sound. At 3, 6, 12 and 24 months after treatment, respectively, 5/55, 24/38, 26/30 and 18/18 of horses had radiographic evidence of ankylosis of treated joints. Post injection pain was marked in 6.7% of horses and significant complications requiring further treatment occurred in 3.8% of horses.Conclusions Chemical arthrodesis using sodium monoiodoacetate was an effective treatment method for degenerative joint disease of the distal tarsal joints. The technique was performed in the sedated standing horse and required minimal equipment. Results were comparable to those achieved following surgical arthrodesis. The risk of significant complications was minimised through good technique using an appropriate injection volume and concentration. Aust Vet J 2004;82:38-42 bpm Beats per minute CS Comfort Score DIT Distal intertarsal IV Intravenous MIA Sodium monoiodoacetate PIT Proximal intertarsal TMT Tarsometatarsal D egenerative joint disease of the TMT and DIT joints is the most common cause of hind limb lameness in performance horses. [1][2][3][4] While medical management of degenerative joint disease of the distal tarsal joints often results in temporary improvement in lameness, approximately 50% of horses treated conservatively remain lame. [5][6][7] The aim of medical management is to ameliorate pain and allow continued exercise, promoting progressive cartilage deterioration and disruption of subchondral bone. The proposed end point of medical manage-ment is spontaneous ankylosis of affected joints and soundness, however results are variable and convalescence prolonged. 5 Drilling of the distal intertarsal joints is the currently recommended technique for surgical arthrodesis. [8][9][10][11] Complementary surgical techniques appear to offer little benefit over drilling alone. 3,10-14 Chemical arthrodesis using MIA has been described as an alternative to surgery an...

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Common Conditions of the Hindlimb

2021

Manual of Equine Lameness

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Surgical arthrodesis of distal tarsal joints in 17 horses clinically affected with osteoarthritis

Abstract: The surgical technique used here can provide resolution of lameness from osteoarthritis of distal tarsal joints with a success rate similar to other reported surgical arthrodesis techniques that are more invasive and have a greater morbidity.

Cited by 17 publications

References 11 publications

Comparison of intra‐articular drilling and diode laser treatment for arthrodesis of the distal tarsal joints in normal horses

Comparison of intra‐articular drilling and diode laser treatment for arthrodesis of the distal tarsal joints in normal horses

Chemical Arthrodesis of the Distal Tarsal Joints Using Sodium Monoiodoacetate in 104 Horses

Common Conditions of the Hindlimb

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