Canine partial tarsal arthrodesis using laterally applied hybrid locking pancarpal arthrodesis plates: complications and outcome.

IF 1.8 2区 农林科学 Q2 VETERINARY SCIENCES
Lars de Jong, Katarzyna A Kamieniarz, Barnaby L Dean
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引用次数: 0

Abstract

Objective: To describe the use of hybrid locking pancarpal arthrodesis plates (HLPCAPs) for partial tarsal arthrodesis (parTA) in dogs and document complications and clinical outcome.

Animals: Medical records of dogs that underwent parTA between March 2020 and April 2024 were reviewed. Dogs were included if they underwent parTA (performed with a laterally applied HLPCAP). Dogs were excluded if no follow-up could be identified, bilateral approaches were made, or an implant other than a HLPCAP was used as the primary mode of fixation.

Clinical presentation: All dogs were presented for hind limb lameness, secondary to tarsal instability.

Results: 13 dogs (16 parTAs) were included. Intraoperative complications were reported in 2 of 16 cases. All dogs were weight-bearing at early reexamination. Postoperative biologic complications were reported in 2 of 16 cases: both minor complications. Radiographic assessment at reexamination revealed mechanical complications in 2 of 16 cases. A median bone activity score of 2 (range, 1 to 3) was reported. A total of 7 of 13 online questionnaires were completed (median follow-up time, 25 months). Owners assessed their dog's quality of life as good, very good, or excellent.

Clinical relevance: The major complication rate following parTA with HLPCAPs in this study was lower than the complication rate for parTA in previous studies with other implants. A prospective clinical trial with objective long-term assessment and comparison to a different type of implant should be performed to determine the most appropriate implant for parTA.

犬部分跗关节融合术应用外侧应用混合锁定胰关节融合术钢板:并发症和结果。
目的:描述混合锁定胰腺关节固定术钢板(HLPCAPs)在犬部分跗骨关节固定术(parTA)中的应用,并记录并发症和临床结果。动物:回顾了2020年3月至2024年4月期间接受parTA治疗的狗的医疗记录。如果狗接受了parTA(通过横向应用HLPCAP进行),则纳入其中。如果无法确定随访,采用双侧入路,或采用HLPCAP以外的植入物作为主要固定方式,则排除犬。临床表现:所有犬均表现为后肢跛行,继发于跗骨不稳。结果:共纳入13只犬(16只)。16例中2例出现术中并发症。所有犬在早期复查时均可负重。16例患者中2例出现术后生物并发症,均为轻微并发症。复查时影像学评估显示16例中有2例出现机械并发症。骨活动评分中位数为2(范围为1至3)。共完成13份在线问卷中的7份(中位随访时间为25个月)。饲主对狗的生活质量评价为“好”、“非常好”和“极好”。临床相关性:本研究中使用hpcap植入parTA后的主要并发症发生率低于以往使用其他植入物植入parTA后的并发症发生率。应该进行前瞻性临床试验,对不同类型的种植体进行客观的长期评估和比较,以确定最适合parTA的种植体。
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来源期刊
CiteScore
1.60
自引率
15.80%
发文量
539
审稿时长
6-16 weeks
期刊介绍: Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.
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