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Equine veterinary journal2021; doi: 10.1111/evj.13476

Proximal interphalangeal locking compression plate for pastern arthrodesis in horses.

Abstract: Outcomes following proximal interphalangeal joint (PIPJ) arthrodesis by a variety of surgical methods are available. Reports detailing clinical outcomes following PIPJ arthrodesis utilising the proximal interphalangeal joint locking compression plate (PIP-LCP) and abaxial transarticular lag screws technique are limited. Objective: To report survival, radiographic and clinical outcomes following PIPJ arthrodesis with PIP-LCP and abaxial transarticular lag screw fixation. Methods: Retrospective case series. Methods: Medical records of all horses undergoing pastern arthrodesis from 2009 to 2018 were reviewed. Arthrodeses performed using a 3-hole, 4.5 mm narrow LCP, specifically designed for the proximal interphalangeal joint, were included. Patient details, presentation, radiographic findings, intraoperative and post-operative data, and complications were documented. Short- and long-term follow-up was available for 23 horses. Results: Thirty PIPJ arthrodeses were performed in 29 horses meeting the criteria for inclusion. Twenty-eight horses (97%, 95% CI 83-100) survived to discharge. Twenty-three horses (79%, 95% CI 60%-92%) had successful outcomes including 12 of the 15 forelimb cases and 11 of the 13 hindlimb cases with available follow-up. Fifteen of 19 performance horses returned to athletic activity. Soundness in performance horses was recognised at less than 3 months in one case, 3 to 6 months in six cases, 6 to 12 months in five cases, and greater than 12 months in six cases. Complications included three implant infections, support limb laminitis (two horses), and fragmentation of the extensor process of the distal phalanx (one horse). Conclusions: A retrospectively reviewed, small study population with a variety of breeds and disciplines. Conclusions: The PIP-LCP construct provides a very good prognosis for performance and an excellent prognosis for pasture soundness.
© 2021 EVJ Ltd.
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Publication Date: 2021-06-01 PubMed ID: 34060117DOI: 10.1111/evj.13476Google Scholar: Lookup
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Summary

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The research investigates the effects of using Proximal Interphalangeal Locking Compression Plate (PIP-LCP) and abaxial transarticular lag screws technique for pastern arthrodesis in horses. The report highlights successful clinical outcomes, survival rates, recovery periods and associated complications in horses based on retrospective case studies from 2009 to 2018.

Methods

  • The methodology employed a retrospective approach where medical records of horses that underwent pastern arthrodesis between 2009 and 2018 were examined.
  • Only the arthrodesis cases executed using the three-hole, 4.5 mm narrow Locking Compression Plate (LCP) specifically created for the proximal interphalangeal joint were included in the study.
  • Diverse parameters such as patient details, circumstances of presentation, radiographic findings, intraoperative and post-operative data, and complications were accounted for and carefully documented.
  • Short and long-term evaluation was conducted and data from 23 horses was available for this scrutiny.

Results

  • Of the 29 horses (with a total of 30 PIPJ arthrodeses procedures performed), 28 horses (approximately 97%) survived until discharge following the medical procedure.
  • Successful clinical outcomes were observed in approximately 79% of the studied cases, entailing 12 of the 15 forelimb operations and 11 of the 13 hindlimb cases for which follow-up was available.
  • Recovery was swift enough to allow 15 out of the 19 performance horses to return to athletic activity.
  • The time to recognizing soundness in the performance horses varied: it was recognized at less than 3 months in one case, between 3 to 6 months in six cases, between 6 to 12 months in five cases and beyond 12 months in six cases.
  • The study also revealed some complications related to the procedure, involving three cases of implant infections, support limb laminitis in two horses, and fragmentation of the extensor process of the distal phalanx in one horse.

