Outcome following surgical repair of achilles tendon rupture and comparison between postoperative tibiotarsal immobilization methods in dogs

C. Nielsen; G. E. Pluhar

doi:10.1055/s-0038-1633008

Veterinary and Comparative Orthopaedics and Traumatology, Table of Contents

Vet Comp Orthop Traumatol 2006; 19(04): 246-249
DOI: 10.1055/s-0038-1633008

Brief Communication

Schattauer GmbH

Outcome following surgical repair of achilles tendon rupture and comparison between postoperative tibiotarsal immobilization methods in dogs

28 cases (1997–2004)

C. Nielsen

¹Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota, USA

,

G. E. Pluhar

¹Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Minnesota, St. Paul, Minnesota, USA

› Author Affiliations

Abstract

Summary

Surgical treatment of Achilles tendon rupture in dogs is generally associated with a favourable outcome, although the recovery time to best function is relatively long at 20.2 weeks. Dogs with injuries of less than 21 days duration may have a better functional outcome. When comparing external fixator application to splint or cast management, initial tibiotarsal immobilization method does not significantly affect the complication rate, duration of immobilization, recovery time, or functional outcome.

Keywords

Achilles tendon - surgery – tendon - joint immobilization

Full Text

References

References
1 Fackelman GE, Clodius L. Surgical correction of the digital hyperextension deformity in foals. Vet Med SAC 1972; 67: 1116-23.
2 Carnine BL. Surgical arthrodesis of the distal in-terphalangeal joint in a horse. Manhattan KS. Kansas State University; 1977. Masters Thesis.
3 Honnas CM, Vacek JR, Schumacher J. Arthrodesis of the distal interphalangeal joint in a horse using stailess steel baskets and transarticular 4.5-mm cortical screws. Vet Comp Orthop Traumatol 1995; 8: 46-51.
4 Schneider RK, Bramlage LR, Hardy J. Arthrodesis of the distal interphalangeal joint in two horses using three parallel 5.5-mm cortical screws. Vet Surg 1993; 22: 122-8.
5 Schneider RK. Arthrodesis of the distal interphalangeal joint of the horse. Proc Am Col Vet Surg 2004; 14: 82-5.
6 Auer JA. Flexural deformities. In: Equine Surgery. Auer JA, Stick JA (eds). Philadelphia: WB Saunders Company 1999; 756-7.
7 Grant B. Limb amputation and prosthesis. In: Current techniques in equine surgery and lameness. White NA, Moore JN (eds). Philadelphia: WB Saunders Company 1998; 463-8.
8 Kelmer G, Steinman A, Levi O. et al. Amputation and prosthesis in a horse, long and short term complications. Equine Vet Ed 2004; 6: 303-8.
9 Chan CC, Murphy H, Munroe GA. Treatment of chronic digital septic tenosynovitis in 12 horses by modified open annular-ligament desmotomy and passive open drainage. Vet Rec 2000; 147: 388-93.
10 Schramme MC, Smith RKW. Diseases of the digital synovial sheath, palmar annular ligament, and digital annular ligaments. In: Diagnosis and management of lameness in the horse. Ross MW, Dyson SJ. Philadelphia: WB Saunders Company 2003; 677.
11 Dyson SJ. The metacarpal region. In: Diagnosis and management of lameness in the horse. Ross MW, Dyson SJ. Philadelphia: WB Saunders Company; 2003: 373.
12 Kidd JA, Dyson SJ, Barr ARS. Septic flexor tendon core lesions in five horses. Equine Vet J 2002; 34: 213-6.
13 Honnas CM, Schumacher J, Cohen ND. et al. Septic tenosynovitis in horses: 25 cases (1983-1989). JAVMA 1991; 199: 1616-22.
14 Honnas CM, Schumacher J, Watkins JP. et al. Diagnosis and treatment of septic tenosynovitis in horses. CompContEdu 1991; 13: 301-10.
15 Barnes MJ, Hardy AE. Delayed reconstruction of the calcaneal tendon. J Bon Jo Surg Brit 1986; 68: 121-4.
16 Bi FH. Treatment of flail ankle. Zhonghua Guke Zazhi 1988; 8: 246-9.
17 Bohnsack M, Ruhmann O, Kirsch L. et al. Achilles tendon shortening in cases of elongation following conservative management ofAchilles tendon rupture. Zeitschrift fur Orthopadie und Grenzgebiete 2000; 138: 501-5.
18 Valdes-Vazquez MA, McClure JR, Oliver III JL. et al. Evaluation of an autologous tendon graft repair method for gap healing of the deep digital flexor tendon in horses. Vet Surg 1996; 25: 342-50.
19 Watkins JP. Tendon and ligament disorders. In: Equine Surgery. Auer JA, Stick JA. (eds) Philadelphia: W.B Saunders Company; 1999: 712-4.
20 Jann H, Blaik M, Emerson Retal. Healing characteristics of deep digital flexor tendon tenorrhaphy within the digital sheath of horses. Vet Surg 2003; 32: 421-30.
21 Kraus BLH, Kirker-Head CA, Kraus KH. et al. Vascular supply of the tendon of the equine deep digital flexor muscle within the digital sheath. Vet Surg 1995; 24: 102-11.
22 Smith RKW. Pathophysiology of tendon injury. In: Diagnosis and management of lameness in the horse. Ross MW, Dyson SJ. Philadelphia: WB Saunders Company; 2003: 618.
23 Jenson PW, Lillich JD, Roush JK. et al. Ex vivo strength comparison of bioabsorbable tendon plates and bioabsorbable suture in a 3-loop pulley pattern for repair of transected flexor tendons from horse cadavers. Vet Surg 2005; 34: 565-70.
24 Bertone AL, Stashak TS, Smith FW. et al. A comparison of repair methods for gap healing in equine flexor tendon. Vet Surg 1990; 19: 254-65.
25 Jann HW, Stein LE, Good JK. Strength characteristics and failure modes of locking-loop and three-loop pulley suture patterns in equine tendons. Vet Surg 1990; 19: 28-33.
26 De Carli A, Vadala A, Monaco E. et al. Effect of cyclic loading on new polyblend suture coupled with different anchors. Am J Sports Med 2005; 33: 214-9.
27 Lo IKY, Burkhart SS, Athanasiou K. Abrasion resistance of two types of nonabsorbable braided sutures. Arthroscopy 2004; 20: 407-13.