{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:37:15Z","timestamp":1767854235556,"version":"3.49.0"},"reference-count":41,"publisher":"American Veterinary Medical Association (AVMA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n<jats:sec id=\"s001\">\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>To describe prosthetic ligament placement for reduction and stabilization of medial or dorsomedial tarsometatarsal joint luxation in dogs and cats and to report complications and postoperative outcomes for patients that underwent that procedure.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s002\">\n<jats:title>ANIMALS<\/jats:title>\n<jats:p>14 dogs and 2 cats with medial or dorsomedial tarsometatarsal joint luxation.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s003\">\n<jats:title>PROCEDURES<\/jats:title>\n<jats:p>The electronic database of a referral surgery practice was searched to identify records of dogs and cats with tarsometatarsal joint luxation that underwent prosthetic ligament placement between January 2004 and March 2017. For each study subject, information extracted from the medical record included signalment, a description of the tarsometatarsal joint injury, durations of anesthesia and surgery, and intraoperative and postoperative care and complications. Radiographic images were also reviewed. The long-term outcome for study subjects was assessed by administration of a standardized questionnaire to owners.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s004\">\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Prosthetic ligament placement successfully stabilized the luxated tarsometatarsal joint in all 16 patients. Six patients developed minor postoperative complications, which included bandage-associated dermatitis or ulceration (n = 5) and orthopedic wire failure (1). No major or catastrophic complications were reported. All 13 owners who completed the questionnaire perceived that the described technique resulted in satisfactory long-term function for their pets.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"s005\">\n<jats:title>CONCLUSIONS AND CLINICAL RELEVANCE<\/jats:title>\n<jats:p>Results suggested that prosthetic ligament placement was a technically simple procedure that achieved satisfactory long-term stabilization of the tarsometatarsal joint in small animal patients with medial or dorsomedial luxation of the joint. Prosthetic ligament placement may be an alternative to arthrodesis for tarsometatarsal joint stabilization in appropriate patients.<\/jats:p>\n<\/jats:sec>","DOI":"10.2460\/javma.255.3.336","type":"journal-article","created":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T12:46:21Z","timestamp":1562935581000},"page":"336-344","source":"Crossref","is-referenced-by-count":4,"title":["Description and outcome of prosthetic ligament placement for stabilization of medial or dorsomedial tarsometatarsal joint luxation in dogs and cats: 16 cases (2004\u20132017)"],"prefix":"10.2460","volume":"255","author":[{"given":"Amber L.","family":"Gunstra","sequence":"first","affiliation":[{"name":"1Southwest Veterinary Surgical Service, Arizona Veterinary Specialty Center, 86 W Juniper Ave, Ste 4, Gilbert, AZ 85233."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey A.","family":"Steurer","sequence":"additional","affiliation":[{"name":"1Southwest Veterinary Surgical Service, Arizona Veterinary Specialty Center, 86 W Juniper Ave, Ste 4, Gilbert, AZ 85233."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradford C.","family":"Dixon","sequence":"additional","affiliation":[{"name":"1Southwest Veterinary Surgical Service, Arizona Veterinary Specialty Center, 86 W Juniper Ave, Ste 4, Gilbert, AZ 85233."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel L.","family":"Siebert","sequence":"additional","affiliation":[{"name":"2Charleston Veterinary Referral Center, 3484 Shelby Ray Ct, Charleston, SC 29414."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1272","reference":[{"key":"ref1","series-title":"Miller's anatomy of the dog","first-page":"158","article-title":"Arthrology","author":"Evans","year":"2013"},{"key":"ref2","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"912","DOI":"10.1111\/j.1532-950X.2014.12194.x","article-title":"Magnetic resonance imaging, computed tomography, and gross anatomy of the canine tarsus","volume":"43","author":"Deruddere","year":"2014"},{"key":"ref3","series-title":"Vet J","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1016\/j.tvjl.2012.10.027","article-title":"Canine tarsal architecture as revealed by high-resolution computed tomography","volume":"196","author":"Galateanu","year":"2013"},{"key":"ref4","series-title":"Am J Vet