Conclusions

  • The small study population was reviewed retrospectively, and it encompassed a variety of horse breeds and disciplines.
  • The PIP-LCP construct represents a promising method for treating horses with pastern joint issues as it offers an excellent prognosis for pasture soundness and very good prognosis for returning to performance-related activities.

Cite This Article

APA
Hicks RB, Glass KG, Watkins JP. (2021). Proximal interphalangeal locking compression plate for pastern arthrodesis in horses. Equine Vet J. https://doi.org/10.1111/evj.13476

Publication

Equine veterinary journal
ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English

Researcher Affiliations

Hicks, Rebecca B
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, USA.
Glass, Kati G
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, USA.
Watkins, Jeffrey P
  • Department of Large Animal Clinical Sciences, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX, USA.

References

This article includes 29 references
  1. Carmalt J, Delaney L, Wilson D. Arthrodesis of the proximal interphalangeal joint in the horse: a cyclic biomechanical comparison of two and three parallel cortical screws inserted in lag fashion.. Vet Surg 2010;39:91-4.
  2. Caron J, Fretz P, Bailey J, Barber S. Proximal interphalangeal arthrodesis in the horse a retrospective study and a modified screw technique.. Vet Surg 1990;19(3):196-202.
  3. Genetzky R. Comparison of two surgical procedures for the arthrodesis of the proximal interphalangeal joint in horses.. Kansas State University Master of Science Thesis 1979;1-79.
  4. Herthel T, Rick M, Judy C, Cohen N, Herthel D. Retrospective analysis of factors associated with outcome of proximal interphalangeal joint arthrodesis in 82 horses including Warmblood and Thoroughbred sport horses and Quarter Horses (1992-2014).. Equine Vet J 2016;48:557-64.
  5. Jones P, Lillich J, Delco M, Beard W, Desormaux A. A limited surgical approach for pastern arthrodesis in horses with severe osteoarthritis.. Vet Comp Orthop Traumatol 2009;4:303-8.
  6. Knox P, Watkins J. Proximal interphalangeal joint arthrodesis using a combination plate-screw technique in 53 horses (1994-2003).. Equine Vet J 2006;38(6):538-42.
  7. MacLellan K, Crawford W, MacDonald D. Proximal interphalangeal joint arthrodesis in 34 horses using two parallel 5.5-mm cortical bone screws.. Vet Surg 2001;30:454-9.
  8. McCormick J, Watkins J. Double plate fixation for the management of proximal interphalangeal joint instability in 30 horses (1987-2015).. Equine Vet J 2017;49:211-5.
  9. Sakai RR, Goodrich LR, Katzman SA, Moorman VJ, Leise BS, Kacwak CE. Use of locking compression plate for equine proximal interphalangeal joint arthrodesis: 29 cases (2008-2014).. J Am Vet Med A 2018;253(11):1460-6.
  10. Watt B, Edwards R, Markel M, McCabe R, Wilson D. Arthrodesis of the equine proximal interphalangeal joint: a biomechanical comparison of two 7-hole 3.5-mm broad and two 5-hole 4.5-mm narrow dynamic compression plates.. Vet Surg 2002;31:85-93.
  11. Zubrod C, Schneider R. Arthrodesis techniques in horses.. Vet Clin N Am - Equine 2005;21:691-711.
  12. Penraat J, Allen A, Fretz P, Bailey J. An evaluation of chemical arthrodesis of the proximal interphalangeal joint in the horse by using monoiodoacetate.. Can J Vet Res 2000;64:212-21.
  13. Reinertson E, Caston S, Kersh K, Wang C, Beug J, McClure S. Retrospective evaluation of facilitated pastern ankylosis using intra-articular ethanol injections: 34 cases (2006-2012).. Equine Vet J 2012;45:442-7.
