Implant removal rate after partial carpal arthrodesis in dogs: A retrospective analysis of 22 cases

IntroductionThe purpose of this study is to determine the rate of implant removal after partial carpal arthrodesis and to investigate factors associated with implant removal.MethodsCase records of 22 dogs that underwent partial carpal arthrodesis at two private veterinary referral hospitals were rev...

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Main Authors: Caroline J. Choi, Jason M. Balara, Sue A. Casale, Kirk L. Wendelburg
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2023.1160129/full
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author Caroline J. Choi
Caroline J. Choi
Jason M. Balara
Sue A. Casale
Kirk L. Wendelburg
author_facet Caroline J. Choi
Caroline J. Choi
Jason M. Balara
Sue A. Casale
Kirk L. Wendelburg
author_sort Caroline J. Choi
collection DOAJ
description IntroductionThe purpose of this study is to determine the rate of implant removal after partial carpal arthrodesis and to investigate factors associated with implant removal.MethodsCase records of 22 dogs that underwent partial carpal arthrodesis at two private veterinary referral hospitals were reviewed. Details retrieved were body weight at time of surgery, sex, neuter status, breed, age, cause of carpal hyperextension injury, joint(s) involved in carpal hyperextension injury, laterality, type of implant, administration of post-operative antibiotics, post-operative outcome and indication for implant removal. Association between these factors and implant removal was evaluated.ResultsOf 22 partial carpal arthrodesis, 12 (55%) had implant removal due to persistent lameness and 9/12 (75%) returned to full and acceptable function after implant removal. Indications for implant removal were implant interference (8), infection (4), and migration (1). When comparing type of implant, there was a significant difference when observing implant removal rates (p = 0.04). All 5 dogs with pins and wires (100%) required implant removal. Of 17 dogs with a plate, 7 (41.2%) required implant removal. Implant removal was performed on average 114 days post-operative.DiscussionImplant removal after partial carpal arthrodesis was frequent and was commonly indicated due to pin and wire fixation or plate implant interference. This study may impact how we prepare clients for potential post-operative complications and implant removal when recommending partial carpal arthrodesis.
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spelling doaj.art-34566ec11133404da5702427d223f7512023-04-04T04:25:28ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692023-04-011010.3389/fvets.2023.11601291160129Implant removal rate after partial carpal arthrodesis in dogs: A retrospective analysis of 22 casesCaroline J. Choi0Caroline J. Choi1Jason M. Balara2Sue A. Casale3Kirk L. Wendelburg4Department of Surgery, VCA Animal Specialty Group, Los Angeles, CA, United StatesDepartment of Surgery, Angell Animal Medical Center, Boston, MA, United StatesDepartment of Surgery, VCA Animal Specialty Group, Los Angeles, CA, United StatesDepartment of Surgery, Angell Animal Medical Center, Boston, MA, United StatesDepartment of Surgery, VCA Animal Specialty Group, Los Angeles, CA, United StatesIntroductionThe purpose of this study is to determine the rate of implant removal after partial carpal arthrodesis and to investigate factors associated with implant removal.MethodsCase records of 22 dogs that underwent partial carpal arthrodesis at two private veterinary referral hospitals were reviewed. Details retrieved were body weight at time of surgery, sex, neuter status, breed, age, cause of carpal hyperextension injury, joint(s) involved in carpal hyperextension injury, laterality, type of implant, administration of post-operative antibiotics, post-operative outcome and indication for implant removal. Association between these factors and implant removal was evaluated.ResultsOf 22 partial carpal arthrodesis, 12 (55%) had implant removal due to persistent lameness and 9/12 (75%) returned to full and acceptable function after implant removal. Indications for implant removal were implant interference (8), infection (4), and migration (1). When comparing type of implant, there was a significant difference when observing implant removal rates (p = 0.04). All 5 dogs with pins and wires (100%) required implant removal. Of 17 dogs with a plate, 7 (41.2%) required implant removal. Implant removal was performed on average 114 days post-operative.DiscussionImplant removal after partial carpal arthrodesis was frequent and was commonly indicated due to pin and wire fixation or plate implant interference. This study may impact how we prepare clients for potential post-operative complications and implant removal when recommending partial carpal arthrodesis.https://www.frontiersin.org/articles/10.3389/fvets.2023.1160129/fullcarpushyperextensionarthrodesisinjuryimplant
spellingShingle Caroline J. Choi
Caroline J. Choi
Jason M. Balara
Sue A. Casale
Kirk L. Wendelburg
Implant removal rate after partial carpal arthrodesis in dogs: A retrospective analysis of 22 cases
Frontiers in Veterinary Science
carpus
hyperextension
arthrodesis
injury
implant
title Implant removal rate after partial carpal arthrodesis in dogs: A retrospective analysis of 22 cases
title_full Implant removal rate after partial carpal arthrodesis in dogs: A retrospective analysis of 22 cases
title_fullStr Implant removal rate after partial carpal arthrodesis in dogs: A retrospective analysis of 22 cases
title_full_unstemmed Implant removal rate after partial carpal arthrodesis in dogs: A retrospective analysis of 22 cases
title_short Implant removal rate after partial carpal arthrodesis in dogs: A retrospective analysis of 22 cases
title_sort implant removal rate after partial carpal arthrodesis in dogs a retrospective analysis of 22 cases
topic carpus
hyperextension
arthrodesis
injury
implant
url https://www.frontiersin.org/articles/10.3389/fvets.2023.1160129/full
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AT sueacasale implantremovalrateafterpartialcarpalarthrodesisindogsaretrospectiveanalysisof22cases
AT kirklwendelburg implantremovalrateafterpartialcarpalarthrodesisindogsaretrospectiveanalysisof22cases