Proximal interphalangeal joint arthrodesis in horses: concepts, indications, and techniques

Authors

DOI:

https://doi.org/10.11606/issn.1678-4456.bjvras.2021.178586

Keywords:

Osteoarthritis, Arthrodesis, Orthopedics, Pastern, Lameness, Horses

Abstract

Surgical arthrodesis is effective for treating proximal interphalangeal joint (PIJ) injuries in horses. Despite several techniques described so far, the use of a 3-hole, 4.5mm-locking compression plate, associated with two 5.5-mm transarticular cortex screws, is currently considered the “gold standard.” This review describes the anatomy of the pastern, as well as causes, indications, and possibilities for arthrodesis in the equine PIJ. A description of the current surgical technique for joint fixation is also presented.

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References

Ahern BJ, Showalter BL, Elliott DM, Richardson DW, Getman LM. In vitro biomechanical comparison of a 4.5 mm narrow locking compression plate construct versus a 4.5 mm limited contact dynamic compression plate construct for erthrodesis of the equine proximal interphalangeal joint. Vet Surg. 2013;42(3):335-9. https://doi.org/10.1111/j.1532-950X.2013.01111.x. PMid:23445267.

Auer JA [Internet]. AOVet - AO Surgery Reference - Horse Trauma; 2020 [cited 2020 Mar 23]. Available from: https://surgeryreference.aofoundation.org/vet/horse

Bailey CJ, Reid SWJ, Hodgson DR, Rose RJ. Impact of injuries and disease on a cohort of two- and three-year-old thoroughbreds in training. Vet Rec. 1999;145(17):487-93. https://doi.org/10.1136/vr.145.17.487. PMid:10596871.

Carmalt JL, Delaney L, Wilson DG. Arthrodesis of the proximal interphalangeal joint in the horse: A cyclic biomechanical comparison of two and three parallel cortical screws inserted in lag fashion. Vet Surg. 2010;39(1):91-4. https://doi.org/10.1111/j.1532-950X.2009.00614.x. PMid:20210951.

Caston S, McClure S, Beug J, Kersh K, Reinertson E, Wang C. Retrospective evaluation of facilitated pastern ankylosis using intra-articular ethanol injections: 34 cases (2006-2012). Equine Vet J. 2013;45(4):442-7. https://doi.org/10.1111/evj.12012. PMid:23253080.

Denoix JM. Functional anatomy of tendons and ligaments in the distal limbs (manus and pes). Vet Clin North Am Equine Pract. 1994;10(2):273-322. https://doi.org/10.1016/S0749-0739(17)30358-9. PMid:7987720.

Fails AD. Functional anatomy of the equine musculoskeletal system. In: Baxter GM. Adams and Stashak’s Lameness in Horses. 7th ed. New York: Wiley; 2020. p. 1-65. https://doi.org/10.1002/9781119276715.ch1.

Farnsworth K, Souza C, Jones A, Heaton K. A standing percutaneous technique for proximal interphalangeal joint arthrodesis in twelve horses (2014-2017). Vet Comp Orthop Traumatol. 2019;32(2):165-70. https://doi.org/10.1055/s-0039-1677747. PMid:30847872.

Galuppo LD, Stover SM, Willits NH. A biomechanical comparison of double-plate and Y-plate fixation for comminuted equine second phalangeal fractures. Vet Surg. 2000;29(2):152-62. https://doi.org/10.1111/j.1532-950X.2000.00152.x. PMid:10730708.

Getty R. Sisson e Grossman: Anatomia dos animais domésticos. 5th ed. Rio de janeiro: Guanabara Koogan; 1986. 1168 p.

Ghouri A, Conaghan PG. Update on novel pharmacological therapies for osteoarthritis. Ther Adv Musculoskelet Dis. 2019;11:1-11. https://doi.org/10.1177/1759720X19864492. PMid:31384314.

Goodrich LR, Moll HD, Crisman MV, Lessard P, Bigbie RB. Comparison of equine amnion and a nonadherent wound dressing material for bandaging pinch-grafted wounds in ponies. Am J Vet Res. 2000;61(3):326-9. https://doi.org/10.2460/ajvr.2000.61.326. PMid:10714527.

Goodrich LR, Nixon AJ. Medical treatment of osteoarthritis in the horse – A review. Vet J. 2006;171(1):51-69. https://doi.org/10.1016/j.tvjl.2004.07.008. PMid:16427582.

