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Peer-reviewed veterinary case report

Complications after different bone fixation surgeries for dog ankle

By Barnes, D C et al.·Published in Veterinary and comparative orthopaedics and traumatology : V.C.O.T·2013·Darren C. Barnes, United Kingdom·View original on PubMed

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Original publication title: 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.

Species:
dog
Movement & jointsDogs

Plain-English summary

A group of 61 dogs with a specific type of joint issue in their back legs, caused by a torn ligament, underwent surgery to fix the problem. Two different surgical methods were compared: lateral plate fixation and a combination of pins with tension-band wiring. The results showed that the dogs who had the lateral plate fixation experienced fewer complications and needed less follow-up surgery compared to those who had the pin method. Overall, the lateral plate method was more successful in helping the dogs recover without further issues.

People also search for: dog leg surgery recovery · calcaneoquartal joint surgery dogs · plantar tarsal ligament injury treatment

Abstract

OBJECTIVE: To compare complication rates and the outcomes of these complications after lateral plate fixation with figure-of-eight 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.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/24008374/