Use of Locking Compression Plate and Locking Compression T-Plate for Surgical Arthrodesis of the Carpometacarpal and Distal Tarsal Joints in 13 Horses.
Abstract: The aim of this study was to describe the use of the locking compression plate (LCP) and locking compression T-plate (LCTP) in cases of carpometacarpal and distal tarsal arthrodesis for the treatment of osteoarthritis and small carpal or tarsal bone fractures, and to document clinical outcomes. Methods: Case records of horses treated with carpometacarpal or distal tarsal arthrodesis via internal fixation using an LCP or LCTP between 2013 and 2021 were reviewed. All cases were evaluated retrospectively. Follow-up information was gained via phone conversation with owners and referring veterinarians. Results: Data were collected for 13 horses that fulfilled the study criteria. A total of eight horses underwent distal tarsal arthrodesis, and five underwent carpometacarpal arthrodesis. Twelve of thirteen horses went back to some level of athletic performance. Eight of 13 returned to the same level, while 4 of 13 returned to a lower level. Minor postoperative complications were recorded in 3 of 13 cases, with all horses suffering manageable short-term complications returning to the same level of work. Two horses suffered a major complication, with one resulting in euthanasia. Conclusions: Carpometacarpal and distal tarsal arthrodesis performed using the LCP and LCTP allowed all surviving horses in the study to obtain immediate postoperative comfort and eventual return to use.
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Publication Date: 2022-09-19 PubMed ID: 36122584DOI: 10.1055/s-0042-1756518Google Scholar: Lookup
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Summary
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The research article presents an investigation into the use of locking compression plates (LCP) and locking compression T-plates (LCTP) in surgically fusing the joints of horses dealing with osteoarthritis and small bone fractures, providing an evaluation of clinical outcomes.
Research Methodology
- The primary research method involved the analysis of case records from horses that had undergone surgical arthrodesis (joint fusion) of either the carpometacarpal or distal tarsal joints with the use of a locking compression plate or a locking compression T-plate.
- This review covered a period from the year 2013 to 2021, hence providing an extensive set of data for observation and study.
- The research study was conducted retrospectively, implying that it made use of historical data, not manipulated by contemporary experimental conditions.
- Follow-up information was predominantly collected through phone conversations with the owners of the horses and their veterinarians.
Results and Findings
- The researchers collected data from 13 horses that met the specific study criteria.
- Of these, eight had undergone distal tarsal arthrodesis and five had undergone carpometacarpal arthrodesis.
- It was observed that 12 out of 13 horses managed to return to a certain level of athletic performance post-surgery. Specifically, eight horses returned to the same level of performance, while four returned to a lower level.
- Further, they reported minor postoperative complications in three out of 13 cases. All horses that dealt with short-term, manageable complications eventually returned to their initial level of work.
- Two horses had major complications, with one severe enough to necessitate euthanasia.
Conclusion
- The use of locking compression plates and locking compression T-plates for the surgical arthrodesis of the carpometacarpal and distal tarsal joints was found to be beneficial.
- The surgery provided immediate postoperative comfort for all surviving horses and enabled their eventual return to athletic use.
- This treatment may be a viable option for alleviating osteoarthritis and small carpal or tarsal bone fractures in horses and encouraging their return to pre-injury activity levels.
Cite This Article
APA
Lambert JL, García-López JM, Gasiorowski JC.
(2022).
Use of Locking Compression Plate and Locking Compression T-Plate for Surgical Arthrodesis of the Carpometacarpal and Distal Tarsal Joints in 13 Horses.
Vet Comp Orthop Traumatol, 36(1), 39-45.
https://doi.org/10.1055/s-0042-1756518 Publication
Researcher Affiliations
- Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, United States.
- Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, Massachusetts, United States.
- Department of Surgery, Mid-Atlantic Equine Medical Center, Ringoes, New Jersey, United States.
MeSH Terms
- Horses / surgery
- Animals
- Treatment Outcome
- Retrospective Studies
- Osteoarthritis / veterinary
- Arthrodesis / veterinary
- Arthrodesis / methods
- Bone Plates / veterinary
- Tarsal Joints
- Horse Diseases / surgery
Conflict of Interest Statement
None declared.
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