Gudehus T, Sod GA, Riggs LM, Mitchell CF, Martin GS. An in vitro biomechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: two parallel transarticular headless tapered variable pitch screws versus two parallel transarticular AO cortical bone screws inserted in lag fashion. Vet Surg. 2011;40(3):261-5. https://doi.org/10.1111/j.1532-950X.2011.00817.x. PMid:21361995.

Herthel TD, Rick MC, Judy CE, Cohen ND, Herthel DJ. Retrospective analysis of factors associated with outcome of proximal interphalangeal joint arthrodesis in 82 horses including Warmblood and Thoroughbred sport horses and Quarter Horses (1992-2014). Equine Vet J. 2016;48(5):557-64. https://doi.org/10.1111/evj.12503. PMid:26289294.

Kawcak CE, Barrett MF. Proximal interphalageal joint. In: McIlwraith CW, Frisbie DD, Kawcak CE, van Weeren R. Joint disease in the horse. 2nd ed. Saint Louis: Elsevier; 2016. p. 295-301.

Knox PM, Watkins JP. Proximal interphalangeal joint arthrodesis using a combination plate-screw technique in 53 horses (1994-2003). Equine Vet J. 2006;38(6):538-42. https://doi.org/10.2746/042516406X154840. PMid:17124844.

Latorre CAS, de Souza AF, Ramos PAR, Nóbrega FS, van de Graaf GMM, Pereira CAM, Ferrigno CRA, Hendrickson DA, De Zoppa ALDV. Comparison of a 3-hole 4.5-mm dynamic compression plate and a 7-hole 5.5-mm Y locking compression plate for arthrodesis of the proximal interphalangeal joint in horses - An ex vivo biomechanical study. J Equine Vet Sci. 2020;94:103252. https://doi.org/10.1016/j.jevs.2020.103252. PMid:33077103.

Levet T, Martens A, Devisscher L, Duchateau L, Bogaert L, Vlaminck L. Distal limb cast sores in horses: risk factors and early detection using thermography. Equine Vet J. 2009;41(1):18-23. https://doi.org/10.2746/042516408X343046. PMid:19301577.

Levine DG, Richardson DW. Clinical use of the locking compression plate (LCP) in horses: A retrospective study of 31 cases (2004-2006). Equine Vet J. 2007;39(5):401-6. https://doi.org/10.2746/042516407X196555. PMid:17910263.

Lischer CJ, Auer JA. Arthrodesis techniques. In: Auer JA, Stick JA, Kummerle JM, Prange T. Equine surgery. 5th ed. Saint Louis: Elsevier; 2019. p. 1374-98. https://doi.org/10.1016/B978-0-323-48420-6.00082-X.

Litwiniuk M, Grzela T. Amniotic membrane: new concepts for an old dressing. Wound Repair Regen. 2014;22(4):451-6. https://doi.org/10.1111/wrr.12188. PMid:25041617.

MacLellan KNM, Crawford WH, MacDonald DG. Proximal interphalangeal joint arthrodesis in 34 horses using two parallel 5.5-mm cortical bone screws. Vet Surg. 2001;30(5):454-9. https://doi.org/10.1053/jvet.2001.25873. PMid:11555821.

McIlwraith CW, Frisbie DD. Microfracture: basic science studies in the horse. Cartilage. 2010;1(2):87-95. https://doi.org/10.1177/1947603510367427. PMid:26069539.

McIlwraith CW, Goodman NL. Conditions of the interphalangeal joints. Vet Clin North Am Equine Pract. 1989;5(1):161-78. https://doi.org/10.1016/S0749-0739(17)30609-0. PMid:2650829.

Oliveira VA, Alvarenga J. Membrana amniótica preservada em glicerina no reparo de feridas cutâneas de membros locomotores de eqüinos. Cienc Rural. 1998;28(4):623-8. https://doi.org/10.1590/S0103-84781998000400014.

Parks A. Form and function of the equine digit. Vet Clin North Am Equine Pract. 2003;19(2):285-307, v. https://doi.org/10.1016/S0749-0739(03)00018-X. PMid:14575161.

Penraat JH, Allen AL, Fretz PB, Bailey JV. An evaluation of chemical arthrodesis of the proximal interphalangeal joint in the horse by using monoiodoacetate. Can J Vet Res. 2000;64(4):212-21. PMid:11041498.

Perren SM, Buchanan JS. Basic concepts relevant to the design and development of the Point Contact Fixator (PC-Fix). Injury. 1995;26(Suppl. 2):SB1-4. https://doi.org/10.1016/0020-1383(95)96891-7.

