canis - Articles
Arthrodesis: tarsometatarsal
Introduction
- Fusing the tarsometatarsal joint to prevent painful movement
.
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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Technique
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Aftercare
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Outcomes
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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.