Minimally invasive proximal interphalangeal joint arthrodesis using a locking compression plate and tissue engineering in horses: a pilot study.
Abstract: This pilot study assessed the efficacy of 2 minimally invasive techniques for proximal interphalangeal (PIP) joint arthrodesis in horses. The PIP joints of both forelimbs (n = 6) were stabilized with locking compression plates (LCP) using a minimally invasive technique (LCP technique). Subsequently, for 1 randomly selected PIP joint of each horse, surgical drilling (SurD) was performed and tissue engineering (TE) was applied (LCP/SurD/TE technique). Minimally invasive PIP joint arthrodesis with LCP demonstrated low postoperative infection rates. Gross and histological evaluations revealed considerable destruction of the articular cartilage in the LCP/SurD/TE-treated joints. In contrast, almost no destruction of the cartilage was observed in the LCP-treated joints. Our results suggest that the LCP technique alone is not sufficient for PIP joint arthrodesis and that the LCP/SurD/TE technique may be useful for PIP joint arthrodesis in horses. Cette étude pilote a évalué l’efficacité de 2 techniques à effraction minimale pour l’arthrodèse de l’articulation interphalangienne proximale (AIP) chez les chevaux. Les articulations AIP des deux membres antérieurs ( = 6) ont été stabilisées avec des plaques de fixation à compression (PFC) à l’aide d’une technique à effraction minimale (technique PFC). Subséquemment, pour une articulation AIP choisie au hasard pour chaque cheval, un fraisage chirurgical (FC) a été réalisé et une ingénierie tissulaire (IT) a été appliquée (technique PFC/FC/IT). Une arthrodèse de l’articulation AIP à effraction minimale avec PFC a démontré de faibles taux d’infection postopératoire. Des évaluations brutes et histologiques ont révélé une destruction considérable du cartilage articulaire dans les articulations traitées à l’aide de la technique PFC/FC/IT. Par contraste, pratiquement aucune destruction du cartilage n’a été observée dans les articulations traitées par PCF. Nos résultats suggèrent que la technique PFC seule n’est pas suffisante pour l’arthrodèse des articulations AIP et que la technique PFC/FC/IT peut être utile pour l’arthrodèse de l’articulation AIP chez les chevaux.(Traduit par Isabelle Vallières).
Publication Date: 2014-11-14 PubMed ID: 25392547PubMed Central: PMC4204835
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- Journal Article
Summary
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This research article studies the effectiveness of two minimally invasive surgical techniques on horse joint issues, particularly the Proximal Interphalangeal (PIP) joint. Results highlight that while one technique caused considerable damage, a combined technique yielded better results, suggesting this combination is potentially more beneficial for horse joint arthrodesis.
Research methodology
- In the pilot study, two minimally invasive methods were tried out for the arthrodesis of the proximal interphalangeal (PIP) joints on horses.
- The PIP joints of both forelimbs of the horses were stabilized using Locking Compression Plates (LCP) via a minimally invasive technique, referred to as the LCP technique.
- Subsequently, for one randomly chosen PIP joint of each horse, surgical drilling (SurD) was conducted alongside tissue engineering (TE), a process termed LCP/SurD/TE technique.
Key findings
- It was found that the use of LCP showed low rates of postoperative infection in the horses.
- However, the combined LCP/SurD/TE method indicated substantial damage to the articular cartilage in the joints of the horses, as seen through gross and histological assessment.
- In contrast, the LCP-only method showed almost no significant cartilage damage in the joints.
Implications of the findings
- The findings suggest that the LCP technique used alone may not be sufficient for effective PIP joint arthrodesis in horses.
- The combined LCP/SurD/TE technique, despite causing considerable destruction to the articular cartilage, could still be useful for PIP joint arthrodesis in horses.
- The research implies there may be a need to further refine these techniques to achieve optimal outcomes, while minimising any damage to joint cartilage.
Cite This Article
APA
Seo JP, Yamaga T, Tsuzuki N, Yamada K, Haneda S, Furuoka H, Tabata Y, Sasaki N.
(2014).
Minimally invasive proximal interphalangeal joint arthrodesis using a locking compression plate and tissue engineering in horses: a pilot study.
Can Vet J, 55(11), 1050-1056.
Publication
Researcher Affiliations
- Department of Clinical Veterinary Science (Seo, Yamaga, Tsuzuki, Yamada, Haneda, Sasaki) and Department of Basic Veterinary Medicine (Furuoka), Obihiro University of Agriculture and Veterinary Medicine, Obihiro-City, Hokkaido, 080-8555, Japan; Department of Biomaterials, Institute for Frontier Medical Sciences, Kyoto University, Sakyo-ku, Kyoto, 606-8507, Japan (Tabata).
