Summary
Objectives: To describe the surgical treatment of pes varus in Dachshund dogs by medial opening
wedge osteotomy of the distal tibia stabilized with a locking plate system and to
retrospectively report the clinical and radiographic outcomes.
Materials and methods: Lameness in nine limbs of seven Dachshund dogs with pes varus deformity was treated
with corrective osteotomy at or near the centre of rotation of angulation as defined
by the intersection of the proximal and distal mechanical axes determined on caudo-cranial
radiographs. Outcomes evaluated included comparison of preand postoperative radiographic
measurements of frontal angulation and lameness assessment.
Results: Lameness resolved in eight limbs and improved in one limb. All osteotomies healed
and no implant complications were detected. Mean preoperative radiographic measurements
were: mechanical medial proximal tibial angle (mMPTA) = 91.1° (range 87.6°-95°), mechanical
medial distal tibial angle (mMDTA) = 62.1° (range 51.9°-69.6°). Mean postoperative
measurements were: mMPTA 92.4° (range 78°-97.5°), mMDTA 81.8° (range 76°-87°). Measurable
undercorrection was common, though seldom visually or functionally evident.
Clinical significance: Pes varus deformity in Dachshunds can be treated by medial opening wedge osteotomy
of the distal tibia stabilized with a locking plate system. Care to preserve the lateral
cortex of the osteotomy may help avoid under-correction.
Keywords
Pes varus - Dachshund - open wedge - osteotomy - locking plate fixation - Fixin plates