Intertarsal and Tarsometatarsal Arthrodesis Using a Plantar Approach

Summary

The exposure and convenience of a plantar approach combined with the use of various plates for intertarsal and tarso-metatarsal arthrodesis is reported in four limbs. The approach was straight-forward with good exposure and the design of the new carpal arthrodesis plate uniquely accommodated the plantar tarsometatarsal anatomy.

This report in dogs concerns one case of bilateral auto-immune proximal intertarsal subluxation (talocalcaneal-centroquartal), one case of traumatic intertarso-metatarsal luxation and one case of traumatic tarsometatarsal subluxation/fracture. All were treated by arthrodesis using a plantar approach with a plate as primary fixation.

Keywords

Intertarsal arthrodesis - tarsometatarsal arthrodesis - plantar approach - carpal arthrodesis plate - tarsal arthrodesis

• REFERENCES

• 1 Dieterich HF. Arthrodesis of the proximal intertarsal joint for repair of rupture of proximal plantar intertarsal ligaments. Vet Med Sm Anim Clinician 1974; 995-1003.
• 2 Piermattei DL. An Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 3rd ed. Philadelphia: WB Saunders Co; 1993: 308-13.
• 3 DeCamp. Martinez SA, Johnston SA. Pantarsal arthrodesis in dogs and a cat: 11 cases (1983–1991). J Am Vet Med Assoc 1993; 203: 1705-7.
• 4 Allen MJ, Dyce J, Houlton JEF. Calcaneoquartal arthrodesis in the dog. J Sm An Pract 1993; 34: 205-10.
• 5 Penwick RC, Clark DM. A simple technique for tarsometatarsal arthrodesis in small animals. J Am An Hosp Assoc 1988; 24: 183-8.
• 6 Brinker WO, Piermattei DL, Flo GL. Handbook of Small Animal Orthopedics and Fracture Repair. 3rd ed. Philadelphia: WB Saunders Co; 1997: 649-52.
• 7 Turner TM, Lipowitz AJ. Arthrodesis. In: Current Techniques in Small Animal Surgery. 4th ed. Bojrab MJ. ed. Baltimore: Williams & Wilkens MD; 1998: 1284-6.
• 8 Dyce J, Whitelock RG, Robinson KV. et al. Arthrodesis of the canine tarsometatarsal joint using a laterally applied plate. J Vet Surg. 1997 253 abstr.
• 9 Dee JF. Tarsus. In: Current Techniques in Small Animal Surgery. 4th ed. Bojrab MJ. ed. Baltimore, MD: Williams & Wilkens; 1998: 1245-52.
• 10 Chambers JN, Bjorling DE. Palmar surface plating for arthrodesis of the canine carpus. J Am An Hosp Assoc 1982; 18: 875-82.
• 11 Muir P, Johnson KA, Markel MD. Area moment of inertia for comparison of implant cross-sectional geometry and bending stiffness. Vet Comp Orthop Traumatol 1995; 08: 146-52.
• 12 Budsberg SC, Verstraete MC, Soutas-Little RW. Force plate analysis of the walking gait in healthy dogs. Am J Vet Res 1987; 48: 915-8.