Arthrodesis for Congenital Flexural Deformity of the Metacarpophalangeal and Metatarsophalangeal Joints |
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Authors: | KAREN J. WHITEHAIR DVM MS STEPHEN B. ADAMS DVM MS Diplomate ACVS JAMES P. TOOMBS DVM MS Diplomate ACVS JILL E. PARKER VMD Diplomate ACVS JOSEPH M. PROSTREDNY DVM MS JON G. WHITEHAIR DVM SEAN W. AIKEN DVM |
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Affiliation: | Department of Veterinary Clinical Science, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana. |
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Abstract: | A llama, a miniature horse, and a miniature donkey with severe bilateral congenital flexural deformities of the metacarpophalangeal and metatarsophalangeal joints were treated successfully by arthrodesis with dynamic compression plating or external skeletal fixation. The flexor tendons were more taut than the suspensory ligaments and were transected. In the llama, the suspensory ligament was transected, and overcorrection caused ischemic necrosis of one distal limb and subluxation of the other fetlock joint. In the horse and donkey, the suspensory ligament was preserved and wedge osteotomy was performed to correct the deformity. |
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