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Peer-reviewed veterinary case report

Hinged external fixators help stabilize dog and cat joint injuries

By Jaeger, Gayle H et al.·Published in Journal of the American Veterinary Medical Association·2005·Department of Clinical Sciences, United States·View original on PubMed

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Original publication title: Use of hinged transarticular external fixation for adjunctive joint stabilization in dogs and cats: 14 cases (1999-2003).

Movement & joints

Plain-English summary

A group of 14 pets, including 6 dogs and 8 cats, with unstable joints received a special type of external fixator called a hinged transarticular external fixation (HTEF) to help stabilize their injuries while still allowing some movement. This treatment was used for various joint injuries, primarily in the tarsal (ankle) and stifle (knee) areas, and lasted between 45 to 100 days. After the fixators were removed, the pets showed improved range of motion in their joints, allowing them to bear weight more comfortably. While there were some complications, such as equipment breakage, the overall outcome was positive, helping the pets heal effectively.

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Abstract

OBJECTIVES: To describe placement of hinged transarticular external fixation (HTEF) frames and evaluate their ability to protect the primary repair of unstable joints while allowing joint mobility in dogs and cats. DESIGN: Retrospective study. ANIMALS: 8 cats and 6 dogs. PROCEDURE: HTEF frames were composed of metal or epoxy connecting rods and a hinge. Measurements of range of motion of affected and contralateral joints and radiographs were made after fixator application and removal. RESULTS: 9 animals (4 cats and 5 dogs) had tarsal and 5 (4 cats and 1 dog) had stifle joint injuries. Treatment duration ranged from 45 to 100 days (median, 57 days). Ranges of motion in affected stifle and tarsal joints were 57% and 72% of control while HTEF was in place and 79% and 84% of control after frame removal. Complications were encountered in 3 cats and 2 dogs and included breakage of pins and connecting rods, hinge loosening, and failure at the hinge-epoxy interface. CONCLUSIONS AND CLINICAL RELEVANCE: HTEF in animals with traumatic joint instability provided adjunctive joint stabilization during healing and protection of the primary repair and maintained joint motion during healing, resulting in early weight bearing of the affected limb.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/16117067/