Modified Proximal Interphalangeal Joint Arthrodesis in a Yearling Filly with an Osseous Cyst-Like Lesion in the Proximal Phalanx.
Abstract: After the medial femoral condyle (MFC), the phalanges are the second most common site for osseous cyst-like lesions (OCLLs). Conservative treatment of phalangeal cysts on the convex surface of proximal phalanx presents a technical problem with access to the stoma of the cyst. Surgical therapy options usually aim to avoid cyst enlargement through drilling or screw placement or to encourage lesion filling with osteoconductive material. This paper describes a case of treatment of the OCLL in a yearling Czech warmblood filly with surgical arthrodesis, together with the packing of the OCLL with calcium phosphate biocement (CPB). The filly showed a chronic, moderate to severe, intermittent left hindlimb lameness. Dynamic examination combined with regional anesthesia and radiography confirmed a clinically significant large OCLL on the distal joint surface of the first phalanx. Treatment of the OCLL was performed by surgical arthrodesis of the proximal interphalangeal joint, using two paraxial and one axial crossed lag screw, after curetting of the cyst and filling with CPB.
Publication Date: 2021-03-28 PubMed ID: 33800624PubMed Central: PMC8066530DOI: 10.3390/ani11040948Google Scholar: Lookup
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Summary
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The article presents a case study where a horse with a bone cyst-like lesion in the foot bone was treated through surgical fusion of the joint and filling the lesion with a bio-compatible material, calcium phosphate biocement.
Context and Objective
- The paper discusses a treatment process for osseous cyst-like lesions (OCLLs), which are cyst-like formations in the bones. Specifically, the treatment process applies to OCLLs in the phalanges, which are the bones in the feet of a horse. These kinds of lesions often present challenges in treatment due to their locations.
- The primary objective of the study was to demonstrate a new surgical approach to handle such lesions where access to the cyst is difficult because of its location.
About the Case and Diagnosis
- The case involved a yearling Czech warmblood filly (young female horse) suffering from chronic, moderate to severe, intermittent left hindlimb lameness.
- Upon examination and radiography, a clinically significant large OCLL was discovered on the distal joint surface of the first phalanx (the bone in the foot of the horse).
Treatment Process
- The researchers treated the OCLL by performing surgical arthrodesis of the proximal interphalangeal joint. Arthrodesis is a surgical procedure that involves the fusion of a joint, essentially converting it into a single, immovable unit. This procedure was done through the use of two paraxial and one axial crossed lag screws.
- After the fusion, the researchers performed curettage of the cyst – a procedure to remove the cyst from the bone – and then filled it with calcium phosphate biocement (CPB). CPB is a bio-compatible substance that helps in bone regeneration.
Conclusion
- The paper demonstrates a method of using arthrodesis and CPB to treat challenging OCLLs in the phalanges of horses. However, as it showcases a single case, further studies are needed to assess the efficiency and impacts of this treatment routine in similar conditions.
- The paper discusses a treatment process for osseous cyst-like lesions (OCLLs), which are cyst-like formations in the bones. Specifically, the treatment process applies to OCLLs in the phalanges, which are the bones in the feet of a horse. These kinds of lesions often present challenges in treatment due to their locations.
- The primary objective of the study was to demonstrate a new surgical approach to handle such lesions where access to the cyst is difficult because of its location.
About the Case and Diagnosis
- The case involved a yearling Czech warmblood filly (young female horse) suffering from chronic, moderate to severe, intermittent left hindlimb lameness.
- Upon examination and radiography, a clinically significant large OCLL was discovered on the distal joint surface of the first phalanx (the bone in the foot of the horse).
Treatment Process
- The researchers treated the OCLL by performing surgical arthrodesis of the proximal interphalangeal joint. Arthrodesis is a surgical procedure that involves the fusion of a joint, essentially converting it into a single, immovable unit. This procedure was done through the use of two paraxial and one axial crossed lag screws.
