Complications of lateral plate fixation compared with tension band wiring and pin or lag screw fixation for calcaneoquartal arthrodesis Treatment of proximal intertarsal subluxation occurring secondary to non-traumatic plantar tarsal ligament disruption in dogs

D. C. Barnes*, C. S. Knudsen, M. Gosling, M. McKee, R. G. Whitelock, G. I. Arthurs, M. G. Ness, H. Radke, S. J. Langley-Hobbs

*Corresponding author for this work

    Research output: Contribution to journalArticle (Academic Journal)peer-review

    6 Citations (Scopus)


    Objective: To compare complication rates and the outcomes of these complications after lateral plate fixation with figure-of-eight tension-band-wire and pin or lag screw fixation for arthrodesis of the calcaneoquartal joint, following non-traumatic disruption of the plantar tarsal ligament in dogs.

    Methods: Data were collected retrospectively from five UK referral centres. Diplomate specialists and their residents performed all procedures. Referring veterinarians were contacted for long-term follow-up.

    Results: Seventy-four procedures were undertaken in 61 dogs. There were 58 arthro-deses in the lateral plate group (Plate), nine in the pin and tension-band-wire group (Pin), and seven in the lag screw and tension-band wire-group (Screw). Compared to Plate (17%), further surgical intervention was required more frequently following Pin (56%, OR = 3.2) or Screw (43%, OR = 2.5) fixation. Clinical failure of arthrodesis occurred less frequently with Plate (5%) compared with Screw (43%, OR = 8.6) and Pin fixation (22%, OR = 4.4). Cases managed with external coaptation postoperatively were more likely to suffer from postoperative complications (OR = 2.2).

    Clinical significance: Lateral plating was associated with fewer postoperative complications than pin and tension-band-wire fixation for arthrodesis of the calcaneoquartal joint in dogs with non-traumatic disruption of the plantar tarsal ligament.

    Original languageEnglish
    Pages (from-to)445-452
    Number of pages8
    JournalVeterinary and Comparative Orthopaedics and Traumatology
    Issue number6
    Publication statusPublished - 2013


    • Plantar tarsal ligament
    • calcaneoquartal arthrodesis
    • plate
    • tension-band-wire
    • CARPAL

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