Fri 10 February 2012
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Distal Interphalangeal Joint Arthrodesis in Seven Cattle Using the Acutrak Plus Screw

ANDREW J. LEWIS, DVM , GARY A. SOD, DVM, PhD , MARJORIE S. GILL, DVM, MS, Diplomate ABVP , and COLIN F. MITCHELL, BVM&S, MS, Diplomate ACVS Veterinary Surgery 2009 38 5 659 - 663
Objectives—To report a technique for arthrodesis of the distal interphalangeal joint (DIPJ) with two 6.5 mm Acutrak Plus (AP) compression screws from a solar approach and outcome in 7 cattle. Study Design—Case series. Animals—Cattle (n=7) with DIPJ arthritis. Methods—Retrieved data from medical records of cattle that had undergone DIPJ arthrodesis using 2 AP screws via a solar approach were signalment, history, clinical signs, preoperative blood work, preoperative radiographs, complications, postoperative radiographs, and postoperative lameness evaluation. Outcomes, assessed by owner interview 6–26 months after surgery, were classified as excellent, good, or poor. Results—Fusion of the DIPJ was evident by 6 months. All cattle returned to full function with minimal lameness and normal appearance to the distal aspect of the limb. Four thoracic limbs and 3 pelvic limbs were affected; 3 medial and 4 lateral claws. Complications included moderate lameness associated with implants (n=2) that resolved after screw removal. Clinical Relevance—Use of the AP screw system in cattle is an excellent option for DIPJ arthrodesis with minimal postoperative morbidity and excellent return to function.

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