{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T04:24:30Z","timestamp":1743654270842,"version":"3.38.0"},"reference-count":27,"publisher":"American Veterinary Medical Association (AVMA)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To report the surgical technique, complications, and outcomes of 8 dogs that underwent a unilateral pantarsal arthrodesis stabilized using a circular external skeletal fixator (CESF) construct for the treatment of uni- or multilevel tarsal instability.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>8 dogs.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL PRESENTATION<\/jats:title>\n<jats:p>Medical records from 2010 to 2023 from 2 small animal hospitals were retrospectively reviewed for dogs undergoing pantarsal arthrodeses stabilized with CESF. Data collected for each dog included signalment, injury etiology, construct configuration, radiographic imaging, antimicrobial use, complications, length of time until construct removal, and outcome based on clinical evaluation by the owner and veterinary surgeon. <\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>8 dogs met the requirements of inclusion for the study. Dogs had a mean age of 5.5 years (range, 0.42 to 13 years) and weight of 15.1 kg (range, 2.5 to 26.4 kg). Angulated 3- and 4-ring constructs were used in 5 and 3 dogs, respectively, with or without hybridization. Tarsi were stabilized with a mean angle of extension of 124.8\u00b0 (range, 111.5\u00b0 to 136.5\u00b0). Fixator removal was performed at a mean time of 11.3 weeks (range, 6 to 16 weeks). Complications developed in 4 dogs, 2 of which had poor clinical outcomes despite additional interventions, including recurrent digit trauma and poor limb use postoperatively. Six dogs had excellent outcomes.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CLINICAL RELEVANCE<\/jats:title>\n<jats:p>A CESF may be considered as an alternative to plate stabilization when performing a pantarsal arthrodesis. This fixation requires rigorous postoperative care but obviates the need for supplemental postoperative coaptation.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.24.03.0183","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T15:23:08Z","timestamp":1716996188000},"page":"1405-1411","source":"Crossref","is-referenced-by-count":1,"title":["Pantarsal arthrodesis stabilized with circular external skeletal fixators in 8 dogs (2010\u20132022)"],"prefix":"10.2460","volume":"262","author":[{"given":"Cameron B.","family":"Seger","sequence":"first","affiliation":[{"name":"Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew D.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lance","family":"Wilson","sequence":"additional","affiliation":[{"name":"Animal Referral Hospital Brisbane, Sinnamon Park, QLD, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel D.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"issue":"3","key":"ref1","series-title":"Vet Surg","first-page":"502","article-title":"Long-term outcomes after pantarsal arthrodesis with medial plate fixation without external coaptation in 30 dogs","volume":"49","author":"Anesi S","year":"2020","unstructured":"Anesi S, Clarke S, Gemmill T,  Long-term outcomes after pantarsal arthrodesis with medial plate fixation without external coaptation in 30 dogs. Vet Surg. 2020;49(3):502-511. doi:10.1111\/vsu.13354"},{"issue":"3","key":"ref2","series-title":"J Small Anim Pract","first-page":"117","article-title":"Complications following tarsal arthrodesis using bone plate fixation in dogs","volume":"49","author":"Roch SP","year":"2008","unstructured":"Roch SP, Clements DN, Mitchell RA,  Complications following tarsal arthrodesis using bone plate fixation in dogs. J Small Anim Pract. 