|
|||||
|
|
Clinical Evaluation of Pancarpal Arthrodesis Using a CastLess Plate in 11 Dogs |
|
| Authors: | STEPHEN P CLARKE BVM&S DSAS Diplomate ECVS JOHN F FERGUSON BVM&S CertSAO ANDREW MILLER BVMS DSAO |
| Institution: | East Neuk Veterinary Clinic, Fife and Broadleys Veterinary Hospital, Stirling, UK |
| Abstract: | Objective— To describe the use of a 3.5/2.7 mm CastLess Plate (CLP) for pancarpal arthrodesis (PCA) in dogs. Study Design— Case series. Animals— Dogs with traumatic/degenerative carpal disease (n=11). Methods— Records (September 2006–July 2007) of dogs that had PCA using a 3.5/2.7 mm CLP were reviewed to determine intra- and postoperative complications and use of external coaptation. Follow-up (≥12 months) was obtained by telephone interview of owners. Results— Thirteen PCA procedures were performed; 5 intraoperative complications occurred in 4 procedures and included iatrogenic metacarpal fissure fracture (2), inability to remove an alignment pin (1), and poor distal plate position (2). External coaptation was used in 4 dogs: concomitant or iatrogenic injuries (3), bilateral PCA (1), for 3–6 weeks. Clinical evaluation 6–24 weeks postoperatively revealed iatrogenic metacarpal fractures to have healed and that 1 postoperative complication (infection) developed. Telephone follow up for 10 dogs (mean, 14 months; range, 12–20 months) revealed no further problems. Conclusion— PCA using a 3.5/2.7 mm CLP reduces the need for external coaptation and seemingly reduces postoperative morbidity associated with other internal fixation techniques. Clinical Relevance— PCA can be performed safely and successfully using a 3.5/2.7 mm CLP, with low postoperative morbidity compared with other PCA techniques. Particular attention should be taken when applying the distal component of the plate. |
| Keywords: | |