한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제36권5호
  • /
  • Pages.292-295
  • /
  • 2019
  • /
  • 1598-298X(pISSN)
  • /
  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지
DOI QR코드

DOI QR Code

Proximal Interphalangeal Joint (PIPJ) Arthrodesis for Treating PIPJ Osteoarthritis in a Horse

  • Seo, Jeeyoon (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Park, Joon-Young (Busan KRA Equine Hospital, Korea Racing Authority) ;
  • Lee, Minhyun (Busan KRA Equine Hospital, Korea Racing Authority) ;
  • Cho, Young-Jae (Busan KRA Equine Hospital, Korea Racing Authority) ;
  • Kim, Byung Hyun (Busan KRA Equine Hospital, Korea Racing Authority) ;
  • Seo, Jong-Pil (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University)
  • 투고 : 2019.01.08
  • 심사 : 2019.10.04
  • 발행 : 2019.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

A 2-year-old, 440 kg, thoroughbred gelding showed a lameness grade of 3 out of 5, as well as swelling and heating on the proximal interphalangeal joint (PIPJ). Periarticular new bones due to the arthritis were observed on performing radiography and ultrasonography. PIPJ arthrodesis was performed under general anesthesia. With the PIPJ open, the articular cartilage was removed by using curette, chisel, and mallet. Arthrodesis was performed with a PIP plate and two additional transarticular cortex screws inserted in lag fashion. A cast was placed over the limb distal from the proximal metatarsal bone. At 6 months after surgery, complete union of the PIPJ was confirmed by radiography, and the incision site was well closed. Based on the outcome, a PIP plate with two additional transarticular cortex screws inserted in lag fashion is recommended as a method for treating osteoarthritis of the PIPJ in horses.

키워드

참고문헌

  1. Auer JA, Lischer CJ. Arthrodesis techniques. In: Equine surgery, 4th ed. Amsterdam: Elsevier Health Sciences. 2012: 1130-1147.
  2. 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: 91-94. https://doi.org/10.1111/j.1532-950X.2009.00614.x
  3. Carpenter R, Baxter G. The equine pastern. Compend Contin Educ Vet 2011; 33: E3.
  4. Groom LJ, Gaughan EM, Lillich JD, Valentino LW. Arthrodesis of the proximal interphalangeal joint affected with septic arthritis in 8 horses. Can Vet J 2000; 41: 117-123.
  5. 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: 557-564. https://doi.org/10.1111/evj.12503
  6. Knox PM, Watkins JP. Proximal interphalangeal joint arthrodesis using a combination plate screw technique in 53 horses (1994-2003). Equine Vet J 2006; 38: 538-542. https://doi.org/10.2746/042516406X154840
  7. MacLellan KN, Crawford WH, MacDonald DG. Proximal interphalangeal joint arthrodesis in 34 horses using two parallel 5.5-mm cortical bone screws. Vet Surg 2001; 30: 454-459. https://doi.org/10.1053/jvet.2001.25873
  8. 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: 212-221.
  9. 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: 615-619.
  10. 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: 409-414. https://doi.org/10.2746/0425164044868404
  11. 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: 606-611. https://doi.org/10.1111/j.1532-950X.2014.12164.x
  12. Seo JP, Yamaga T, Tsuzuki N, Yamada K, Haneda S, Furuoka H, Tabata Y, Sasaki N. Minimally invasive proximal interphalangeal joint arthrodesis using a locking compression plate and tissue engineering in horses: A pilot study. Can Vet J 2014; 55: 1050-1056.
  13. Stashak TS, Theoret CL. Equine Wound Management, 2nd ed. Wiley-Blackwell. 2008.
  14. Zert Z, Krisova S, Zuffova K. Pastern joint arthrodesis using two paraaxial and one axial crossed lag screws: a case report. Veterinarni Medicina 2013; 58: 322-326. https://doi.org/10.17221/6869-VETMED
  15. Zubrod CJ, Schneider RK. Arthrodesis techniques in horses. Vet Clin Equine 2005; 21: 691-711. https://doi.org/10.1016/j.cveq.2005.07.004