- Department of Clinical Veterinary Science (Seo, Yamaga, Tsuzuki, Yamada, Haneda, Sasaki) and Department of Basic Veterinary Medicine (Furuoka), Obihiro University of Agriculture and Veterinary Medicine, Obihiro-City, Hokkaido, 080-8555, Japan; Department of Biomaterials, Institute for Frontier Medical Sciences, Kyoto University, Sakyo-ku, Kyoto, 606-8507, Japan (Tabata).
- Department of Clinical Veterinary Science (Seo, Yamaga, Tsuzuki, Yamada, Haneda, Sasaki) and Department of Basic Veterinary Medicine (Furuoka), Obihiro University of Agriculture and Veterinary Medicine, Obihiro-City, Hokkaido, 080-8555, Japan; Department of Biomaterials, Institute for Frontier Medical Sciences, Kyoto University, Sakyo-ku, Kyoto, 606-8507, Japan (Tabata).
- Department of Clinical Veterinary Science (Seo, Yamaga, Tsuzuki, Yamada, Haneda, Sasaki) and Department of Basic Veterinary Medicine (Furuoka), Obihiro University of Agriculture and Veterinary Medicine, Obihiro-City, Hokkaido, 080-8555, Japan; Department of Biomaterials, Institute for Frontier Medical Sciences, Kyoto University, Sakyo-ku, Kyoto, 606-8507, Japan (Tabata).
- Department of Clinical Veterinary Science (Seo, Yamaga, Tsuzuki, Yamada, Haneda, Sasaki) and Department of Basic Veterinary Medicine (Furuoka), Obihiro University of Agriculture and Veterinary Medicine, Obihiro-City, Hokkaido, 080-8555, Japan; Department of Biomaterials, Institute for Frontier Medical Sciences, Kyoto University, Sakyo-ku, Kyoto, 606-8507, Japan (Tabata).
- Department of Clinical Veterinary Science (Seo, Yamaga, Tsuzuki, Yamada, Haneda, Sasaki) and Department of Basic Veterinary Medicine (Furuoka), Obihiro University of Agriculture and Veterinary Medicine, Obihiro-City, Hokkaido, 080-8555, Japan; Department of Biomaterials, Institute for Frontier Medical Sciences, Kyoto University, Sakyo-ku, Kyoto, 606-8507, Japan (Tabata).
- Department of Clinical Veterinary Science (Seo, Yamaga, Tsuzuki, Yamada, Haneda, Sasaki) and Department of Basic Veterinary Medicine (Furuoka), Obihiro University of Agriculture and Veterinary Medicine, Obihiro-City, Hokkaido, 080-8555, Japan; Department of Biomaterials, Institute for Frontier Medical Sciences, Kyoto University, Sakyo-ku, Kyoto, 606-8507, Japan (Tabata).
- Department of Clinical Veterinary Science (Seo, Yamaga, Tsuzuki, Yamada, Haneda, Sasaki) and Department of Basic Veterinary Medicine (Furuoka), Obihiro University of Agriculture and Veterinary Medicine, Obihiro-City, Hokkaido, 080-8555, Japan; Department of Biomaterials, Institute for Frontier Medical Sciences, Kyoto University, Sakyo-ku, Kyoto, 606-8507, Japan (Tabata).
MeSH Terms
- Animals
- Arthrodesis / methods
- Arthrodesis / veterinary
- Bone Plates / veterinary
- Female
- Forelimb / diagnostic imaging
- Forelimb / physiopathology
- Forelimb / surgery
- Horse Diseases / surgery
- Horses
- Minimally Invasive Surgical Procedures / veterinary
- Pilot Projects
- Radiography
- Range of Motion, Articular
- Toe Joint / diagnostic imaging
- Toe Joint / physiopathology
- Toe Joint / surgery
- Treatment Outcome
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Citations
This article has been cited 3 times.- Lee SH, Roh YH, Lee DB, Cho JH, Kim CH. Stifle Joint Arthrodesis for Treating Chronic-Osteoarthritis-Affected Dogs. Vet Sci 2023 Jun 21;10(7).
- Spadari A, Forni G, Del Magno S, Tagliavia C, Canova M, Grandis A, Rinnovati R. The Comparison of Latero-Medial versus Dorso-Palmar/Plantar Drilling for Cartilage Removal in the Proximal Interphalangeal Joint. Animals (Basel) 2021 Jun 21;11(6).
- Orozco Lopez D, Garcia-Lopez JM, Carpenter R, Bras JJ, Richardson DW, Ortved KF. Treatment of traumatic disruption of the suspensory apparatus in Thoroughbred racehorses at risk of proximal interphalangeal joint subluxation using a locking compression-distal femur plate for double arthrodesis. Vet Surg 2025 Apr;54(3):439-452.
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