- After the fusion, the researchers performed curettage of the cyst – a procedure to remove the cyst from the bone – and then filled it with calcium phosphate biocement (CPB). CPB is a bio-compatible substance that helps in bone regeneration.
Conclusion
- The paper demonstrates a method of using arthrodesis and CPB to treat challenging OCLLs in the phalanges of horses. However, as it showcases a single case, further studies are needed to assess the efficiency and impacts of this treatment routine in similar conditions.
- The case involved a yearling Czech warmblood filly (young female horse) suffering from chronic, moderate to severe, intermittent left hindlimb lameness.
- Upon examination and radiography, a clinically significant large OCLL was discovered on the distal joint surface of the first phalanx (the bone in the foot of the horse).
Treatment Process
- The researchers treated the OCLL by performing surgical arthrodesis of the proximal interphalangeal joint. Arthrodesis is a surgical procedure that involves the fusion of a joint, essentially converting it into a single, immovable unit. This procedure was done through the use of two paraxial and one axial crossed lag screws.
- After the fusion, the researchers performed curettage of the cyst – a procedure to remove the cyst from the bone – and then filled it with calcium phosphate biocement (CPB). CPB is a bio-compatible substance that helps in bone regeneration.
Conclusion
- The paper demonstrates a method of using arthrodesis and CPB to treat challenging OCLLs in the phalanges of horses. However, as it showcases a single case, further studies are needed to assess the efficiency and impacts of this treatment routine in similar conditions.
- The researchers treated the OCLL by performing surgical arthrodesis of the proximal interphalangeal joint. Arthrodesis is a surgical procedure that involves the fusion of a joint, essentially converting it into a single, immovable unit. This procedure was done through the use of two paraxial and one axial crossed lag screws.
- After the fusion, the researchers performed curettage of the cyst – a procedure to remove the cyst from the bone – and then filled it with calcium phosphate biocement (CPB). CPB is a bio-compatible substance that helps in bone regeneration.
Conclusion
- The paper demonstrates a method of using arthrodesis and CPB to treat challenging OCLLs in the phalanges of horses. However, as it showcases a single case, further studies are needed to assess the efficiency and impacts of this treatment routine in similar conditions.
- The paper demonstrates a method of using arthrodesis and CPB to treat challenging OCLLs in the phalanges of horses. However, as it showcases a single case, further studies are needed to assess the efficiency and impacts of this treatment routine in similar conditions.
Cite This Article
APA
Kol'vek F, Krešáková L, Vdoviaková K, Medvecký Ľ, Žert Z.
(2021).
Modified Proximal Interphalangeal Joint Arthrodesis in a Yearling Filly with an Osseous Cyst-Like Lesion in the Proximal Phalanx.
Animals (Basel), 11(4), 948.
https://doi.org/10.3390/ani11040948 Publication
Researcher Affiliations
- Equine Clinic, University of Veterinary Medicine and Pharmacy in Kosice, Komenskeho 73, 041 81 Kosice, Slovakia.
- Department of Morphological Disciplines, University of Veterinary Medicine and Pharmacy in Kosice, Komenskeho 73, 041 81 Kosice, Slovakia.
- Department of Morphological Disciplines, University of Veterinary Medicine and Pharmacy in Kosice, Komenskeho 73, 041 81 Kosice, Slovakia.
- Division of Functional and Hybrid Systems, Institute of Materials Research of SAS, Watsonova 47, 040 01 Kosice, Slovakia.
- Equine Clinic, University of Veterinary Medicine and Pharmacy in Kosice, Komenskeho 73, 041 81 Kosice, Slovakia.
Grant Funding
- APVV-17-0110 / Slovak Research and Development Agency
Conflict of Interest Statement
The authors declare no conflicts of interest.
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Citations
This article has been cited 1 times.- Faulkner J, Vanderperren K, Duchateau L, O'Sullivan C. Radiographic prevalence of juvenile osteochondral conditions of the proximal interphalangeal joint of Australian Thoroughbred racehorse yearlings and associations with sales results and race performance.. Front Vet Sci 2022;9:988826.
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