  14. Wolker R, Wilson D, Allen A, Carmalt J. Evaluation of ethyl alcohol for use in a minimally invasive technique for equine proximal interphalangeal joint arthrodesis.. Vet Surg 2011;40:291-8.
  15. Watts A, Fortier L, Nixon A, Ducharme N. A technique for laser-facilitated equine pastern arthrodesis using parallel screws inserted in lag fashion.. Vet Surg 2010;39:244-53.
  16. Read E, Chandler D, Wilson D. Arthrodesis of the equine proximal interphalangeal joint: a mechanical comparison of 2 parallel 5.5 mm cortical screws and 3 parallel 5.5 mm cortical screws.. Vet Surg 2005;34:142-7.
  17. Schaer T, Bramlage L, Embertson R, Hance S. Proximal interphalangeal arthrodesis in 22 horses.. Equine Vet J 2007;33(4):360-5.
  18. Schneider R, Bramlage L, Hardy J. Arthrodesis of the distal interphalangeal joint in two horses using three parallel 5.5-mm cortical screws.. Vet Surg 1993;22(2):122-8.
  19. Steenhaut M, Vershooten F, De Moor A. Arthrodesis of the pastern joint in the horse.. Equine Vet J 1985;17(1):35-40.
  20. Groom L, Gaughan E, Lillich J, Valentino L. Arthrodesis of the proximal interphalangeal joint affected with septic arthritis in 8 horses.. Can Vet J 2000;41:117-23.
  21. Levine D, Richardson D. Clinical use of the locking compression plate (LCP) in horses: a retrospective study of 31 cases (2004-2006).. Equine Vet J 2007;39(5):401-6.
  22. Ahern B, Showalter B, Elliot D, Richardson D, Getman L. In vitro biomechanical comparison of a 4.5mm narrow locking compression plate construct versus a 4.5mm limited contact dynamic compression plate construct for arthrodesis of the equine proximal interphalangeal joint.. Vet Surg 2013;42(3):335-9.
  23. Sod G, Riggs L, Mitchell C, Martin G. A mechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: an axial locking compression plate and two abaxial transarticular cortical screws versus an axial dynamic compression plate and two abaxial transarticular cortical screws.. Vet Surg 2011;40(5):571-8.
  24. Gautier E, Sommer C. Guidelines for the clinical application of the LCP.. Injury 2003;34:63-76.
  25. Galuppo L, Stover S, Willits N. A biomechanical comparison of double-plate and Y-plate fixation for comminuted equine second phalangeal fractures.. Vet Surg 2000;29:152-62.
  26. Lease K, Armbrust L, Anderson D, Bras J, Frink E, Beard W. Effect of a collateral ligament sparing surgical approach on mechanical properties of equine proximal interphalangeal joint arthrodesis constructs.. Vet Surg 2010;40:73-81.
  27. Zoppa A, Santoni B, Puttlitz C, Cochran K, Hendrickson D. Arthrodesis of the equine proximal interphalangeal joint: A biomechanical comparison of 3-hole 4.5mm locking compression plate and 3-hole 4.5mm narrow dynamic compression plate, with two transarticular 5.5 mm cortex screws.. Vet Surg 2011;40(2):253-9.
  28. Sod G, Riggs L, Mitchell C, Hubert J, Martin G. An in vitro biomechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: an axial positioned dynamic compression plate and two abaxial transarticular cortical screws inserted in lag fashion versus three parallel transarticular cortical screws inserted in lag fashion.. Vet Surg 2010;39(1):83-90.
  29. Stoffel K, Ulrich D, Stachowiak G, Gachter A, Kuster MS. Biomechanical testing of the LCP - how can stability in locked internal fixators be controlled?. Injury 2003;34:11-9.

Citations

This article has been cited 1 times.
  1. Daniels A, Pezzanite LM, Griffenhagen GM, Hendrickson DA. Evaluation of factors associated with surgical site infection in equine proximal interphalangeal joint arthrodesis: 54 cases (2010-2019).. Vet Med Sci 2022 Jul;8(4):1478-1488.
    doi: 10.1002/vms3.839pubmed: 35594487google scholar: lookup
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