Equis ISSN 2398-2977

PIP joint: arthrodesis

Contributor(s): Bud G E Fackelman, Jeffrey Watkins, Chris Whitton

Introduction

  • The proximal interphalangeal joint is a low-motion joint amenable to fusion to overcome lameness and pain associated with degenerative joint disease   Musculoskeletal: osteoarthritis (joint disease)  .
  • Arthrodesis provides a rapid resolution of the problem affording an earlier return to exercise.

Uses

Advantages

Disadvantages

  • Change in biomechanics following surgery, particularly in the forelimb, may predispose to osteoarthritis in the distal interphalangeal joint.

Requirements

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Prognosis

  • Good - for athletic use if performed in the hindlimbs.
  • Guarded - for forelimbs.
  • Horse may be only useful for breeding.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Levine D G & Richardson D W (2007) Clinical use of the locking compression plate (LCP) in horses: a retrospective study of 31 cases (2004-2006). Equine Vet J 39 (5), 401-406 PubMed.
  • Watts A E, Fortier L A & Caldwell F J (2007) Proximal interphalangeal joint arthrodesis in a one-mouth-old foal for superficial digital flexor tendon and straight sesamoidean ligament disruption. Equine Vet Educ 19 (8), 407-412 Wiley Online Library.
  • Knox P M & Watkins J P (2006) Proximal interphalangeal joint arthrodesis using a combination plate-screw technique in 53 horses (1994-2003). Equine Vet J 38 (6), 538-542 PubMed.
  • Galuppo L D, Stover S M & Willits N H (2000) A biomechanical comparison of double-plate and Y-plate fixation for comminuted equine second phalangeal fractures. Vet Surgery 29, 152-162 PubMed.
  • Crabill M R et al (1995) Double-plate fixation of comminuted fractures of the 2nd phalanx in horses - 10 cases (1985-1993). JAVMA 207 (11), 1458 PubMed.
  • Caron J P et al (1990) Proximal interphalangeal arthrodesis in the horse. A retrospective study and a modified screw technique. Vet Surg 19 (3), 196-202 PubMed.
  • Shiroma J T et al (1989) Dorsal subluxation of the proximal interphalangeal joint in the pelvic limb of three horses. JAVMA 195 (6), 777-779 PubMed.

Other sources of information

  • Watkins J P (1996)Fractures of the middle phalanx.In:Equine Fracture Repair.Ed. A J Nixon. Philadelphia: W B Saunders.


ADDED