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Canine partial tarsal arthrodesis using laterally applied hybrid locking pancarpal arthrodesis plates: complications
Lars de Jong1, Katarzyna A Kamieniarz1, Barnaby L Dean1,2
11Southern Counties Veterinary Specialists, Ringwood, Hampshire, UK.
Objective:
To describe the use of hybrid locking pancarpal arthrodesis plates (HLPCAPs) for partial tarsal arthrodesis (parTA) in dogs and document complications and clinical outcome.
Animals:
Medical records of dogs that underwent parTA between March 2020 and April 2024 were reviewed. Dogs were included if they underwent parTA (performed with a laterally applied HLPCAP). Dogs were excluded if no follow-up could be identified, bilateral approaches were made, or an implant other than a HLPCAP was used as the primary mode of fixation.
Clinical Presentation:
All dogs were presented for hind limb lameness, secondary to tarsal instability.
Results:
13 dogs (16 parTAs) were included. Intraoperative complications were reported in 2 of 16 cases. All dogs were weight-bearing at early reexamination. Postoperative biologic complications were reported in 2 of 16 cases: both minor complications. Radiographic assessment at reexamination revealed mechanical complications in 2 of 16 cases. A median bone activity score of 2 (range, 1 to 3) was reported. A total of 7 of 13 online questionnaires were completed (median follow-up time, 25 months). Owners assessed their dog's quality of life as good, very good, or excellent.
Clinical Relevance:
The major complication rate following parTA with HLPCAPs in this study was lower than the complication rate for parTA in previous studies with other implants. A prospective clinical trial with objective long-term assessment and comparison to a different type of implant should be performed to determine the most appropriate implant for parTA.
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