Locking compression plates for pancarpal arthrodesis in a Thoroughbred filly
Ryan S Carpenter1, Laurie R Goodrich, Gary M Baxter
1Department of Clinical Sciences, James L. Voss Teaching Hospital, Colorado State University, Fort Collins, CO 80523, USA. ryan.carpenter@colostate.edu
Objective:
To report treatment of a comminuted ulnar carpal (UC) bone fracture associated with carpal instability by pancarpal arthrodesis using 2 locking compression plates (LCP).
Study Design:
Case report.
Animals:
A 2-year-old Thoroughbred filly.
Methods:
An UC fracture and luxation of the proximal row of carpal bones was diagnosed radiographically. Pancarpal arthrodesis was performed with 2 LCP positioned dorsolaterally and dorsomedially and centered over the carpus through a single skin incision. The filly was maintained in a full limb cast for 15 days, followed by a tube cast for 14 days, and subsequently a full limb bandage with caudal splint for 21 days.
Results:
Two LCP provided appropriate carpal stability resulting in a pasture sound horse 6 months after surgery. The filly was discharged from the hospital 63 days after surgery, walking well with only a slight mechanical lameness.
Conclusion:
Use of 2 LCP applied on the dorsomedial and dorsolateral aspect of the carpus can provide carpal stability for pancarpal arthrodesis.
Clinical Relevance:
Excellent stability of the carpal joints can be achieved with 2 LCP.