Pollitt CC. Clinical anatomy and physiology of the normal equine foot. Equine Vet Educ. 1992;4(5):219-24. https://doi.org/10.1111/j.2042-3292.1992.tb01623.x.

Read EK, Chandler D, Wilson DG. Arthrodesis of the equine proximal interphalangeal joint: A mechanical comparison of 2 parallel 5.5 mm cortical screws and 3 parallel 5.5 mm cortical screws. Vet Surg. 2005;34(2):142-7. https://doi.org/10.1111/j.1532-950X.2005.00022.x. PMid:15860105.

Rocconi RA, Carmalt JL, Sampson SN, Elder SH, Gilbert EE. Comparison of limited-contact dynamic compression plate and locking compression plate constructs for proximal interphalangeal joint arthrodesis in the horse. Can Vet J. 2015;56(6):615-9. PMid:26028685.

Sakai RR, Goodrich LR, Katzman SA, Moorman VJ, Leise BS, Kawcak CE, Galuppo LD. Use of a locking compression plate for equine proximal interphalangeal joint arthrodesis: 29 cases (2008–2014). J Am Vet Med Assoc. 2018;253(11):1460-6. https://doi.org/10.2460/javma.253.11.1460. PMid:30451612.

Schaer TP, Bramlage LR, Embertson RM, Hance S. Proximal interphalangeal arthrodesis in 22 horses. Equine Vet J. 2010;33(4):360-5. https://doi.org/10.2746/042516401776249552. PMid:11469768.

Schneider JE, Carnine BL, Guffy MM. Arthrodesis of the proximal interphalangeal joint in the horse: a surgical treatment for high ringbone. J Am Vet Med Assoc. 1978;173(10):1364-9. PMid:365842.

Schneider RK, Bramlage LR, Hardy J. Arthrodesis of the distal interphalangeal joint in two horses using three parallel 5.5-mm cortical screws. Vet Surg. 1993;22(2):122-8. https://doi.org/10.1111/j.1532-950X.1993.tb01685.x. PMid:8511845.

Schumacher J, Livesey L, DeGraves FJ, Schumacher J, Schramme MC, Hathcock J, Taintor J, Gomez J. Effect of anaesthesia of the palmar digital nerves on proximal interphalangeal joint pain in the horse. Equine Vet J. 2004;36(5):409-14. https://doi.org/10.2746/0425164044868404. PMid:15253081.

Scott M. Musculoskeletal injuries in nonracing Quarter Horses. Vet Clin North Am Equine Pract. 2008;24(1):133-52. https://doi.org/10.1016/j.cveq.2007.11.006. PMid:18314040.

Seo JP, Yamaga T, Tsuzuki N, Yamada K, Haneda S, Furuoka H, Sasaki N. In vitro biomechanical comparison of a 5-hole 4.5 mm locking compression plate and 5-hole 4.5 mm dynamic compression plate for equine proximal interphalangeal joint arthrodesis. Vet Surg. 2014;43(5):606-11. https://doi.org/10.1111/j.1532-950X.2014.12164.x. PMid:24512440.

Sod GA, Mitchell CF, Hubert JD, Martin GS, Gill MS. In vitro biomechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: prototype equine spoon plate versus axially positioned dynamic compression plate and two abaxial transarticular cortical screws inserted in lag fashion. Vet Surg. 2007;36(8):792-9. https://doi.org/10.1111/j.1532-950X.2007.00338.x. PMid:18067621.

Sod GA, Riggs LM, Mitchell CF, Hubert JD, Martin GS. An in vitro biomechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: an axial positioned dynamic compression plate and two abaxial transarticular cortical screws inserted in lag fashion versus three parallel transarticular. Vet Surg. 2010;39(1):83-90. https://doi.org/10.1111/j.1532-950X.2009.00615.x. PMid:20210950.

Sod GA, Riggs LM, Mitchell CF, Martin GS. A mechanical comparison of equine proximal interphalangeal joint arthrodesis techniques: An axial locking compression plate and two abaxial transarticular cortical screws versus an axial dynamic compression plate and two abaxial transarticular cortical sc. Vet Surg. 2011;40(5):571-8. https://doi.org/10.1111/j.1532-950X.2011.00830.x. PMid:21521241.

Souto MTM, Fantoni DT, Hamaji A, Hamaji M, Vendruscolo CP, Otsuki DA, Pinto ACB, Ambrósio AM. Ultrasound-guided continuous block of median and ulnar nerves in horses: development of the technique. Vet Anaesth Analg. 2020;47(3):405-13. https://doi.org/10.1016/j.vaa.2019.12.008. PMid:32249126.

