Use of a three-drill-tract technique for arthrodesis of the distal tarsal joints in horses with distal tarsal osteoarthritis: 54 Cases (1990-1999)

Julie E Dechant, Gary M. Baxter, Louise L. Southwood, William H. Crawford, Bradley R. Jackman, Ted S. Stashak, Gayle W. Trotter, Dean A. Hendrickson

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Objective - To assess the long-term clinical outcome of horses with distal tarsal osteoarthritis (OA) in which a 3-drill-tract technique was used to induce arthrodesis of the affected joints, identify any preoperative or operative factors associated with outcome, and describe any complications associated with the technique. Design - Retrospective study. Animals - 54 horses. Procedure - Medical records were reviewed for information on signalment, use, history, physical and lameness examination findings, surgical technique, and postoperative care. Radiographs were examined, and severity of OA was graded. Follow-up information was obtained through telephone interviews with owners at least 13 months after the procedure. Results - 32 (59%) horses had a successful outcome, 6 (11 %) improved but were not sound after surgery, and 16 (30%) did not improve following surgery. Outcome was negatively associated with the previous use of intra-articular injections. Few postoperative complications were evident. Conclusions and Clinical Relevance - Results suggest that distal tarsal OA in horses can be successfully treated by means of distal tarsal arthrodesis with a 3-drill-tract technique. Horses with advanced distal tarsal OA are likely to have poorer outcomes, and the procedure will likely be of minimal benefit in horses with concomitant causes of hind limb lameness prior to surgery and in horses with preexisting proximal intertarsal joint disease.

Original languageEnglish (US)
Pages (from-to)1800-1805
Number of pages6
JournalJournal of the American Veterinary Medical Association
Volume223
Issue number12
DOIs
StatePublished - Dec 15 2003
Externally publishedYes

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Tarsal Joints
Mandrillus
Arthrodesis
osteoarthritis
joints (animal)
Osteoarthritis
Horses
horses
surgery
lameness
methodology
postoperative care
Intra-Articular Injections
joint diseases
postoperative complications
Postoperative Care
Joint Diseases
arthrodesis
limbs (animal)
retrospective studies

ASJC Scopus subject areas

  • veterinary(all)

Cite this

Use of a three-drill-tract technique for arthrodesis of the distal tarsal joints in horses with distal tarsal osteoarthritis : 54 Cases (1990-1999). / Dechant, Julie E; Baxter, Gary M.; Southwood, Louise L.; Crawford, William H.; Jackman, Bradley R.; Stashak, Ted S.; Trotter, Gayle W.; Hendrickson, Dean A.

In: Journal of the American Veterinary Medical Association, Vol. 223, No. 12, 15.12.2003, p. 1800-1805.

Research output: Contribution to journalArticle

Dechant, Julie E ; Baxter, Gary M. ; Southwood, Louise L. ; Crawford, William H. ; Jackman, Bradley R. ; Stashak, Ted S. ; Trotter, Gayle W. ; Hendrickson, Dean A. / Use of a three-drill-tract technique for arthrodesis of the distal tarsal joints in horses with distal tarsal osteoarthritis : 54 Cases (1990-1999). In: Journal of the American Veterinary Medical Association. 2003 ; Vol. 223, No. 12. pp. 1800-1805.
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abstract = "Objective - To assess the long-term clinical outcome of horses with distal tarsal osteoarthritis (OA) in which a 3-drill-tract technique was used to induce arthrodesis of the affected joints, identify any preoperative or operative factors associated with outcome, and describe any complications associated with the technique. Design - Retrospective study. Animals - 54 horses. Procedure - Medical records were reviewed for information on signalment, use, history, physical and lameness examination findings, surgical technique, and postoperative care. Radiographs were examined, and severity of OA was graded. Follow-up information was obtained through telephone interviews with owners at least 13 months after the procedure. Results - 32 (59{\%}) horses had a successful outcome, 6 (11 {\%}) improved but were not sound after surgery, and 16 (30{\%}) did not improve following surgery. Outcome was negatively associated with the previous use of intra-articular injections. Few postoperative complications were evident. Conclusions and Clinical Relevance - Results suggest that distal tarsal OA in horses can be successfully treated by means of distal tarsal arthrodesis with a 3-drill-tract technique. Horses with advanced distal tarsal OA are likely to have poorer outcomes, and the procedure will likely be of minimal benefit in horses with concomitant causes of hind limb lameness prior to surgery and in horses with preexisting proximal intertarsal joint disease.",
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