2008;49(3):117-126. doi:10.1111\/j.1748-5827.2007.00468.x"},{"issue":"5","key":"ref3","series-title":"Vet Comp Orthop Traumatol","first-page":"257","article-title":"Risk factors associated with plantar necrosis following tarsal arthrodesis in dogs","volume":"36","author":"Holroyd KL","year":"2023","unstructured":"Holroyd KL, Meeson RL, Pead MJ, Mukherjee L, Ferguson JF, Kulendra E. Risk factors associated with plantar necrosis following tarsal arthrodesis in dogs. Vet Comp Orthop Traumatol. 2023;36(5):257-265. doi:10.1055\/s-0043-57222"},{"issue":"3","key":"ref4","series-title":"Vet Comp Orthop Traumatol","first-page":"119","article-title":"Tarso-crural arthrodesis: complications and recommendations","volume":"02","author":"Klause SE","year":"1989","unstructured":"Klause SE, Piermattei DL, Schwarz PD. Tarso-crural arthrodesis: complications and recommendations. Vet Comp Orthop Traumatol. 1989;02(3):119-124. doi:10.1055\/s-0038-1633208"},{"issue":"2","key":"ref5","series-title":"Vet Comp Orthop Traumatol","first-page":"142","article-title":"Short and long-term outcome following surgical stabilization of tarsocrural instability in dogs","volume":"29","author":"Beever LJ","year":"2016","unstructured":"Beever LJ, Kulendra ER, Meeson RL. Short and long-term outcome following surgical stabilization of tarsocrural instability in dogs. Vet Comp Orthop Traumatol. 2016;29(2):142-148. doi:10.3415\/VCOT-15-05-0083"},{"issue":"5","key":"ref6","series-title":"Vet Surg","first-page":"480","article-title":"A clinical evaluation of pancarpal arthrodesis in nine dogs using circular external skeletal fixation","volume":"35","author":"Lotsikas PJ","year":"2006","unstructured":"Lotsikas PJ, Radasch RM. A clinical evaluation of pancarpal arthrodesis in nine dogs using circular external skeletal fixation. Vet Surg. 2006;35(5):480-485. doi:10.1111\/j.1532-950X.2006.00179.x"},{"issue":"7","key":"ref7","series-title":"J Small Anim Pract","first-page":"312","article-title":"Use of a circular external skeletal fixator for stifle arthrodesis in a dog","volume":"41","author":"Collins KE","year":"2000","unstructured":"Collins KE, Lewis DD, Lanz OI, Newell SM. Use of a circular external skeletal fixator for stifle arthrodesis in a dog. J Small Anim Pract. 2000;41(7):312-315. doi:10.1111\/j.1748-5827.2000.tb03208.x"},{"issue":"4","key":"ref8","series-title":"Vet Comp Orthop Traumatol","first-page":"204","article-title":"Use of circular external skeletal fixator constructs to stabilize tarsometatarsal arthrodeses in three dogs","volume":"17","author":"Halling KB","year":"2004","unstructured":"Halling KB, Lewis DD, Jones RW, Hill RC, Anderson GM. Use of circular external skeletal fixator constructs to stabilize tarsometatarsal arthrodeses in three dogs. Vet Comp Orthop Traumatol. 2004;17(4):204-209. doi:10.1055\/s-0038-1633409"},{"issue":"9","key":"ref9","series-title":"Can Vet J","first-page":"894","article-title":"Arthrodesis tarsocrural or tarsometatarsal in 2 dogs using circular external skeletal fixator","volume":"47","author":"Rahal SC","year":"2006","unstructured":"Rahal SC, Volpi RS, Hette K, Teixeira Neto FJ, Vulcano LC. Arthrodesis tarsocrural or tarsometatarsal in 2 dogs using circular external skeletal fixator. Can Vet J. 2006;47(9):894-898."},{"issue":"4","key":"ref10","series-title":"Vet Comp Orthop Traumatol","first-page":"193","article-title":"Tarsocrural arthrodesis: a clinical report using a circular external fixator","volume":"11","author":"Trostel CT","year":"1998","unstructured":"Trostel CT, Radasch RM. Tarsocrural arthrodesis: a clinical report using a circular external fixator. Vet Comp Orthop Traumatol. 1998;11(4):193-196. doi:10.1055\/s-0038-1632546"},{"issue":"4","key":"ref11","series-title":"Vet Comp Orthop Traumatol","first-page":"291","article-title":"Management of complete talocrural luxations by selective talocrural arthrodesis using hybrid transarticular external skeletal fixation in dogs","volume":"31","author":"Yard\u0131mc\u0131 C","year":"2018","unstructured":"Yard\u0131mc\u0131 C, \u00d6nyay T, \u0130nal KS, \u00d6zbak\u0131r DB, \u00d6zak A. Management of complete talocrural luxations by selective talocrural arthrodesis using hybrid transarticular external skeletal fixation in dogs. Vet Comp Orthop Traumatol. 