Res","doi-asserted-by":"publisher","first-page":"1911","DOI":"10.2460\/ajvr.2001.62.1911","article-title":"Computed tomography of the tarsal joint in clinically normal dogs","volume":"62","author":"Gielen","year":"2001"},{"key":"ref5","series-title":"Br Vet J","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1016\/0007-1935(87)90016-9","article-title":"Disorders of the tarsus in the dog. I","volume":"143","author":"Vaughan","year":"1987"},{"key":"ref6","series-title":"Br Vet J","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1016\/0007-1935(87)90038-8","article-title":"Disorders of the tarsus in the dog. II","volume":"143","author":"Vaughan","year":"1987"},{"key":"ref7","series-title":"Veterinary surgery: small animal","first-page":"1014","article-title":"Tarsus and metatarsus","volume":"1","author":"Carmichael","year":"2012"},{"key":"ref8","series-title":"Brinker, Piermattei, and Flo's handbook of small animal orthopedics and fracture repair","first-page":"707","article-title":"Fractures and other orthopedic injuries of the tarsus, metatarsus, and phalanges","author":"DeCamp","year":"2016"},{"key":"ref9","series-title":"Textbook of veterinary diagnostic radiology","first-page":"187","article-title":"Radiographic signs of joint disease","author":"Graeme","year":"2002"},{"key":"ref10","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1111\/j.1748-5827.1976.tb06983.x","article-title":"Intertarsal and tarso-metatarsal subluxation in the dog","volume":"17","author":"Campbell","year":"1976"},{"key":"ref11","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"733","DOI":"10.1111\/j.1532-950X.2012.01020.x","article-title":"Tarsometatarsal arthrodesis using tarsometatarsal intramedullary pin stabilization","volume":"41","author":"Chow","year":"2012"},{"key":"ref12","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1111\/j.1748-5827.1998.tb03664.x","article-title":"Arthrodesis of the tarsometatarsal joint using a laterally applied plate in 10 dogs","volume":"39","author":"Dyce","year":"1998"},{"key":"ref13","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"364","DOI":"10.5326\/0380364","article-title":"Intertarsal and tarsometatarsal arthrodesis using 2.0\/2.7-mm or 2.7\/3.5-mm hybrid dynamic compression plates","volume":"38","author":"Fettig","year":"2002"},{"key":"ref14","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1055\/s-0038-1633409","article-title":"Use of circular external skeletal fixator constructs to stabilize tarsometatarsal arthrodeses in three dogs","volume":"17","author":"Halling","year":"2004"},{"key":"ref15","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"166","DOI":"10.3415\/VCOT-08-01-0007","article-title":"Arthrodesis of the tarsometatarsal joints in a cat with a two hole advanced locking plate system","volume":"22","author":"Inauen","year":"2009"},{"key":"ref16","series-title":"J S Afr Vet Med Assoc","first-page":"195","article-title":"Treatment of luxation of the tarsometatarsal joint of the dog","volume":"42","author":"Le Roux","year":"1971"},{"key":"ref17","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"155","DOI":"10.5326\/15473317-35-2-155","article-title":"Tarsometatarsal subluxation in dogs: partial arthrodesis by plate fixation","volume":"35","author":"Muir","year":"1999"},{"key":"ref18","series-title":"J Am Anim Hosp Assoc","first-page":"183","article-title":"A simple technique for tarsometatarsal arthrodesis in small animals","volume":"24","author":"Penwick","year":"1988"},{"key":"ref19","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","year":"2006"},{"key":"ref20","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1055\/s-0038-1632975","article-title":"Arthrodesis of the tarsometatarsal joint, using type II ESF with acrylic connecting bars in four dogs","volume":"19","author":"Shanil","year":"2006"},{"key":"ref21","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"508","DOI":"10.1111\/j.1748-5827.2006.00299.x","article-title":"Ankylosis of tarsometatarsal luxations using external fixation","volume":"48","author":"McLennan","year":"2007"},{"key":"ref22","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1055\/s-0038-1632809","article-title":"Internal splinting of dorsal intertarsal and tarsometatarsal instabilities in dogs and cats with the ComPact UniLock 2.0\/2.4\u2122 System","volume":"17","author":"Voss","year":"2004"},{"key":"ref23","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1111\/j.1748-5827.2003.tb00179.x","article-title":"Dorsal tarsal instability in three racing Greyhounds","volume":"44","author":"Guilliard","year":"2003"},{"key":"ref24","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1111\/j.1532-950X.2010.00763.x","article-title":"Proposed definitions and criteria for reporting time frame, outcome, and