Souza AF, Nóbrega FS, Spagnolo JD, Corrêa RR, Silva LCLC, Zoppa ALV. Cirurgia ortopédica em equinos no Brasil: Evolução e estudo retrospectivo dos casos de fraturas no Serviço de Cirurgia de Grandes Animais da Universidade de São Paulo (1997-2019). Ars Vet. 2020a;36(2):98. https://doi.org/10.15361/2175-0106.2020v36n2p98-108.

Souza AF, Paretsis NF, Zoppa ALV. What is the evidence of hyaluronic acid and polyacrylamide hydrogel in intra-articular therapy in equines? Systematic literature review. J Equine Vet Sci. 2020b;86:102909. https://doi.org/10.1016/j.jevs.2019.102909. PMid:32067659.

Steenhaut M, Verschooten F, Moor A. Arthrodesis of the pastern joint in the horse. Equine Vet J. 1985;17(1):35-40. https://doi.org/10.1111/j.2042-3306.1985.tb02036.x. PMid:3979371.

Trotter GW, McIlwraith CW, Norrdin RW, Turner AS. Degenerative joint disease with osteochondrosis of the proximal interphalangeal joint in young horses. J Am Vet Med Assoc. 1982;180(11):1312-8. PMid:7096172.

Vidović A, Jansen D, Schwan S, Goldstein A, Ludtka C, Brehm W. Arthrodesis of the equine proximal interphalangeal joint: A biomechanical comparison of 2 different LCP systems. Tierärztliche Prax Ausgabe G Großtiere Nutztiere. 2020;48(1):25-34. https://doi.org/10.1055/a-1067-3819.

Watkins JP. Arthrodesis of the proximal interphalangeal joint. In: Nixon AJ. Equine fracture repair. 2nd ed. Hoboken: Wiley; 2020. p. 277-94.

Watt BC, Edwards RB 3rd, Markel MD, McCabe R, Wilson DG. Arthrodesis of the equine proximal interphalangeal joint: A biomechanical comparison of two 7-hole 3.5-mm broad and two 5-hole 4.5-mm narrow dynamic compression plates. Vet Surg. 2002;31(1):85-93. https://doi.org/10.1053/jvet.2002.29457. PMid:11778172.

Wolker RRE, Carmalt JL, Wilson DG. Arthrodesis of the equine proximal interphalangeal joint: A biomechanical comparison of two parallel headless, tapered, variable-pitched, titanium compression screws and two parallel 5.5 mm stainless-steel cortical screws. Vet Surg. 2009;38(7):861-7. https://doi.org/10.1111/j.1532-950X.2009.00574.x. PMid:19781029.

Wolker RRE, Wilson DG, Allen AL, Carmalt JL. Evaluation of ethyl alcohol for use in a minimally invasive technique for equine proximal interphalangeal joint arthrodesis. Vet Surg. 2011;40(3):291-8. https://doi.org/10.1111/j.1532-950X.2010.00794.x. PMid:21244446.

Zoppa ALV, Santoni B, Puttlitz CM, Cochran K, Hendrickson DA. Arthrodesis of the equine proximal interphalangeal joint: A biomechanical comparison of 3-hole 4.5 mm locking compression plate and 3-hole 4.5 mm narrow dynamic compression plate, with two transarticular 5.5 mm cortex screws. Vet Surg. 2011;40(2):253-9. https://doi.org/10.1111/j.1532-950X.2010.00792.x. PMid:21244444.

Zubrod CJ, Schneider RK. Arthrodesis techniques in horses. Vet Clin North Am Equine Pract. 2005;21(3):691-711, vii. https://doi.org/10.1016/j.cveq.2005.07.004. PMid:16297728.

Zubrod CJ, Schneider RK, Hague BA, Ragle CA, Gavin PR, Kawcak CE. Comparison of three methods for arthrodesis of the distal intertarsal and tarsometatarsal joints in horses. Vet Surg. 2005;34(4):372-82. https://doi.org/10.1111/j.1532-950X.2005.00057.x. PMid:16212593.

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Published

2021-04-13

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Souza, A. F., & Zoppa, A. L. do V. (2021). Proximal interphalangeal joint arthrodesis in horses: concepts, indications, and techniques. Brazilian Journal of Veterinary Research and Animal Science, 58, e178586. https://doi.org/10.11606/issn.1678-4456.bjvras.2021.178586

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