2018;31(4):291-297. doi:10.1055\/s-0038-1651486"},{"issue":"3","key":"ref12","series-title":"Vet Comp Orthop Traumatol","first-page":"108","article-title":"Initial clinical experience with the IMEX\u2122 circular external skeletal fixation system. Part I: use in fractures and arthrodeses","volume":"12","author":"Lewis DD","year":"1999","unstructured":"Lewis DD, Radasch RM, Beale BS,  Initial clinical experience with the IMEX\u2122 circular external skeletal fixation system. Part I: use in fractures and arthrodeses. Vet Comp Orthop Traumatol. 1999;12(3):108-117. doi:10.1055\/s-0038-1632475"},{"issue":"10","key":"ref13","series-title":"J Orthop Trauma","first-page":"691","article-title":"Extraosseous blood supply of the tibia and the effects of different plating techniques: a human cadaveric study","volume":"16","author":"Borrelli J Jr","year":"2002","unstructured":"Borrelli J Jr, Prickett W, Song E, Becker D, Ricci W. Extraosseous blood supply of the tibia and the effects of different plating techniques: a human cadaveric study. J Orthop Trauma. 2002;16(10):691-695. doi:10.1097\/00005131-200211000-00002"},{"issue":"3","key":"ref14","series-title":"Vet Surg","first-page":"255","article-title":"Effect of plating technique on periosteal vasculature of the radius in dogs: a cadaveric study","volume":"42","author":"Garofolo S","year":"2013","unstructured":"Garofolo S, Pozzi A. Effect of plating technique on periosteal vasculature of the radius in dogs: a cadaveric study. Vet Surg. 2013;42(3):255-261. doi:10.1111\/j.1532-950X.2013.01087.x"},{"issue":"1","key":"ref15","series-title":"Vet Comp Orthop Traumatol","first-page":"28","article-title":"Intertarsal and tarsometatarsal arthrodesis using a plantar approach","volume":"13","author":"Wilke VL","year":"2000","unstructured":"Wilke VL, Robinson TM, Dueland RT. Intertarsal and tarsometatarsal arthrodesis using a plantar approach. Vet Comp Orthop Traumatol. 2000;13(1):28-33. doi:10.1055\/s-0038-1632626"},{"key":"ref16","series-title":"Piermattei\u2019s Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat","first-page":"440","article-title":"Approach to the medial malleolus and talocrural joint","author":"Johnson KA","year":"2014","unstructured":"Johnson KA. Approach to the medial malleolus and talocrural joint. In: Johnson KA. Piermattei\u2019s Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 5th ed. Elsevier; 2014:440-443."},{"key":"ref17","series-title":"Piermattei\u2019s Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat","first-page":"454","article-title":"Approach to the medial bones of the tarsus","author":"Johnson KA","year":"2014","unstructured":"Johnson KA. Approach to the medial bones of the tarsus. In: Johnson KA. Piermattei\u2019s Atlas of Surgical Approaches to the Bones and Joints of the Dog and Cat. 5th ed. Elsevier; 2014:454-455."},{"issue":"2","key":"ref18","series-title":"J Am Anim Hosp Assoc","first-page":"231","article-title":"Tarsocrural arthrodesis: long-term functional results","volume":"27","author":"Gorse MJ","year":"1991","unstructured":"Gorse MJ, Early DE, Aron DN. Tarsocrural arthrodesis: long-term functional results. J Am Anim Hosp Assoc. 1991;27(2):231-235."},{"issue":"2","key":"ref19","series-title":"J Am Anim Hosp Assoc","first-page":"185","article-title":"A technique for tibiotarsal arthrodesis utilizing cancellous bone screws in small animals","volume":"11","author":"Stoll SG","year":"1975","unstructured":"Stoll SG, Sinibaldi KR, DeAngelis MP, Rosen H. A technique for tibiotarsal arthrodesis utilizing cancellous bone screws in small animals. J Am Anim Hosp Assoc. 1975;11(2):185-191."