Peer-reviewed veterinary case report
Surgery to fix severe wrist joint instability in a Dachshund
By Franca, Adriana et al.·Published in Frontiers in veterinary science·2025·Pride Veterinary Referrals, United Kingdom·View original on PubMed →
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Original publication title: Case Report: Staged bilateral pancarpal arthrodesis using 3D-printed patient specific guides and customized hybrid plate for severe carpal joint instability associated with chronic inflammatory demyelinating polyneuropathy in a miniature dachshund.
- Species:
- dog
Plain-English summary
A 9-year-old female Dachshund was brought in because she was experiencing weakness and had trouble using her legs due to severe instability in her wrist joints. After diagnosing her with chronic inflammatory demyelinating polyneuropathy (CIDP), the vet tried medical treatment, which helped her muscle weakness but didn’t fix the wrist problem. To address the joint instability, the vet performed a specialized surgery using 3D-printed guides and a custom plate to stabilize her wrists. The surgery was successful, and the dog returned to a good quality of life without complications.
People also search for: Dachshund wrist joint surgery · chronic inflammatory demyelinating polyneuropathy treatment · dog weakness and instability
Abstract
This clinical case report aims to describe the surgical treatment of a severe bilateral multilevel and multidirectional carpal joint instability associated with chronic inflammatory demyelinating polyneuropathy (CIDP) with staged bilateral pancarpal arthrodesis (PCA) using 3D-printed patient specific guides and customized hybrid plate in a nine-year-old female neutered Dachshund. The dog was presented due to a progressive acute onset of generalized weakness. Neurological examination, blood work, electromyography, muscle, nerve biopsies and treatment responsiveness led to a diagnosis of CIDP. Medical treatment of the CIDP resulted in resolution of muscle weakness, but did not improved the carpal hyperextension, that ultimately ended up in a severe joint instability, requiring bilateral PCA. Staged bilateral PCA using 3D-printed patient specific guides and customized hybrid plate successfully treated the carpal joint instability without associated complications and resulted in a good to excellent return to function and quality of life of the patient. PCA in chondrodystrophic and miniature breeds can be challenging. Using 3D-printed patient specific guides and customized hybrid plate in this case helped in reducing the surgical time, and offering a more stable construct.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/41280413/