Barnes D C, Knudsen C S, Gosling M, McKee M, Whitelock R G, Arthurs G I, Ness M G, Radke H, Langley-Hobbs S J
Darren C. Barnes, Dick White Referrals, Station Farm, London Road, Six-Mile-Bottom, Cambridgeshire CB8 0UH, United Kingdom, Phone: + 44 1638 572 012, Fax: +44 1638 572 013, E-Mail:
Vet Comp Orthop Traumatol. 2013;26(6):445-52. doi: 10.3415/VCOT-12-07-0089. Epub 2013 Sep 6.
To compare complication rates and the outcomes of these complications after lateral plate fixation with figure-of-eight tension-band-wire and pin or lag screw fixation for arthrodesis of the calcaneoquartal joint, following non-traumatic disruption of the plantar tarsal ligament in dogs.
Data were collected retrospectively from five UK referral centres. Diplomate specialists and their residents performed all procedures. Referring veterinarians were contacted for long-term follow-up.
Seventy-four procedures were undertaken in 61 dogs. There were 58 arthrodeses in the lateral plate group (Plate), nine in the pin and tension-band-wire group (Pin), and seven in the lag screw and tension-band wire-group (Screw). Compared to Plate (17%), further surgical intervention was required more frequently following Pin (56%, OR = 3.2) or Screw (43%, OR = 2.5) fixation. Clinical failure of arthrodesis occurred less frequently with Plate (5%) compared with Screw (43%, OR = 8.6) and Pin fixation (22%, OR = 4.4). Cases managed with external coaptation postoperatively were more likely to suffer from postoperative complications (OR = 2.2).
Lateral plating was associated with fewer postoperative complications than pin and tension-band-wire fixation for arthrodesis of the calcaneoquartal joint in dogs with non-traumatic disruption of the plantar tarsal ligament.
比较在犬跖跗韧带非创伤性断裂后，采用外侧钢板固定联合8字形张力带钢丝及克氏针或拉力螺钉固定进行跟骰关节融合术的并发症发生率及这些并发症的转归。
回顾性收集来自英国5个转诊中心的数据。所有手术均由专科医师及其住院医师完成。与转诊兽医联系以进行长期随访。
61只犬接受了74例手术。外侧钢板组（钢板组）有58例关节融合术，克氏针及张力带钢丝组（克氏针组）有9例，拉力螺钉及张力带钢丝组（螺钉组）有7例。与钢板组（17%）相比，克氏针固定（56%，比值比[OR]=3.2）或螺钉固定（43%，OR=2.5）后需要进一步手术干预的情况更常见。与螺钉固定（43%，OR=8.6）和克氏针固定（22%，OR=4.4）相比，钢板固定时关节融合术的临床失败发生率更低（5%）。术后采用外部固定的病例更易出现术后并发症（OR=2.2）。
对于跖跗韧带非创伤性断裂的犬，跟骰关节融合术采用外侧钢板固定比克氏针及张力带钢丝固定术后并发症更少。
