Canis ISSN: 2398-2942

Arthrodesis: intertarsal

Synonym(s): Calcaneoquartal arthrodesis

Contributor(s): Rob Pettitt

Introduction

  • To fuse selected intertarsal joints, thus preventing painful movement.
  • Pin and tension band wire, or bone plate techniques.
  • Excellent prognosis.

Uses

  • Subluxation of proximal intertarsal joint (overweight, middle-aged Shetland Sheepdog and Collie) - pin and tension band wire technique.
  • Traumatic luxation of calcaneoquartal joint or talocentral joint - bone plate technique.
  • Chronic progressive plantigrade stance/hyperextension of intertarsal joints.
  • See also arthrodesis overview Arthrodesis: overview.

Advantages

  • Relief of pain.
  • Resolution of lameness.

Disadvantages

  • Technical difficulty of surgery.
  • Implant associated failure.
  • Plantar necrosis associated with medial plating.
  • Management of support splint post surgery.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Excellent - little functional disability.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Barnes D C, Knudsen C S, Gosling M et al (2008) 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. Vet Comp Orthop Traumatol 26 (6), 445-52 PubMed.
  • Roch S P, Clements D N, Mitchell R A et al (2008) Complications following tarsal arthrodesis using bone plate fixation in dogsJSAP 49 (3), 117-126 PubMed.
  • Dyce J, Whitelock R G, Robinson K V et al (1998) Arthrodesis of the tarsometatarsal joint using a laterally applied plate in 10 dogs. JSAP 39 (1), 19-22 PubMed.

Other sources of information

  • Piermattei D L & Johnson K A (2004)An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat.Saunders.
  • Slatter D (2003)Textbook of Small Animal Surgery.3rd edn. Saunders.
  • Denny H & Butterworth S (2000)A Guide to Canine and Feline Orthopedic Surgery.Wiley-Blackwell.


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