RSS-Feed abonnieren
DOI: 10.3415/VCOT-10-09-0136
Evaluation of the transarticular external skeletal fixator for the treatment of tarsocrural instability in 32 cats
Publikationsverlauf
Received:
26. September 2010
Accepted:
31. Mai 2011
Publikationsdatum:
17. Dezember 2017 (online)
Summary
The medical records of all cats with tarsocrural joint instability that were treated between June 2002 and December 2008 at the Royal Veterinary College were retrospectively reviewed. A total of 32 cats were identified. Information gathered included signalment, type of injury (subluxation or luxation), concurrent fractures, presence of soft tissue wounds, transarticular external skeletal fixation (TESF) type, configuration of TESF (number of pins proximal and distal to the joint), duration of hospitalisation, duration of TESF prior to removal, complications and cost. A significant association was identified between the length of hospitalisation and the presence of wounds. Similarly a significant association was present between wounds and final cost of treatment. Additionally, the authors found that a high number of implant related complications were present when only two pins were used proximal and distal to the tarsocrural joint, but this association was not significant.
-
References
- 1 Piermattei DL, Flo GL, DeCamp DL. Fractures and Other Orthopaedic Injuries of the Tarsus, Metatarsus and Phalanges. In Fathman L. editor. Brinker, Piermattei, and Flo’s Handbook of Small Animal Orthopaedics and Fracture Repair. 4th ed.. Missouri; Saunders; 2006. pg. 661.
- 2 Owen MA. Use of contoured bar transhock external fixators in 17 cats. J Small Anim Pract 2000; 41: 440-446.
- 3 Roch SP, Stork CK, Gemmill TJ. et al Treatment of fractures of the tibial and/or fibular malleoli in 30 cats. Vet Rec 2009; 165: 165-170.
- 4 Earley TD, Dee JF. Trauma to the carpus, tarsus, and phalanges of dogs and cats. Vet Clin North Am Small Anim Pract 1980; 10: 717-747.
- 5 Jaeger GH, Wosar MA, Marcellin-Little DJ. et al Use of hinged transarticular external fixation for adjunctive joint stabilization in dogs and cats: 14 cases (1999–2003). J Am Vet Med Assoc 2005; 227: 586-591.
- 6 McLennan MJ. Ankylosis of tarsometatarsal luxations using external fixation. J Small Anim Pract 2007; 48: 508-513.
- 7 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.
- 8 Benson JA, Boudrieau RJ. Severe carpal and tarsal shearing injuries treated with an immediate arthrodesis in seven dogs. J Am Anim Hosp Assoc 2002; 38: 370-380.
- 9 Toombs JP. Transarticular application of external skeletal fixation. Vet Clin North Am Small Anim Pract 1992; 22: 181-194.
- 10 Grant GR, Olds RB. Treatment of Open Fractures. In Slatter D. editor. Textbook of Small Animal Surgery. Volume 2. 3rd ed... Philadelphia; Elsevier Saunders; 2003. pg 1793-1798.
- 11 Diamond DW, Besso J, Boudrieau RJ. Evaluation of joint stabilization for treatment of shearing injuries of the tarsus in 20 dogs. J Am Anim Hosp Assoc 1999; 35: 147-153.
- 12 Rochlitz I. Study of factors that may predispose domestic cats to road traffic accidents: part 1. Vet Rec 2003; 153: 549-553.
- 13 White DT, Bronson DG, Welch RD. A mechanical comparison of veterinary linear external fixation systems. Vet Surg 2003; 32: 507-514.
- 14 Gilley RS, Beason DP, Snyder DM. et al External fixator clamp reuse degrades clamp mechanical performance. Vet Surg 2009; 38: 530-536.
- 15 Lascelles BDX. Feline Degenerative Joint Disease. Vet Surg 2010; 29: 2-13.
- 16 Godfrey DR. Osteoarthritis in cats: a retrospective radiological study. J Small Anim Pract 2005; 46: 425-429.
- 17 Burton NJ, Owen MR, Colborne GR. et al Can owners and clinicians assess outcome in dogs with fragmented medial coronoid process?. Vet Comp Orthop Traumatol 2009; 3: 183-189.
- 18 Innes JF, Barr ARS. Can owners assess outcome following treatment of canine cruciate ligament deficiency?. J Sm Anim Pract 1998; 39: 373-378.
- 19 Montavon PM, Voss K, Langley-Hobbs SJ. Tarsal Joint. In: Feline Orthopaedic Surgery and Musculoskeletal Disease. Philadelphia: Saunders 2009; 515-525.
- 20 Langley-Hobbs SJ, Carmichael S, McCartney W. Use of external skeletal fixators in the repair of femoral fractures in cats. J Small Anim Pract 1996; 37: 95-101.
- 21 Worth AJ. Management of fractures of the long bones of eight cats using external skeletal fixation and a tied-in intramedullary pin with a resin-acrylic bar. N Z Vet J 2007; 55: 191-197.
- 22 Theoret MC, Moens NM. The use of veterinary cut-table plates for carpal and tarsal arthrodesis in small dogs and cats. Can Vet J 2007; 48: 165-168.