Thirteen Pancarpal Arthrodeses Using 2.7/3.5 mm Hybrid Dynamic Compression Plates

1999 ◽  
Vol 12 (03) ◽  
pp. 102-107 ◽  
Author(s):  
N. Gibson ◽  
S. Carmichael ◽  
D. Bennett ◽  
A. Li

SummaryThirteen pancarpal arthrodeses were performed in eleven dogs at the University of Glasgow Veterinary School. All of the animals were presented as referral patients. Two of the eleven dogs had the procedure carried out in both carpi. The arthrodeses were carried out using a 2.7/3.5 mm hybrid dynamic compression platea. The animals were between 1 year and 11 years of age. Their weight ranged from 15 kg to 38 kg. Two cases had associated soft tissue trauma/infection prior to the surgery; these two dogs together with one other developed post-operative soft tissue problems. The soft tissue problems had resolved by the time of radiographic arthrodesis. The plate was removed in three cases due to persistent lameness. The animals were followed up for a period of at least eight weeks postoperatively; the maximum follow-up time was fourteen months. Arthrodesis occurred in all thirteen antebrachio-carpal joints. The hybrid plate can thus be recommended for carpal arthrodesis in the dog and has many advantages over a conventional dynamic compression plate.Pancarpal arthrodeses were performed in dogs using custom made 2.7/3.5 mm Hybrid Dynamic Compression Plates instead of conventional AO/ASIF Dynamic Compression Plates (DCP). The implantation of the plates was facilitated by their profile and the usage of smaller 2.7 mm screws in the metacarpal regions. All of the carpi went on to full arthrodesis within the follow-up period. The rate of complications associated with the use of this plate compares favourably against previous similar studies using the conventional DCP.

1994 ◽  
Vol 07 (04) ◽  
pp. 180-182
Author(s):  
N. Gofton ◽  
Joanne Cockshutt

The AO wire passer can be used as an effective guide for passage of obstetrical saw wire for osteotomy. Use of the wire saw and passer reduces soft tissue trauma by minimizing tissue dissection, and promoting positioning of the saw in close contact with the bone.


1992 ◽  
Vol 8 (04) ◽  
pp. 233-241 ◽  
Author(s):  
Fred Stucker ◽  
Denis Hoasjoe

2000 ◽  
Vol 48 (3) ◽  
pp. 479-483 ◽  
Author(s):  
Patricia S. Landry ◽  
Andrew A. Marino ◽  
Kalia K. Sadasivan ◽  
James A. Albright

1978 ◽  
Vol 10 (6) ◽  
pp. 404-414 ◽  
Author(s):  
M. Silberschmid ◽  
C. Lund ◽  
K. Szczepanski ◽  
S. Lyager

1974 ◽  
Vol 6 (4) ◽  
pp. 233-246 ◽  
Author(s):  
J. Sandegård ◽  
J. Nolte ◽  
D.H. Lewis ◽  
T. Seeman

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0015 ◽  
Author(s):  
Nicholas Bellas ◽  
Carl Cirino ◽  
Mark Cote ◽  
Vinayak Sathe ◽  
Lauren Geaney

Category: Other Introduction/Purpose: Patient reported outcome measures serve as an invaluable tool in both the clinical and research setting to monitor a patient’s condition and efficacy of treatments over time. We aim to validate the Single Assessment Numeric Evaluation (SANE) score for disorders of the lower extremity using the revised Foot Function Index (rFFI) as a reference. The rFFI is a validated 34-question survey tool utilized in the evaluation of patients with foot and ankle related pathology [1-4], while the SANE score consists of a patient’s single numerical rating of the status of their extremity [5]. Given its ease of use and prior validation with shoulder pathology, the SANE score has potential as a practical and effective outcome measure in foot and ankle pathology. Methods: Patient age, sex, visit diagnosis by ICD-10 code, SANE score, and FFI score were collected retrospectively from 218 initial patient encounters between January 2015 through July 2017. Patients were included if they were 18 years and older presenting for outpatient evaluation to the University of Connecticut Foot and Ankle Orthopedic Department. Patients were excluded if they had incomplete SANE or rFFI data. The rFFI is a 34-question survey with subscales including pain (7 questions), stiffness (7 questions), activity limitation (3 questions), difficulty (11 questions), and social issues (6 questions). Results of the two scores were compared using the Pearson or Spearman correlation coefficients with correlation defined as excellent (>0.7), excellent-good (0.61-0.7), good (0.4-0.6), or poor (0.2-0.39) [6]. Diagnoses were categorized into 9 subgroups that were analyzed including: forefoot, plantar fasciitis, arthritis, deformity, fracture, tendinitis, OCD, soft tissue trauma and “other”. Results: The SANE score had good correlation with the overall rFFI score (r=0.51, p<0.001). When comparing the SANE score to the rFFI subscores, there was good correlation with pain (r=0.42, p<0.001), good correlation with stiffness (r=0.44, p<0.001), poor correlation with activity (r=0.36, p<0.001), good correlation with difficulty (r=0.52, p<0.001), and poor correlation with social issues (r=0.39, p<0.001). Sub-analysis showed an excellent to good correlation between SANE and rFFI score for forefoot pathology (r=0.67, p<0.001), “other” pathologies (r=0.65, p<0.001), and plantar fasciitis (r=0.63, p<0.016), good correlation for arthritis (r=0.49, p<0.038), deformity (r=0.60, p<0.010), fracture (r=0.50, p<0.004), and tendinitis (r=0.47, p<0.017), and no significant correlation for OCD of the talus (r=0.56, p<0.145) and soft tissue trauma (r=0.19, p<0.319). Conclusion: The SANE score demonstrates good correlation with the rFFI overall. However, its correlation varies depending on the subscore of the rFFI and the presenting pathology of the patient. The SANE score correlates best with the rFFI pain, stiffness, and difficulty subscore, and poorly with activity and social issues. In addition, the SANE score correlates best with forefoot pathologies, plantar fasciitis, and “other” pathologies but does not correlate with patients presenting for OCD of the talus or soft tissue trauma.


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