Canis ISSN: 2398-2942

Arthrodesis: tarsometatarsal

Introduction

  • Fusing the tarsometatarsal joint to prevent painful movement Arthrodesis tarso-metatarsal joint 01 - fracture luxation of tarso-metatarsal joint.
    EitherLateral (technique of choice) or caudal plate fixation.
    OrPin and tension wire (technically difficult).
    OrCrossed pins with intramedullary pin.
  • Excellent prognosis - little functional disability.
  • See arthrodesis Arthrodesis: overview for more detail.

Uses

  • Plantar ligament rupture.
  • Shearing injury, eg RTA.
  • Severe fracture luxation of tarsocrural, intertarsal or tarsometatarsal joints.
  • Rupture of calcaneal ligament not amenable to suture repair.
  • Osteo- or septic arthritis Arthritis: infective not responding to treatment.
  • Ischial nerve paralysis in conjunction with muscle transfer.
  • Uncommon indications.

Disadvantages

  • Placement of tension band wires in metatarsal bones is difficult.

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.
  • Roch S P, Clements D N, Mitchell R A et al (2008) Complications following tarsal arthrodesis using bone plate fixation in dogs. JSAP 49 (3), 117-126 PubMed.
  • Fettig A A, McCarthy R J & Kowaleski M P (2002) Intertarsal and tarsometatarsal arthrodesis using 2.0/2.7 mm or 2.7/3.5 mm hybrid dynamic compression plates. JAAHA 38 (4), 364-369 PubMed.
  • Muir P & Norris J L (1999) Tarsometatarsal subluxation in dogs: partial arthrodesis by plate fixation. JAAHA 35 (2), 155-162 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.


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