Download PDF
Vet Comp Orthop Traumatol 2009; 22(05): 389-397
DOI: 10.3415/VCOT-08-07-0057
Original Resear
Schattauer GmbH

The stepped hybrid plate for carpal panarthrodesis

Part II: A multicentre study of 52 arthrodeses
M. C. Díaz-Bertrana
1   Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Autónoma de Barcelona, Barcelona, Spain
,
F. Darnaculleta
2   Hospital Veterinario J. Prat Morera, Barcelona, Spain
,
I. Durall
1   Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Autónoma de Barcelona, Barcelona, Spain
,
J. Franch
1   Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Autónoma de Barcelona, Barcelona, Spain
,
J. L. Puchol
3   Clínica Veterinaria Puerta de Hierro, Madrid, Spain
› Author Affiliations
Further Information

Publication History

Received: 08 July 2008

Accepted: 17 March 2009

Publication Date:
18 December 2017 (online)

Also available at
    Permissions and Reprints

Summary

Fifty-two carpal panarthrodeses (CP) were carried out in 44 dogs (eight bilateral), in a multicentre study using a single (n = 47) or double (n = 5) stepped hybrid CP plate. Of these 44 cases, 39 were between 20–55 kg in bodyweight , 26 were males , and the carpometacarpal was the most common joint involved. Falling and other impact trauma were the most common aetiology. Pain of unknown origin, carpal luxation, chronic accessory carpal bone fracture, distal comminuted intra-articular radial fracture, bone tumour, degenerative joint disease, canine erosive idiopathic polyarthritis, avascular necrosis of the radial carpal bone and fractures of several metacarpal bones were some of the pathologies reported. Fracture of the third metacarpal bone during screw insertion was the only intrasurgical complication. Malpositioning of the plate or screws and over-tightened screws were technical errors observed in seven of the procedures. The radial carpal bone was not fixed with a screw in two cases due to bone deformity. Concurrent plate breakage and bending in the same patient operated on bilaterally was observed during the follow-up period, which represented a major complication rate of 3.8% for all procedures. Minor complications were: low grade infection, lick granuloma, digit hyperextension, screw loosening or failure, incomplete fusion of some joints and a fracture of the third metacarpal bone at the distal screw hole of the plate; which represented a rate of 44.2% on all procedures. Complete carpal healing was observed radiographically in 94.2% of all procedures. Limb function was excellent to good, and all of the owners, except for one, were satisfied with the procedure.

Keywords

Carpal panarthrodesis - carpal arthrodesis - hybrid dynamic compression plate - stepped hybrid carpal panarthrodesis plate
 

