Vet Comp Orthop Traumatol 2013; 26(06): 445-452
DOI: 10.3415/VCOT-12-07-0089
Original Research
Schattauer GmbH

Complications of lateral plate fixation compared with tension band wiring and pin or lag screw fixation for calcaneoquartal arthrodesis

Treatment of proximal intertarsal subluxation occurring secondary to non-traumatic plantar tarsal ligament disruption in dogs
D. C. Barnes
1   University of Cambridge, Queen's Veterinary School Hospital, Department of Veterinary Medicine, Cambridge, United Kingdom
,
C. S. Knudsen
1   University of Cambridge, Queen's Veterinary School Hospital, Department of Veterinary Medicine, Cambridge, United Kingdom
,
M. Gosling
2   Croft Veterinary Hospital, Northumberland Business Park, West Cramlington, Northumberland, United Kingdom
,
M. McKee
3   Willows Veterinary Centre and Referral Service, Solihull, West Midlands, United Kingdom
,
R. G. Whitelock
4   Davies Veterinary Specialists Limited, Higham Gobion, Hertfordshire, United Kingdom
,
G. I. Arthurs
5   The Royal Veterinary College, Queen Mother Hospital for Animals, North Mymms, Hatfield, Hertfordshire, United Kingdom
,
M. G. Ness
2   Croft Veterinary Hospital, Northumberland Business Park, West Cramlington, Northumberland, United Kingdom
,
H. Radke
1   University of Cambridge, Queen's Veterinary School Hospital, Department of Veterinary Medicine, Cambridge, United Kingdom
,
S. J. Langley-Hobbs
1   University of Cambridge, Queen's Veterinary School Hospital, Department of Veterinary Medicine, Cambridge, United Kingdom
› Author Affiliations
Further Information

Publication History

Received: 05 July 2012

Accepted: 07 June 2013

Publication Date:
04 January 2018 (online)

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Summary

Objective: To compare complication rates and the outcomes of these complications after lateral plate fixation with figure-ofeight tension-band-wire and pin or lag screw fixation for arthrodesis of the calcaneoquartal joint, following non-traumatic disruption of the plantar tarsal ligament in dogs.

Methods: Data were collected retrospectively from five UK referral centres. Diplomate specialists and their residents performed all procedures. Referring veterinarians were contacted for long-term follow-up.

Results: Seventy-four procedures were undertaken in 61 dogs. There were 58 arthrodeses in the lateral plate group (Plate), nine in the pin and tension-band-wire group (Pin), and seven in the lag screw and tension-band wire-group (Screw). Compared to Plate (17%), further surgical intervention was required more frequently following Pin (56%, OR = 3.2) or Screw (43%, OR = 2.5) fixation. Clinical failure of arthrodesis occurred less frequently with Plate (5%) compared with Screw (43%, OR = 8.6) and Pin fixation (22%, OR = 4.4). Cases managed with external coaptation postoperatively were more likely to suffer from postoperative complications (OR = 2.2).

Clinical significance: Lateral plating was associated with fewer postoperative complications than pin and tension-band-wire fixation for arthrodesis of the calcaneoquartal joint in dogs with non-traumatic disruption of the plantar tarsal ligament.

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