Pancarpal and partial carpal arthrodesis with 3 locking compression plates in 6 horses.

Autor: Curtiss AL; Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania., Goodrich LR; Orthopedic Research Center and Clinical Sciences, Colorado State University, Fort Collins, Colorado., Rossignol F; Clinique Vétérinaire de Grosbois, Boissy St. Leger, France., Richardson DW; Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania.
Jazyk: angličtina
Zdroj: Veterinary surgery : VS [Vet Surg] 2018 Jul; Vol. 47 (5), pp. 692-704.
DOI: 10.1111/vsu.12916
Abstrakt: Objective: To report the outcome of horses after pancarpal or partial carpal arthrodesis with 3 locking compression plates (LCP).
Study Design: Case series.
Animals: Six horses ranging in age from 8 months to 16 years and weighing 227-580 kg with severe carpal pathology including acute fractures, chronic osteoarthritis, and chronic angular limb deformity.
Methods: Pancarpal or partial carpal arthrodesis was performed with 3 LCP. Autologous cancellous bone grafts were used in 5 of 6 cases to facilitate joint arthrodesis.
Results: External coaptation was maintained for 4 to 6 weeks after surgery. Radiographic follow-up was available in all 6 cases, all of which reached arthrodesis and pasture soundness by 4-5 months postoperatively. One case required implant removal at 6 months because of implant exposure through the skin but returned to pasture soundness after removal.
Conclusion: Carpal instability due to acute fractures or chronic disease was successfully stabilized with 3 short LCP, leading to pasture soundness in all 6 horses.
Clinical Significance: The use of 3 short LCP should be considered as a strategy to facilitate pancarpal or partial carpal arthrodesis by providing superior stability without placement of implants in the diaphysis of the radius and third metacarpus.
(© 2018 The American College of Veterinary Surgeons.)
Databáze: MEDLINE
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