  • References

  • 1 Johnson KA. Carpal arthrodesis in dogs. Aust Vet J 1980; 56: 565-573.
    CrossrefPubMedGoogle Scholar
  • 2 Willer RL, Johnson KA, Turner TM. et al Partial carpal arthrodesis for third degree carpal sprains. A review of 45 carpi. Vet Surg 1990; 19: 334-340.
    CrossrefPubMedGoogle Scholar
  • 3 Slocum B, Devine T. Partial carpal fusion in the dog. J Am Vet Med Assoc 1982; 180: 1204-1208.
    PubMedGoogle Scholar
  • 4 Pedersen NC, Pool RR, Morgan JP. Joint diseases of dogs and cats. In Textbook of Veterinary Internal Medicine diseases of the dog and cat. Ettinger S. (ed). W.B. Saunders; Philadelphia: 1989: 2329-2377.
    Google Scholar
  • 5 Miller A. The Carpus. In Manual of Small Animal Arthrology. Houlton JEF, Collison RW. (ed) BSAVA: Gloucestershire; 1994: 211-233.
    Google Scholar
  • 6 Li A, Gibson S, Carmichael S. et al Thirteen pancarpal arthrodeses using 2.7/3.5 mm hybrid dynamic compression plates. Vet Comp Orthop Traumatol 1999; 12: 102-107.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Denny HR, Barr ARS. Partial carpal and pancarpal arthrodesis in the dog: a review of 50 cases. J Small Anim Pract 1991; 32: 329-334.
    CrossrefPubMedGoogle Scholar
  • 8 Denny HR. The Carpus. In A Guide to Canine and Feline Orthopaedic Surgery. Butterworth SJ. (ed). Blackwell Science; London: 2000: 409-424.
    Google Scholar
  • 9 McKee M. Intractably painful joints. In Manual of Small Animal Arthrology. Houlton JEF, Collison R.W. (eds). BSAVA: Gloucestershire; 1994: 115-134.
    Google Scholar
  • 10 Piermattei DL, Flo GL, DeCamp CE. Fractures and Other Orthopedic Conditions of the Carpus, Meta-carpus, and Phalanges. In Brinker, Piermattei and Flo’s Handbook of Small Animal Orthopedic and Fracture Repair. Piermattei DL, Flo GL, DeCamp CE. (eds). Saunders Elsevier; St Louis: 2006: 382-428.
    Google Scholar
  • 11 Harasen G. Arthrodesis-Part I: The carpus. Can Vet J 2002; 43: 641-643.
    PubMedGoogle Scholar
  • 12 Parker RB, Brown SG, Wind AP. Pancarpal arthrodesis in the dog: A review of forty-five cases. Vet Surg 1981; 10: 35-43.
    CrossrefPubMedGoogle Scholar
  • 13 Okin R. Carpal arthrodesis in a cat with radial nerve damage. Fel Pract 1982; 12: 18-20.
    PubMedGoogle Scholar
  • 14 Díaz-Bertrana MC, Darnaculleta F, Durall I. et al The Stepped hybrid plate for carpal panarthrodesis – part I: Relationship between plate and bone surfaces. Vet Comp Orthop Traumatol 2009; 22: 380-388.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 15 Leeds EB. Carpal arthrodesis for over extension of the carpus. Canine Pract 1978; 5: 32-39.
    PubMedGoogle Scholar
  • 16 Sexton RL, Hurov I L. Repair of carpometacarpal instability after radiocarpal arthrodesis in a dog. J Am Vet Med Assoc 1978; 172: 1186-1189.
    PubMedGoogle Scholar
  • 17 Turner TM, Lipowitz M. Arthrodesis. In Current Techniques in Small Animal Surgery. Bojrab MJ. (ed). Lea & Febiger; Philadelphia: 1983: 746-757.
    Google Scholar
  • 18 Hulse DA, Johnson AL. Management of Joint Disease. In Small Animal Surgery. Fossum WT. (ed). Mosby: St. Louis; 1997: 883-998.
    Google Scholar
  • 19 Moore RW, Withrow SJ. Arthrodesis. Compend Contin Educ Pract Vet 1981; 3: 319-330.
    PubMedGoogle Scholar
  • 20 Whitelock RG, Dyce J, Houlton JEF. Metacarpal fractures associated with pancarpal arthrodesis in dogs. Vet Surg 1999; 28: 25-30.
    CrossrefPubMedGoogle Scholar
  • 21 Chambers JN, Bjorling DE. Palmar surface plating for arthrodesis of the canine carpus. J Am Anim Hosp Assoc 1982; 18: 875-882.
    PubMedGoogle Scholar
  • 22 Guerrero TG, Montavon PM. Medial plating for carpal panarthrodesis. Vet Surg 2005; 34: 153-158.
    CrossrefPubMedGoogle Scholar
  • 23 Guilliard M. The carpus. In Manual of Canine and Feline Musculoskeletal Disorders. Houlton JEF, Cook JL, Innes JF, Langley-Hobbs SJ, Brown G. (eds). BSAVA: Gloucester; 2006: 281-291.
    Google Scholar
  • 24 Anderson GM. Arthrodesis of the tarsus and carpus using CESF. Proceedings ACVS. Chicago: 2006: 225-227.
    Google Scholar
  • 25 Jaegger G, Marcellin-Little DJ, Levine D. Reliability of goniometry in labrador retrievers. Am J Vet Res 2002; 63: 979-986.
    CrossrefPubMedGoogle Scholar
  • 26 Milgram J, Slonim E, Kass PH. et al A radiographic study of joint angles in standing dogs. Vet Comp Orthop Traumatol 2004; 17: 82-90.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 27 Yalden DW. The functional morphology of the carpal bones in carnivores. Acta Anat 1970; 77: 481-500.
    CrossrefPubMedGoogle Scholar
  • 28 Johnson KA. Arthrodesis. In Small Animal Orthopedics. Olmstead ML. (ed). Mosby: St. Louis; 1995: 503-529.
    Google Scholar
  • 29 Johnson KA. The effects of autologous bone grafting on bone healing after carpal arthrodesis in the dog. Vet Rec 1980; 107: 126-132.
    CrossrefPubMedGoogle Scholar
  • 30 Kitchell RL, Evans HE. The spinal nerves. In Miller’s Anatomy of the Dog. Evans EH. (ed). W.B. Saunders; Philadelphia: 1993: 829-952.
    Google Scholar
  • 31 Michal U, Flückiger M, Schmökel H. Healing of dorsal pancarpal arthrodesis in the dog. J Small Anim Pract 2003; 44: 109-112.
    CrossrefPubMedGoogle Scholar