Arthrodesis of the tarsometatarsal joints in a cat with a two hole advanced locking plate system

R. Inauen; D. Koch; M. Bass

doi:10.3415/VCOT-08-01-0007

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 2009; 22(02): 166-169
DOI: 10.3415/VCOT-08-01-0007

Case Report

Schattauer GmbH

Arthrodesis of the tarsometatarsal joints in a cat with a two hole advanced locking plate system

Authors

R. Inauen

¹Koch&Bass Referral Practice for Small Animal Surgery, Diessenhofen, Switzerland
D. Koch

¹Koch&Bass Referral Practice for Small Animal Surgery, Diessenhofen, Switzerland
M. Bass

¹Koch&Bass Referral Practice for Small Animal Surgery, Diessenhofen, Switzerland

Abstract

Summary

This report describes the successful use of the novel fixed-angle locking plating system ALPS (advanced locking plate system) in the case of dorsal tarsometatarsal instability in a cat. Partial arthrodesis of the tarsometatarsal joint was performed with a two hole ALPS 5 and two 2.4 mm selftapping locking screws through a small dorsal approach. Five days after the surgery the cat was walking without lameness. Radiographs made after six weeks showed uneventful healing. ALPS offers an alternative to existing plating systems when selecting an implant for the stabilisation of dorsal tarsometatarsal instabilities in cats.

Keywords

ALPS - tarsometatarsal instability - cat - locking plate - titanium

Full Text

References

References
1 Guilliard MJ. Dorsal tarsal instability in three racing greyhounds. J Small Anim Pract 2003; 44: 415-417.
2 Muir P, Norris JL. Tarsometatarsal subluxation in dogs: partial arthrodesis by plate fixation. J Am Anim Hosp Assoc 1999; 35: 155-162.
3 Voss K, Keller M, Montavon PM. Internal splinting of dorsal intertarsal and tarsometatarsal instabilities in dogs and cats with the ComPact Uni-Lock 2.0/2.4TM System. Vet Comp Orthop Traumatol 2004; 17: 125-130.
4 Evans H. Arthrology. In: Evans H, editor. Miller's Anatomy of the Dog. Philadelphia: W.B.Saunders; 1993: 252-256.
5 Piermattei D, Flo G. Fractures and other orthopedic injuries of the tarsus, metatarsus and phalanges. In Piermattei D, Flo G. editors. Handbook of Small Animal Orthopedics and Fracture Repair Philadelphia: W.B. Saunders Company; 1997: 653-654.
6 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.
7 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.
8 McLennan MJ. Ankylosis of tarsometatarsal luxations using external fixation. J Small Anim Pract 2007; 48: 508-513.
9 Rahal SC, Volpi RS, Hette K. et al. Arthrodesis tarsocrural or tarsometatarsal in 2 dogs using circular external skeletal fixator. Can Vet J 2006; 47: 894-898.
10 Eijer H, Hauke C, Arens S. et al. PC-Fix and local infection resistance--influence of implant design on postoperative infection development, clinical and experimental results. Injury 2001; 32 (Suppl. 02) B38-43.
11 Haas N, Hauke C, Schutz M. et al. Treatment of diaphyseal fractures of the forearm using the Point Contact Fixator (PC-Fix): results of 387 fractures of a prospective multicentric study (PC-Fix II). Injury 2001; 32 (Suppl. 02) B51-62.
12 Hertel R, Eijer H, Meisser A. et al. Biomechanical and biological considerations relating to the clinical use of the Point Contact-Fixator--evaluation of the device handling test in the treatment of diaphy-seal fractures of the radius and/or ulna. Injury 2001; 32 (Suppl. 02) B10-14.
13 Miclau T, Remiger A, Tepic S. et al. A mechanical comparison of the dynamic compression plate, limited contact-dynamic compression plate, and point contact fixator. J Orthop Trauma 1995; 9: 17-22.
14 Keller MA, Voss K, Montavon PM. The ComPact UniLock 2.0/2.4 system and its clinical application in small animal orthopedics. Vet Comp Orthop Traumatol 2005; 18: 83-93.
15 Fernandez Dell'Oca AA, Tepic S, Frigg R. et al. Treating forearm fractures using an internal fixator: a prospective study. Clin Orthop Relat Res 2001; (389) 196-205.
16 Arens S, Schlegel U, Printzen G. et al. Influence of materials for fixation implants on local infection. An experimental study of steel versus titanium DCP in rabbits. J Bone Joint Surg Br 1996; 78: 647-651.