complications for clinical orthopedic studies in veterinary medicine","volume":"39","author":"Cook","year":"2010"},{"key":"ref25","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"510","DOI":"10.1111\/jsap.12378","article-title":"Mechanical comparison of monofilament nylon leader and orthopaedic wire for median sternotomy closure","volume":"56","author":"McCready","year":"2015"},{"key":"ref26","series-title":"Can Vet J","first-page":"165","article-title":"The use of veterinary cuttable plates for carpal and tarsal arthrodesis in small dogs and cats","volume":"48","author":"Th\u00e9oret","year":"2007"},{"key":"ref27","series-title":"J Am Vet Med Assoc","doi-asserted-by":"publisher","first-page":"1278","DOI":"10.2460\/javma.233.8.1278","article-title":"Ability of the Canine Brief Pain Inventory to detect response to treatment in dogs with osteoarthritis","volume":"233","author":"Brown","year":"2008"},{"key":"ref28","series-title":"PLoS One","doi-asserted-by":"publisher","first-page":"e58125","DOI":"10.1371\/journal.pone.0058125","article-title":"Evaluation of construct and criterion validity for the \u2018Liverpool Osteoarthritis in Dogs\u2019 (LOAD) clinical metrology instrument and comparison to two other instruments","volume":"8","author":"Walton","year":"2013"},{"key":"ref29","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1111\/j.1748-5827.2007.00468.x","article-title":"Complications following tarsal arthrodesis using bone plate fixation in dogs","volume":"49","author":"Roch","year":"2008"},{"key":"ref30","series-title":"N Z Vet J","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1080\/00480169.2011.627065","article-title":"Long-term outcomes after partial tarsal arthrodesis in working farm dogs in New Zealand","volume":"60","author":"Scrimgeour","year":"2012"},{"key":"ref31","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"542","DOI":"10.1111\/j.1532-950X.2004.04076.x","article-title":"A prospective study of postoperative surgical site infections in dogs and cats","volume":"33","author":"Eugster","year":"2004"},{"key":"ref32","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"28","DOI":"10.1055\/s-0038-1632626","article-title":"Intertarsal and tarsometatarsal arthrodesis using a plantar approach","volume":"13","author":"Wikle","year":"2000"},{"key":"ref33","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1111\/j.1532-950X.2014.12097.x","article-title":"The Advanced Locking Plate System (ALPS): a retrospective evaluation in 71 small animal patients","volume":"43","author":"Guerrero","year":"2014"},{"key":"ref34","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1055\/s-0038-1632936","article-title":"The ComPact UniLock 2.0\/2.4 system and its clinical application in small animal orthopedics","volume":"18","author":"Keller","year":"2005"},{"key":"ref35","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"147","DOI":"10.5326\/15473317-35-2-147","article-title":"Evaluation of joint stabilization for treatment of shearing injuries of the tarsus in 20 dogs","volume":"35","author":"Diamond","year":"1999"},{"key":"ref36","series-title":"Small animal surgery","first-page":"1215","article-title":"Diseases of the joints","author":"Shulz","year":"2013"},{"key":"ref37","series-title":"J Am Anim Hosp Assoc","first-page":"41","article-title":"Prosthetic ligament replacement for severe tarsocrural joint instability","volume":"23","author":"Aaron","year":"1987"},{"key":"ref38","series-title":"Vet Comp Orthop Traumatol","doi-asserted-by":"publisher","first-page":"142","DOI":"10.3415\/VCOT-15-05-0083","article-title":"Short and long-term outcome following surgical stabilization of tarsocrural instability in dogs","volume":"29","author":"Beever","year":"2016"},{"key":"ref39","series-title":"J Am Anim Hosp Assoc","doi-asserted-by":"publisher","first-page":"268","DOI":"10.5326\/15473317-33-3-268","article-title":"Reconstruction of the medial collateral ligament for tarsocrural luxation in the dog: a preliminary study","volume":"33","author":"Fox","year":"1997"},{"key":"ref40","series-title":"Vet Surg","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1111\/j.1532-950X.2013.01110.x","article-title":"Outcomes associated with treatments for medial, lateral, and multidirectional shoulder instability in dogs","volume":"42","author":"Franklin","year":"2013"},{"key":"ref41","series-title":"J Small Anim Pract","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1111\/jsap.12499","article-title":"Multi-centre retrospective study of long-term outcomes following traumatic elbow luxation in 37 dogs","volume":"57","author":"Sajik","year":"2016"}],"container-title":["Journal of the American Veterinary Medical 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