Ex Vivo Comparison of the Accuracy of a Clamped with a Hand-Held Drill Guide for Drilling Distal Third Metacarpals and Metatarsals in Equids.
Abstract: The aim of this study was to determine whether a clamped drill guide can be used effectively to drill across equine distal third metacarpals and metatarsals and to compare accuracy and speed of a drilling with a hand-held drill guide. Methods: Eighty equine cadaver limbs were divided between four surgeons with varying experience. The limbs were randomly allocated to clamped or hand-held drill guides and placed in a stand in an upright/standing position on a metal table. Drilling times from cis- to trans cortices were measured. Post-drilling computed tomography images were used to assess drilling deviations in the dorsopalmar and proximodistal directions. Results: Mean proximodistal deviation of the drill hole was distad for both guides and significantly ( = 0.01) less for the clamped drill guide +0.35° (range: -5.42°, +6.61°, standard deviation [SD] ± 3.18°) than the hand-held drill guide +2.05° (range: -5.24°, +9.81°, SD ± 3.69°). Mean dorsopalmar/plantar deviation was non-significantly ( = 0.17) less for the clamped drill guide -0.27° (range: -9.72°, +6.58°, SD ± 3.57°) than the hand-held drill guide +0.60° (range: -9.74°, + 12.33°, SD ± 4.51°). Mean time taken to drill from cis to trans cortex was significantly ( < 0.001) shorter with the clamped drill guide (41.2s) than the hand-held guide (56.6s). Conclusions: The clamped drill guide could be used successfully on the equine distal third metacarpals and metatarsals and resulted in some improved accuracy and reduced drilling time compared with the hand-held guide. The use of the clamped drill guide could be supported. This may be of benefit for certain fracture repairs in equids.
Georg Thieme Verlag KG Stuttgart · New York.
Publication Date: 2019-09-09 PubMed ID: 31499541DOI: 10.1055/s-0039-1694972Google Scholar: Lookup
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- Journal Article
- Cadaver Study
- Clinical Examination
- Clinical Findings
- Clinical Pathology
- Clinical Study
- Comparative Study
- Computed Tomography
- Diagnostic Technique
- Equine Health
- Equine Science
- Ex Vivo Study
- Metacarpal Bone
- Metatarsal Bones
- Orthopedics
- Surgery
- Veterinary Medicine
- Veterinary Practice
- Veterinary Procedure
- Veterinary Research
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article focused on a comparison between using a clamped drill guide and a hand-held drill guide for drilling equine distal third metacarpals and metatarsals, exploring their accuracy and speed during the process.
Objective of the Study
- The main aim of this research was to examine how effective a clamped drill guide can be in drilling across equine distal third metacarpals and metatarsals. It also aimed to compare the speed and accuracy of this method with using a hand-held drill guide.
Methodology
- The study used eighty equine cadaver limbs, which were divided among four surgeons of varying experience.
- The limbs were allocated randomly to either the clamped or hand-held drill guides.
- The drills were applied to the limbs which were placed upright/standing on a metal table.
- Drilling times from cis- to trans cortices were measured.
- Post-drilling CT scan images were used to measure drilling deviations in the dorsopalmar and proximodistal directions.
Results
- The clamped drill guide resulted in significantly less proximodistal deviation in the placement of the hole compared with the hand-held drill guide.
- In terms of dorsopalmar/plantar deviation, there was no significant difference between the two methods, though there was a lesser deviation for the clamped guide.
- The clamped drill guide took significantly less time (an average of 41.2 seconds) to drill from cis to trans cortex as compared to the hand-held guide (an average of 56.6 seconds).
Conclusions
- The study concluded that the clamped drill guide was more successful when performing operations on equine distal third metacarpals and metatarsals.
- This device provided improved accuracy and reduced the time required for drilling as compared to a hand-held guide.
- Given these findings, the study supports the use of the clamped drill guide, especially for certain fracture repairs in equids.
Cite This Article
APA
James OA, Elce Y, Cillán-Garcia E, Reardon RJM.
(2019).
Ex Vivo Comparison of the Accuracy of a Clamped with a Hand-Held Drill Guide for Drilling Distal Third Metacarpals and Metatarsals in Equids.
Vet Comp Orthop Traumatol, 33(1), 15-21.
https://doi.org/10.1055/s-0039-1694972 Publication
Researcher Affiliations
- Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Edinburgh, Scotland.
- Langford Equine Centre, The University of Bristol, Bristol, England.
- Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Edinburgh, Scotland.
- Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Edinburgh, Scotland.
MeSH Terms
- Animals
- Cadaver
- Horses / surgery
- Metacarpal Bones / surgery
- Metatarsal Bones / surgery
- Orthopedic Procedures / veterinary
- Surgical Equipment / veterinary
Conflict of Interest Statement
None declared.
Citations
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