},{"issue":"5","key":"ref20","series-title":"J Am Anim Hosp Assoc","first-page":"553","article-title":"Clinical findings and complications after talocrural arthrodesis in dogs: experience with six cases","volume":"27","author":"Doverspike M","year":"1991","unstructured":"Doverspike M, Vasseur PB. Clinical findings and complications after talocrural arthrodesis in dogs: experience with six cases. J Am Anim Hosp Assoc. 1991;27(5):553-559."},{"issue":"3","key":"ref21","series-title":"J Small Anim Pract","first-page":"103","article-title":"Recent advances in external skeletal fixation","volume":"42","author":"Lewis DD","year":"2001","unstructured":"Lewis DD, Cross AR, Carmichael S, Anderson MA. Recent advances in external skeletal fixation. J Small Anim Pract. 2001;42(3):103-112. doi:10.1111\/j.1748-5827.2001.tb02006.x"},{"issue":"1","key":"ref22","series-title":"Vet Clin North Am Small Anim Pract","first-page":"241","article-title":"Percutaneous plate arthrodesis","volume":"50","author":"Pozzi A","year":"2020","unstructured":"Pozzi A, Lewis DD, Hudson CC, Kim SE, Castelli E. Percutaneous plate arthrodesis. Vet Clin North Am Small Anim Pract. 2020;50(1):241-261. doi:10.1016\/j.cvsm.2019.08.014"},{"issue":"4","key":"ref23","series-title":"Indian J Orthop","first-page":"377","article-title":"Treatment principles in the management of open fractures","volume":"42","author":"Cross WW III","year":"2008","unstructured":"Cross WW III, Swiontkowski MF. Treatment principles in the management of open fractures. Indian J Orthop. 2008;42(4):377-386."},{"issue":"7","key":"ref24","series-title":"Am J Vet Res","first-page":"1025","article-title":"Effects of ring diameter and wire tension on the axial biomechanics of four-ring circular external skeletal fixator constructs","volume":"62","author":"Cross AR","year":"2001","unstructured":"Cross AR, Lewis DD, Murphy ST,  Effects of ring diameter and wire tension on the axial biomechanics of four-ring circular external skeletal fixator constructs. Am J Vet Res. 2001;62(7):1025-1030. doi:10.2460\/ajvr.2001.62.1025"},{"issue":"4","key":"ref25","series-title":"Vet Surg","first-page":"386","article-title":"Axial characteristics of circular external skeletal fixator single ring constructs","volume":"30","author":"Lewis DD","year":"2001","unstructured":"Lewis DD, Bronson DG, Cross AR, Welch RD, Kubilis PS. Axial characteristics of circular external skeletal fixator single ring constructs. Vet Surg. 2001;30(4):386-394. doi:10.1053\/jvet.2001.24397"},{"key":"ref26","series-title":"Complications in Small Animal Surgery","first-page":"704","article-title":"Complications in external skeletal fixation","author":"Rovesti GL","year":"2016","unstructured":"Rovesti GL. Complications in external skeletal fixation. In: Griffon D, Annick H, eds. Complications in Small Animal Surgery. John Wiley & Sons Inc; 2016:704-713. doi:10.1002\/9781119421344"},{"key":"ref27","series-title":"Vet Med","first-page":"90","article-title":"Postoperative management of external fixators in dogs and cats","volume":"106","author":"Choate CJ","year":"2011","unstructured":"Choate CJ, Radasch RM, Lewis DD. Postoperative management of external fixators in dogs and cats. Vet Med. 2011;106:90-95."}],"container-title":["Journal of the American Veterinary Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/10\/javma.24.03.0183.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/10\/javma.24.03.0183.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/avmajournals.avma.org\/downloadpdf\/journals\/javma\/262\/10\/javma.24.03.0183.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,7]],"date-time":"2025-03-07T14:10:32Z","timestamp":1741356632000},"score":1,"resource":{"primary":{"URL":"https:\/\/avmajournals.avma.org\/view\/journals\/javma\/262\/10\/javma.24.03.0183.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,1]]},"references-count":27,"journal-issue":{"issue":"10"},"URL":"https:\/\/doi.org\/10.2460\/javma.24.03.0183","relation":{},"ISSN":["0003-1488"],"issn-type":[{"type":"print","value":"0003-1488"}],"subject":[],"published":{"date-parts":[[2024,10,1]]}}}