The Efficacy of Modified Transarticular External Skeletal Fixation Type II Technique for Management of Talocrural Instability in Dogs: Outcomes and Complications | ||||
| Journal of Current Veterinary Research | ||||
| Volume 5, Issue 2, October 2023, Page 216-232 PDF (1.11 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/jcvr.2023.320450 | ||||
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| Authors | ||||
Shaaban Gadallah; Mohamed El-Sunsafty ; Ahmed Sharshar; Tarik Misk; Martin Kramer; Ahmed Mourad*
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| Abstract | ||||
| Objective: To report the efficacy of two approaches of modified type II transarticular external skeletal fixator (TESF) without joint arthrodesis for treatment of talocrural instability/luxation (TCI) in dogs and to rate short-term outcomes and complications after its use. Study design: Retrospective study. Sample population: Ten dogs. Methods: Medical records of All dogs suffered from TCI and have been treated using TESF type II between January 2012 to December 2021 were reviewed. Information was collected including signalment, lameness score, type of TCI, accompanying injuries. The surgical management included TESF alone (n=2) and TESF with internal repair (n=8), both didn’t involve debridement of the articular cartilage. The post-operative follow-up assessment included lameness score, ankylosis and complications. Results: All dogs had satisfactory joint stability at the time of frame removal. All dogs exhibited minor complications, 4 dogs had major complications and persistent lameness. Females and older animals showed high degrees of joint ankylosis compared with males and younger animals. Conclusion: Modified-TESF type II (with internal repair) technique would be better than arthrodesis. it is considered a joint saving procedure with high success rate regarding restoration of function, lameness score, ankylosis and short term postoperative follow up complications, Modified type II TESF with internal repair showed significant outcomes especially in heavy breeds dogs, preserving the articular cartilage reduces the overall complication rate and preserved the joint function. Clinical significance: This study supports the use of temporary modified type II TESF with internal repair and without tarsal arthrodesis for management of TCI in dogs as an alternative to tarsal arthrodesis. | ||||
| Keywords | ||||
| Ankylosis; Dog; Instability; luxation; Talocrural and Modified transarticular external skeletal fixation type II | ||||
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