Vet Comp Orthop Traumatol 2013; 26(06): 445-452
DOI: 10.3415/VCOT-12-07-0089
Original Research
Schattauer GmbH

Complications of lateral plate fixation compared with tension band wiring and pin or lag screw fixation for calcaneoquartal arthrodesis

Treatment of proximal intertarsal subluxation occurring secondary to non-traumatic plantar tarsal ligament disruption in dogs
D. C. Barnes
1   University of Cambridge, Queen's Veterinary School Hospital, Department of Veterinary Medicine, Cambridge, United Kingdom
,
C. S. Knudsen
1   University of Cambridge, Queen's Veterinary School Hospital, Department of Veterinary Medicine, Cambridge, United Kingdom
,
M. Gosling
2   Croft Veterinary Hospital, Northumberland Business Park, West Cramlington, Northumberland, United Kingdom
,
M. McKee
3   Willows Veterinary Centre and Referral Service, Solihull, West Midlands, United Kingdom
,
R. G. Whitelock
4   Davies Veterinary Specialists Limited, Higham Gobion, Hertfordshire, United Kingdom
,
G. I. Arthurs
5   The Royal Veterinary College, Queen Mother Hospital for Animals, North Mymms, Hatfield, Hertfordshire, United Kingdom
,
M. G. Ness
2   Croft Veterinary Hospital, Northumberland Business Park, West Cramlington, Northumberland, United Kingdom
,
H. Radke
1   University of Cambridge, Queen's Veterinary School Hospital, Department of Veterinary Medicine, Cambridge, United Kingdom
,
S. J. Langley-Hobbs
1   University of Cambridge, Queen's Veterinary School Hospital, Department of Veterinary Medicine, Cambridge, United Kingdom
› Author Affiliations
Further Information

Publication History

Received: 05 July 2012

Accepted: 07 June 2013

Publication Date:
04 January 2018 (online)

Summary

Objective: To compare complication rates and the outcomes of these complications after lateral plate fixation with figure-ofeight tension-band-wire and pin or lag screw fixation for arthrodesis of the calcaneoquartal joint, following non-traumatic disruption of the plantar tarsal ligament in dogs.

Methods: Data were collected retrospectively from five UK referral centres. Diplomate specialists and their residents performed all procedures. Referring veterinarians were contacted for long-term follow-up.

Results: Seventy-four procedures were undertaken in 61 dogs. There were 58 arthrodeses in the lateral plate group (Plate), nine in the pin and tension-band-wire group (Pin), and seven in the lag screw and tension-band wire-group (Screw). Compared to Plate (17%), further surgical intervention was required more frequently following Pin (56%, OR = 3.2) or Screw (43%, OR = 2.5) fixation. Clinical failure of arthrodesis occurred less frequently with Plate (5%) compared with Screw (43%, OR = 8.6) and Pin fixation (22%, OR = 4.4). Cases managed with external coaptation postoperatively were more likely to suffer from postoperative complications (OR = 2.2).

Clinical significance: Lateral plating was associated with fewer postoperative complications than pin and tension-band-wire fixation for arthrodesis of the calcaneoquartal joint in dogs with non-traumatic disruption of the plantar tarsal ligament.

 
  • References

  • 1 Lawson DD. Inter-tarsal subluxation in the dog. J Small Anim Pract 1961; 1: 179-181.
  • 2 Campbell J, Bennett D, Lee R. Intertarsal and tarso-metatarsal subluxation in the dog. J Small Anim Pract 1976; 17: 427-442.
  • 3 Allen MJ, Dyce J, Houlton JEF. Calcaneoquartal arthrodesis in the dog. J Small Anim Pract 1993; 34: 205-210.
  • 4 Dyce J, Whitelock RG, Robinson KV. et al. Arthrodesis of the tarsometatarsal joint using a laterally applied plate in 10 dogs. J Small Anim Pract 1998; 39: 19-22.
  • 5 Welch JA. The Tarsus and Metatarsus. In: Slatter DH. editor. Textbook of Small Animal Surgery. Philadelphia: Saunders; 2003. p. 2003-2158.
  • 6 Roch S, Gemmill T. Orthopaedic conditions of the metacarpus, metatarsus and digits in dogs. In Practice 2009; 31: 484-494.
  • 7 Denny HR. Surgery of the canine hock. Veterinary Annual. Bristol: John Wright & Sons Ltd; 1975. p. 207.
  • 8 Newton CD. Arthrodesis of the stifle, tarsus and interphalangeal joints. In: Textbook of Small Animal Orthopaedics. Philadelphia: Lippincott, Williams & Wilkins; 1985. p. 1985-571.
  • 9 Wilke VL, Robinson TM, Dueland RT. Intertarsal and tarsometatarsal arthrodesis using a plantar approach: a carpal arthrodesis plate or dynamic compression plates: four arthrodeses in three dogs. Vet Comp Orthop Traumatol 2000; 13: 28-33.
  • 10 Fettig AA, McCarthy RJ, Kowaleski MP. Intertarsal and tarsometatarsal arthrodesis using 2.0/2.7-mm or 2.7/3.5-mm hybrid dynamic compression plates. J Am Anim Hosp Assoc 2002; 38: 364-369.
  • 11 Harasen G. Arthrodesis--Part II: The tarsus. Can Vet J 2002; 43: 806-808.
  • 12 Roch SP, Clements DN, Mitchell RAS. et al. Complications following tarsal arthrodesis using bone plate fixation in dogs. J Small Anim Pract 2008; 49: 117-126.
  • 13 Theoret MC, Moens NM. The use of veterinary cuttable plates for carpal and tarsal arthrodesis in small dogs and cats. Can Vet J 2007; 48: 165-168.
  • 14 Meeson RL, Davidson C, Arthurs GI. Soft-tissue injuries associated with cast application for distal limb orthopaedic conditions. A retrospective study of sixty dogs and cats. Vet Comp Orthop Traumatol 2011; 24: 126-131.
  • 15 Muir P, Norris J. Tarsometatarsal subluxation in dogs: partial arthrodesis by plate fixation. J Am Anim Hosp Assoc 1999; 35: 155-162.